Drs. Bell and DeVine have a discussion about the common questions that come up in the day-to-day management of patients on buprenorphine products. In Part 2, we have a discussion about where to do inductions on to buprenorphine (home vs clinic) and how that has changed over time and then we discuss UDAS. Do you get a UDAS every time? When do you/should you get a confirmatory UDAS? More parts to come! To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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Drs. Bell and DeVine have a discussion about the common questions that come up in the day-to-day management of patients on buprenorphine products. In Part 1, we discuss ‘firing’ of patients, urine drug screens, and treatment. More parts to come! To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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Drs. DeVine and Bell PROMISE you this will be the last (at least for awhile) episode on off-label use of medications for the treatment of alcohol use disorder. This episode will surprise you as to what all makes the list both in studies and anecdotally.  Do we have a new ‘favorite’ off-label treatment now? To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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Drs. Bell and DeVine with Dr. Charlie Reznikoff, organically fell into this very interesting, anecdotal experience, real-life and clinical practice discussion on the whys and hows of methadone to buprenorphine transitions. What are the pitfalls? Should it even be done? How do you stay patient focused? To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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Drs. DeVine and Bell, with Dr. Charlie Reznikoff, address the changes that one particular methadone clinic (OTP) made during the COVID pandemic. From crowded clinics to social distancing, how was it even possible? And then in follow up, how has that changed since? Are patients being cared for in a patient centered manner or are they overly monitored for other reasons? To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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Drs. DeVine and Bell, with Dr. Charlie Reznikoff, explain a methadone clinic (OTP)- what does a clinic ‘look like’, what is the work flow, and what are the logistics? We will describe one methadone clinic with the understanding they are not all required to be the same. This episode will set the stage for what resulted when the pandemic happened. To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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Drs. Bell and DeVine describe how opioids have been used as weapons. It is very well known that opioids can cause significant morbidity and mortality, but how can this be preyed upon intentionally? And why? We will also tangent into describing other chemical weapons examples. To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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Drs. DeVine and Bell, again joined by Dr. Reznikoff, finalize the ‘off-label’ medications for alcohol use disorder (AUD). This episode will highlight a couple anti-anxiety/anti-depressant medications, a medication typically used to treat ADHD and a final medication, one which happens to be tried as a treatment for nearly everything! This is a fantastic way to wrap up AUD [medication] treatment options! To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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Drs. Bell and DeVine highlight XYLAZINE, the ‘new player on the street.’ A non-opioid, with similar pharmacology as clonidine, it is easy to purchase in bulk and is often added to opioids to extend the ‘high;’ but like most substances, it can have very dire consequences. To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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Drs. DeVine and Bell now bring you a few antipsychotics that are, at times, used to treat alcohol use disorder (AUD). Joined by THE Dr. Charles Reznikoff, we not only bring you the mechanisms of action of how and why they “work” but also give you our clinical experience and thoughts! To learn more about the doctors as well as keep up with current happenings follow us on twitter: @echocsct or email us with questions or feedback: [email protected]

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