Drs. DeVine and Bell review THREE current non–FDA approved medications for alcohol use disorder. All in the anticonvulsant category, we describe the mechanism of action in relation to alcohol use disorder, side effects, and why would you choose an anticonvulsant as a treatment option? 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 explore the use of varenicline (Chantix) for the treatment of cocaine dependence. There are no current FDA approved medications for the treatment of cocaine dependence and several smaller studies have reviewed varenicline as a possible treatment. What does this most recent article, published April 2022, show? 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 review the THREE current FDA approved medications for alcohol use disorder. They explain each one’s mechanism of action, indications [why you would consider choosing one over the other], common and rare side effects, and can they be combined for a ‘better’ response? 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 highlight another group of patients that all providers need to be aware of: patients with a history of gastric bypass or weight loss surgery. Is it physiology, psychology, or something else? 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 walk you through the barriers, the whys and the hows of “capturing the patients at the biggest impact” - the Emergency Room. Why is this standard of care not seen this way and not already happening? 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, on episode 100 (:-) (-:) Fill you in on the current projects and passions they are working on and in! They also discuss their “lessons learned”, why they tend towards certain use disorders to care for (trauma differences between the two), and finally, what defines “success”?! 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 answer the age old question, “what is the ceiling effect?” Buprenorphine has such a high morphine equivalent, but why don’t patients overdose on it via respiratory depression? This is sometimes a difficult thing to explain to patients or healthcare professionals, but we bring you the data! 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, back in episode 34, discussed the impact of chronic opioids on testosterone. Now, they discuss how medications for opioid use disorder (Methadone, buprenorphine) impact testosterone levels. 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 discuss a case study on a patient who had anaphylaxis to opioid products, including buprenorphine, who also had severe opioid use disorder. Seriously, how these allergists were able to desensitize this patient in order for her to maintain recovery is remarkable, especially since the mechanism is not what you’d think! 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 dive into the literature and guidelines on what to do if a patient has adverse events or side effects with buprenorphine-naloxone (Suboxone). The guideline recommends transitioning to methadone, but what about transitioning to the monoproduct of buprenorphine (Subutex) instead? What’s the risk to the patient, the provider, or society? 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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