#24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer

Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org).

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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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Credits

• Producers: Shawn Cohen MD,  Kenneth Morford MD
• Writer: Carolyn Chan MD MHS
• Show Notes: Shawn Cohen MD
• Infographic and Cover Art: Kenneth Morford MD
• Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD
• Reviewer: Kento Sonoda MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Melissa Weimer DO MCR

Show Segments

• Intro, disclaimer, guest bio 00:00
• Guest one-liner 05:02
• National Addiction Treatment Week  06:00
• Case from Kashlak; Definitions 08:30
• Starting methadone  11:01
• Common methadone pitfalls 15:00
• Buprenorphine precipitated opioid withdrawal  23:50
• High-dose buprenorphine 32:20
• Treating buprenorphine precipitated withdrawal 36:50
• Low-dose buprenorphine 41:50
• Maintenance dose of buprenorphine 48:15
• ER buprenorphine 49:00
• Take home points 53:31