Primary Care

Addiction Psychiatry

Questions discussed in this category

How do you manage nicotine withdrawal and smoking cessation in teens?

How do you approach weaning patients off of buprenorphine?

Would you use bupropion for mood disorder or substance use in an adult patient with previous childhood seizures that resolved?

1 Answer available

How do you approach pain management needs for patients well-established on buprenorphine/naloxone?

1 Answer available

How do you approach switching from methadone to buprenorphine/naloxone for patients who want to change medication management for opioid use disorder?

6 Answers available

In what cases do you use baclofen for alcohol use disorder?

3 Answers available

How do you approach the use of buprenorphine/naloxone in pregnant and breastfeeding patients?

In light of Straub et al's comparative study of combination vs buprenorphine alone

2 Answers available

How do you approach the use of benzodiazepines in patients with chronic medical illnesses that may be susceptible to respiratory compromise (e.g., CHF, COPD, ILD)?

Should you work to wean patients of benzodiazepines? Is your approach different for patients who have been on benzodiazepines for years? What would yo...

4 Answers available

Do you use any alternative or non-FDA-approved treatments for smoking cessation?

Are any effective options available beyond nicotine replacement therapy, varenicline, or bupropion?

4 Answers available

When do you recommend acamprosate vs. naltrexone for medication-assisted therapy in alcohol use disorder?

10 Answers available

How do you treat withdrawal symptoms from kratom addiction?

1 Answer available

In what cases do you recommend the use of gabapentin for off-label use in alcohol use disorder?

6 Answers available

What medications have you found helpful in the treatment of stimulant use disorder?

1 Answer available

How do you approach the use of stimulants in patients with ADHD with previous or current substance use disorders?

3 Answers available

How do you address/manage the recreational use of dextromethorphan (sometimes called "robo-tripping") that has risen to the level of use disorder?

What DSM-5 diagnosis and or diagnostic code do you use when treating this substance use disorder?

1 Answer available

How do you counsel patients on vaping cessation as compared to smoking cessation?

Is there evidence for the use of varenicline, bupropion, or other medication therapies to assist in tobacco vaping cessation?

1 Answer available

Papers discussed in this category

JAMA internal medicine, 2019 Oct 01

Acute Pain Management in Patients Treated With Buprenorphine: A Teachable Moment.

Frontiers in psychiatry, 2018 Oct 08

Tailored-Dose Baclofen in the Management of Alcoholism: A Retrospective Study of 144 Outpatients Followed for 3 Years in a French General Practice.

Pharmacoepidemiology and drug safety, 2018 Sep 25

Risk of hospitalisation and death related to baclofen for alcohol use disorders: Comparison with nalmefene, acamprosate, and naltrexone in a cohort study of 165 334 patients between 2009 and 2015 in France.

The Journal of clinical psychiatry, 2020 Aug 04

Individualized, High-Dose Baclofen for Reduction in Alcohol Intake in Persons With High Levels of Consumption.

The American journal on addictions, 2014

Predictive factors for relapse in patients on buprenorphine maintenance.

JAMA psychiatry, 2023 Sep 01

Association Between Stimulant Treatment and Substance Use Through Adolescence Into Early Adulthood.

The American journal of drug and alcohol abuse, 2023 Mar 15

Successful treatment of dextromethorphan use disorder with combined naltrexone and gabapentin: a case report.

Journal of addiction medicine, 2021 May-Jun 01

Using Extended Release Buprenorphine Injection to Discontinue Sublingual Buprenorphine: A Case Series.

The American journal on addictions, 2023 Mar 20

Case series: Voluntary discontinuation of sublingual buprenorphine treatment for opioid use disorder using extended-release buprenorphine.

Primary Care

Addiction Psychiatry

Questions discussed in this category

Papers discussed in this category

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