The Curbsiders Internal Medicine Podcast15 Sep 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.

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(500)

#538: More Than a Gut Feeling - DGBIs with Dr. Iris Wang

All About Disorders of Gut-Brain InteractionMaster disorders of gut–brain interaction. Learn how Rome V changes the diagnosis of IBS and other DGBIs, how to approach chronic diarrhea and the microbiom...

31 Aug 1h 24min

#537 Hyperkalemia and Hypokalemia

I’m Going Bananas for This One!Learn how to formulate a framework while dealing with potassium disorders in patients with varying levels of kidney disease.We’re joined by Dr Joel Topf, (@kidney_boy) t...

24 Aug 1h 19min

#536 Q&Apalooza: Your Addiction Questions Answered!

This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospita...

17 Aug 1h 17min

#535 Sleep Apnea Update: How to Choose and Interpret Sleep Tests and Prescribe CPAP Therapy

Diagnosis and Management of Obstructive Sleep ApneaShow description: Explore the interpretation of sleep studies in the diagnosis of obstructive sleep apnea. Master treatment of OSA and how to trouble...

10 Aug 1h 26min

REBOOT #518: Cardiology Meets Longevity

We have another classic episode for you. Level up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before diabetes declares it...

3 Aug 1h 25min

#534: Supplements in Primary Care

Separating Signal from HypePatients bring us lists. Greens powders, magnesium for everything, vitamin D “for immunity,” fish oil, creatine, curcumin… so how do we separate signals from hype without be...

27 Jul 1h 24min

#533: What’s the Tea on Kratom?

Caring for patients using mitragynine-derived substancesFamiliarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdr...

20 Jul 1h 1min

#532: Updates in Fibromyalgia Management featuring Dr. Dan Clauw

From Pain to Gain: Diagnosis to Updated Treatment OptionsLearn how to recognize fibromyalgia as a disorder of central pain processing, distinguish it from common mimics, and apply evidence-based strat...

13 Jul 1h 22min