The Curbsiders Internal Medicine Podcast15 Syys 2025

#498 Opioid Withdrawal with Dr. Ashish Thakrar

Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We’re joined by Ashish Thakrar, MD at the University of Pennsylvania.

Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Show Segments

Intro, disclaimer, guest bio
Guest one-liner
Case from Kashlak; Definitions
Symptoms of opioid withdrawal
Medications for the management of opioid withdrawal
Buprenorphine precipitated withdrawal
Starting Buprenorphine: Experiences and Strategies
Titrating Methadone: Dosage and Adjuncts
Adjunctive short-acting opioids
Emerging Trends in Drug Supply: Xylazine and Medetomidine
Outro

Credits

Producer, Show Notes: Zina Huxley-Reicher
Infographics: Zina Huxley-Reicher MD and Zoya Surani
Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD
Reviewer: Payel Jhoom Roy, MD, MSc
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Ashish Thakrar, MD MHSP

Sponsor: Mint Mobile

Shop plans at MINTMOBILE.com/CURB

Sponsor: Freed

Use code: CURB50 to get $50 off your first month when you subscribe!

Sponsor: FIGS

We’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(500)

#501 GERD vs NERD: Reflux Updates with Dr. James Callaway

Update your approach to the evaluation and management of GERD with Dr. James Callaway. Learn when to consider ambulatory reflux monitoring and how to determine if someone has an indication for long-te...

13 Loka 20251h 8min

500th Ep Bonus AMA: Diabetes Meds, AI in Medicine, Thyroid Antibodies, Sleep Meds, Top 5 Lists, Favorite Failures, and More!

In this bonus episode, Matt and Paul answer Patreon listener questions on various topics, including the role of AI in medicine, concerns about antibiotics and their impact on health, insomnia treatm...

8 Loka 202549min

#500: COPD Update with Cyrus Askin

GOLD Updates, Novel Treatments, and Managing Comorbidities in COPD Care Level up your COPD care with practical, evidence-based strategies. Learn how to confirm airflow obstruction with spirometry (an...

6 Loka 20251h 22min

REBOOT: #460 Heart Failure with Preserved Ejection Fraction

We have a classic episode for you. Preserve your sanity while treating heart failure with preserved ejection fraction. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding ...

29 Syys 202548min

#499 Inpatient DOAC Dilemmas with Dr. Jori May

Sorting out DOAC Drama in the Hospital Is it treatment failure or not? Join us for a great conversation with Dr. Jori May (University of Alabama-Birmingham) on all the nuances around DOAC treatment f...

22 Syys 20251h 7min

#497 Methamphetamine Use Disorder: Tailoring and Ramping up Management with Dr. Phillip Coffin

In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine u...

8 Syys 20251h 2min

REBOOT: #457 Cold and Flu Season: Upper Respiratory Infections

We have a classic episode for you. Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn). Feel confident on when to order testing, recommend symptom relieving treatments, an...

1 Syys 20251h 5min