The Curbsiders Addiction Medicine Podcast

By The Curbsiders Addiction Medicine PodcastMedicine Health & Fitness

The Curbsiders Addiction Medicine Podcast episodes

August 17S3 Ep26: #536 Q&Apalooza: Your Addiction Questions Answered!
This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospital settings. Experts Drs. Shawn Cohen and Zina Huxley-Reicher, in addition to the co-hosts Drs. Carolyn Chan and Era Kryzhanovskaya share insights, resources, and practical tips for clinicians navigating these challenging scenarios.
Claim CME for this episode at curbsiders.vcuhealth.org!
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.
Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!

Show Segments
Intro, disclaimer
Picks of the Week
Off-Label GLP use
Naloxone review
Acute pain in patients with opioid use disorder (OUD)
Care Coordination with opioid treatment programs (OTPs)
New medications for pain; suzetrigine
Perioperative pain management for patients with OUD
Outro
Credits
Producer, Show Notes, Infographic: Era Kryzhanovskaya, MD
Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
Reviewer: Kenny Morford, MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Shawn Cohen, MD; Zina Huxley-Reicher, MD

Production Partner: ACAAM
The Curbsiders Addiction Medicine Podcast are proud to partner with The American College of Addiction Medicine (ACAAM) to bring you this mini-series. ACAAM’s membership has grown to include a strong and expanding community of addiction medicine specialists, fellows, and trainees dedicated to advancing the field. Membership provides access to a wide range of educational resources, professional development, and a national network of colleagues. Learn more about ACAAM Membership here.
1 hr 18 min
July 20S3 Ep25: #533: What’s the Tea on Kratom?
Familiarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by Dr. Jonathan Tanawan (Profile).
Claim CME for this episode at curbsiders.vcuhealth.org!
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.
Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!

Credits
Written and Produced, with Show Notes, Infographic, and Cover Art by Zina Huxley-Reicher, MD
Hosts: Carolyn Chan, MD. MHS and Zina Huxley-Reicher, MD
Reviewer: Kento Sonoda, MD, MPH
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Jonathan Tanawan, MD
Show Segments
Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week*
Case from Kashlak; Definitions
Pharmacology of kratom and other mitragynine-based compounds
How to take a mitragynine-specific substance use history
Defining a use disorder
Withdrawal from kratom
Managing a use disorder with MOUD
Legal landscape and regulation
Outro

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Sponsor: Continuing Education Company

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1 hr 6 min
June 08S3 Ep24: #528 Hospital Addiction Medicine 3.0 with Dr. Maggie Lowenstein
Become the Medetomi-Dean of Admissions
Step up your hospital addiction medicine game by learning to troubleshoot methadone dose confirmations/missed doses and understanding how medetomidine’s emergency in the drug supply is impacting patients and withdrawal management. We’re joined by Dr Maggie Lowenstein (University of Pennsylvania)
Claim CME for this episode at curbsiders.vcuhealth.org!
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.
Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!

Credits
Writer, Producer, and Show Notes: Shawn Cohen MD
Infographic and Cover Art: Zoya Surani
Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
Reviewer: Payel Jhoom Roy MD, MSc
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Maggie Lowenstein MD MPhil MSHP
1 hr 19 min
November 17, 2025S2 Ep23: #498 Opioid Withdrawal with Dr. Ashish Thakrar
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.

Claim CME for this episode at curbsiders.vcuhealth.org!
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.

Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!

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
1 hr 14 min
November 17, 2025S2 Ep22: #497 Tailoring and Ramping up Management of Methamphetamine Use Disorder for the Current Era with Dr. Phillip Coffin
In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you’re in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our amazing guest, Dr. Phillip Coffin, Director of the Center on Substance Use and Health in the SFDPH.

Claim CME for this episode at curbsiders.vcuhealth.org!
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.

Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!

Show Segments
Intro, disclaimer, guest bio
Guest one-liner
Case from Kashlak; Definitions
Four-tier approach to taking care of patients with methamphetamine use/use disorder
Medications for treatment
Psychosocial treatment
Harm reduction
New horizons in treatment
Outro
Credits
Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD
Infographic and Cover Art: Zoya Surani
Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
Reviewer: Sarah Leyde MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Dr. Phillip Coffin
59 min
June 16, 2025S2 Ep21: #487 Chronic Pain & Opioid Use Disorder with Dr. Jessie Merlin
Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We’re joined by Dr. Jessica Merlin, @JessicaMerlinMD (University of Pittsburgh).

Claim CME for this episode at curbsiders.vcuhealth.org!
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.

Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!

Credits
Producer, Show Notes, Infographics: Carolyn Chan MD, MHS
Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD
Reviewer: Payel Jhoom Roy MD, MSc
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Jessica Merlin MD, PhD, MBA

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1 hr 26 min
March 24, 2025S2 Ep20: #31 Medications for Alcohol Use Disorder 2.0 with Dr Stephen Holt
Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit them. We’re joined by Dr Stephen Holt (Yale University School of Medicine)

Claim CME for this episode at curbsiders.vcuhealth.org!
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.

Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!

Credits
Written, produced, show notes, cover art and infographics by: Shawn Cohen MD
Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD
Reviewer: Kento Sonoda MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Stephen Holt MD

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1 hr 2 min
August 22, 2024S2 Ep19: #30 Blazing Hot Takes: The Latest in Vaping With Drs. Ling and Vijayaraghavan
Join us to hear the latest pearls and best practices on talking to patients about vaping, if e-cigarettes can be used to stop smoking cigarettes, and every other question you hadn’t thought to ask about vaping with Drs. Pam Ling (UCSF) and Maya Vijayaraghavan (UCSF).

Claim CME for this episode at curbsiders.vcuhealth.org!
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.

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!

Credits
Producer/Writer: Era Kryzhanovskaya, MD
Show Notes: Zina Huxley-Reicher, MD; Era Kryzhanovskaya, MD
CME: Era Kryzhanovskaya, MD
Infographic and Cover Art: Zina Huxley-Reicher, MD
Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
Reviewer: Kento Sonoda, MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guests:. Pam Ling, MD; Maya Vijayaraghavan, MD
Show Segments
00:11 Intro, disclaimer
02:22 Guest bios
04:28 Guest one-liners
10:28 Case from Kashlak
11:55 Vape info and definitions
14:32 How to discuss vaping with patients
17:53 FDA authority over vapes
20:37 Development of nicotine (via vaping) use disorder
23:29 Questions to ask about use disorder
30:53 E-cigarettes for tobacco cessation
35:39 Exploring ways to quit smoking (+/- vapes)
39:53 Screening for vaping use disorder; research measures
43:10 Resources for e-cigarette cessation
45:33 Medication approaches
48:25 Behavioral supports for e-cigarette cessation
1:00:31 Take Home Points
1:05:08 Outro
1 hr 7 min
August 15, 2024S2 Ep18: #29 Hallucinogens with Dr. Al Garcia-Romeu
From Recreational Use to Possible Therapeutic Interventions

Learn how different hallucinogens act in the body and common dosing strategies. Appreciate the risks of use and the current state of hallucinogen research. We are joined in this episode by Dr. Albert Garcia-Romeu (Johns Hopkins Center for Psychedelic and Consciousness Research)

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Claim CME for this episode at curbsiders.vcuhealth.org!
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.

Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!

Show Segments
Intro, disclaimer, guest bio
Case from Kashlak; Definitions of hallucinogens and psychedelics
Examples of hallucinogens and mechanisms of action
Dosing strategies
Risks of Use
Psychedelic Assisted Therapy
Outro
Credits
Producer, Writer, Show Notes, Infographic, Cover Art: Kat Mullins, MD
Hosts: Shawn Cohen, MD and Kat Mullins, MD
Reviewer: Kento Sonoda, MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Albert Garcia-Romeu, PhD
1 hr 3 min
August 08, 2024S2 Ep17: #28 Alcohol-Associated Liver Disease with Dr. Lamia Haque Helping Patients Liver Longer
Maximize your treatment of alcohol-associated liver disease. Learn how to evaluate liver disease in patients with alcohol use disorder (AUD), choose AUD medications that are safe and effective, and identify patients who may be eligible for early liver transplantation. We’re joined by Dr. Lamia Haque, @lykhaque (Yale School of Medicine).

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!

Claim CME for this episode at curbsiders.vcuhealth.org!
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.

Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME!

Show Segments
Intro, disclaimer, guest bio 0:00
Guest one-liner 3:10
Case from Kashlak 6:30
Epidemiology of alcohol-associated liver disease (ALD) 7:40
How does alcohol affect the liver? 11:11
Spectrum of ALD 13:10
Risk factors for ALD 16:13
Evaluating for ALD 19:35
When to refer to hepatology 33:08
Medications for AUD in patients with ALD 37:00
Monitoring liver tests for naltrexone 44:27
Optimizing treatment for patients who continue drinking 47:18
ALD and liver transplantation 50:45
Post-transplant care 1:00:15
Take-home points 1:02:30
Outro 1:04:56
Credits
Writer and Producer: Kenneth Morford, MD
Show Notes: Kenneth Morford, MD
Infographic and Cover Art: Natalie Stahl, MD, MPH
Hosts: Carolyn Chan, MD. MHS and Kenneth Morford, MD
Reviewer: Sarah Leyde, MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Lamia Haque, MD, MPH
1 hr 7 min

About The Curbsiders Addiction Medicine Podcast

From the publisher's feed

Step up your knowledge on caring for patients with substance use disorders (SUD)! This show features addiction medicine experts who are dedicated to bringing you practice changing knowledge about substance use, and substance use disorders. We use expert interviews to demystify common addiction medicine topics, reduce stigma, and inspire listeners to be fierce advocates for all individuals who use substances.