The Curbsiders Addiction Medicine Podcast

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 | [email protected] | 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

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 use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you’re in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our amazing guest, Dr. Phillip Coffin, Director of the Center on Substance Use and Health in the SFDPH. 

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 | [email protected] | CME!

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak; Definitions

Four-tier approach to taking care of patients with methamphetamine use/use disorder

Medications for treatment

Psychosocial treatment

Harm reduction

New horizons in treatment 

Outro

Credits

Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD

Infographic and Cover Art: Zoya Surani

Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD

Reviewer: Sarah Leyde MD

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Dr. Phillip Coffin

Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We’re joined by Dr. Jessica Merlin, @JessicaMerlinMD (University of Pittsburgh). 

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 | [email protected] | CME!

Credits

Producer, Show Notes, Infographics: Carolyn Chan MD, MHS

Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD

Reviewer: Payel Jhoom Roy MD, MSc

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Jessica Merlin MD, PhD, MBA

Sponsor: JournalFeed

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Sponsor: Mint Mobile

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Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit them. We’re joined by Dr Stephen Holt (Yale University School of Medicine)

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 | [email protected] | Free CME!

Credits

Written, produced, show notes, cover art and infographics by: Shawn Cohen MD 

Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD

Reviewer: Kento Sonoda MD

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest:  Stephen Holt MD

Sponsor: Pretty Litter

Go to Prettylitter.com/curb to save twenty percent on your first order and get a free cat toy. 

Sponsor: Quince

Go to Quince.com/curb for 365-day returns, plus free shipping on your order. 

Sponsor: American College of Physicians Inc

Internal Medicine Board Review Courses and offered in the Greater Chicago area May 13-17 and, new for 2025,  Philadelphia, July 14-18. • Enter code COURSECS25 toSave $75 dollars when registering for the Philadelphia course by 6/1.  Registration is open now at acponline.org

Sponsor: Ezresus

Listeners of the Curbsiders get access to a 2-month free trial, letting them use 100% of the features of the app. Go to .ezresus.com/curbsiders and use promo code Curbsiders

Join us to hear the latest pearls and best practices on talking to patients about vaping, if e-cigarettes can be used to stop smoking cigarettes, and every other question you hadn’t thought to ask about vaping with Drs. Pam Ling (UCSF) and Maya Vijayaraghavan (UCSF).  

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.

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!

Credits

Producer/Writer: Era Kryzhanovskaya, MD

Show Notes: Zina Huxley-Reicher, MD; Era Kryzhanovskaya, MD

CME: Era Kryzhanovskaya, MD

Infographic and Cover Art: Zina Huxley-Reicher, MD

Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD

Reviewer: Kento Sonoda, MD

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guests:. Pam Ling, MD; Maya Vijayaraghavan, MD

Show Segments

00:11 Intro, disclaimer

02:22 Guest bios

04:28 Guest one-liners

10:28 Case from Kashlak

11:55 Vape info and definitions

14:32 How to discuss vaping with patients

17:53 FDA authority over vapes

20:37 Development of nicotine (via vaping) use disorder

23:29 Questions to ask about use disorder 

30:53 E-cigarettes for tobacco cessation

35:39 Exploring ways to quit smoking (+/- vapes)

39:53 Screening for vaping use disorder; research measures

43:10 Resources for e-cigarette cessation 

45:33 Medication approaches 

48:25 Behavioral supports for e-cigarette cessation 

1:00:31 Take Home Points

1:05:08 Outro