Drs. DeVine and Bell piggyback on last week’s discussion on benzodiazepines with buprenorphine and bring up the topic of benzodiazepines combined with prescribed full-agonist opioids. Let’s look at the data and the risk to patients, even “legacy” patients who take their medications exactly as prescribed. 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 question what will really happen if a patient is co-prescribed, or also takes, a benzodiazepine while on a buprenorphine product. What is the risk? Is the chance of respiratory depression the same if on a full agonist opioid? 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 veer off of true DSM diagnosis to discuss maple syrup and sugar.  How does sugar parallel use disorders, and why the heck does Kurt do maple syrup? And then check out Twitter to see a visual of the action! 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 a recent FDA warning on sublingual buprenorphine products and dental caries. Although the FDA just recently made this statement, this topic has been in case studies and reports since 2012 and caries related to methadone even earlier. Is there causation or correlation? How can this be prevented? And what’s next? 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 explain the co-occurrence of mental health and substance use disorders. Do mental health disorders ‘cause’ substance use disorders? Do substance use disorders ‘cause’ mental health disorders? Or is there a common denominator between underlying mental health diagnosis and predisposition to substance use disorders? Such a complex topic that, with understanding, can help reduce stigma and engage more people in treatments. 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 dive into the history of the evolution of MAT/MOUD in policy and legislation. From using heroin, morphine, and cocaine treatment for "hooked" Civil War soldiers to the most recent legislation eliminating the need for the waiver training to prescribe buprenorphine, we review it all - the good and the bad! 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 will discuss a topic that doesn’t even show up in the waiver training- discontinuing MAT/MOUD! When should you discontinue? Should you discontinue? What does the data 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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This episode addresses the most recent media attention and “data” on how marijuana/cannabis can ‘prevent’ and/or ‘treat’ COVID. Where did this media hype originate and what did the studies actually show? (FYI don’t bank on this to prevent or treat COVID!) 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 different types of office-based screening tools. Which is the best for ‘diagnosing’ or deciphering heavy alcohol use/abuse? We then review the different lab tests that can be used to evaluate the impact of alcohol on patient's health as well as different tests to screen for heavy alcohol use and/or lapse/relapse. 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 bring you Gambling Disorder! A definite addition board topic and something so very under diagnosed! It also happens to be the only current behavioral addiction in the DSM V. How common is it? How do you diagnose Gambling Use Disorder? What are the treatments for GUD and are they effective? 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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