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)

#531 2025 ACLS Guideline Updates Live from #SHM #Converge2026

With 10+ parts to the 2025 ACLS guidelines, it’s a lot to sift through. Join us for this focused conversation on the parts that have had most practice changing updates with Dr. Jessica Nave (Emory Uni...

6 Jul 52min

REBOOT: #507 Swinging the Pendulum on Menopause Care With Dr Rachel Rubin

We have another classic episode for you. Transform your approach to menopause care with the latest evidence and expert insights you can use tomorrow. Learn how to move beyond outdated WHI-era fears an...

29 Jun 1h 33min

#530 Nutrition with Dr. Joan Salge Blake

Confidently counsel on nutrition, as we discuss different dietary patterns and address common patient queries. We are joined by Dr. Joan Salge Blake (Boston University).Claim CME for this episode at c...

22 Jun 1h 14min

#529 A Case of Syncope with the Clinical Problem Solvers

Enjoy the ride as we go through a case of syncope with the Clinical Problem Solvers! Listen in awe as they break down their thought process when evaluating a patient presenting with syncope. We are jo...

15 Jun 57min

#528 Hospital Addiction Medicine 3.0 with Dr. Maggie Lowenstein

Become the Medetomi-Dean of AdmissionsStep up your hospital addiction medicine game by learning to troubleshoot methadone dose confirmations/missed doses and understanding how medetomidine’s emergency...

8 Jun 1h 18min

#527 Oncology Potpourri for the Hospitalist

Malignant Bowel Obstruction, VTE and Goals of CareMaster malignant bowel obstruction, cancer-associated thrombosis, and goals-of-care conversations in hospitalized patients with advanced cancer. Learn...

1 Jun 59min

#526 DIGEST – game changers in pancreatic cancer, lipid guideline updates, and GLP-1/GIP endoscopy holds

Join us as we review recent articles and news featured in The DIGEST, including updated lipid guidelines, GLP1 agonists holds and procedures, the newest drug in pancreatic cancer, and discontinuing th...

25 Mai 57min

#525: Multi-Cancer Early Detection Testing

Cut through the hype of Multi-Cancer Early Detection (MCED) tests and learn how to counsel patients on the real-world utility, false-positive risks, and the "stage shift" debate of these emerging bloo...

18 Mai 46min