The Curbsiders Addiction Medicine Podcast

S2 Ep23: #498 Opioid Withdrawal with Dr. Ashish Thakrar


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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. 

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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.

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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
    • ...more
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