S2 Ep4: #15 Buprenorphine for Chronic Pain with Dr. Will Becker

Crush chronic pain with buprenorphine. Learn how to assess chronic pain and opioid use disorder (OUD) in patients on long-term opioid therapy, when to consider buprenorphine, and how to make the switch. We’re joined by addiction medicine and pain management expert, Dr. William Becker (Yale School of Medicine).  

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Show Segments

• Disclaimer 0:52
• Intro, guest bio 1:18
• Case from Kashlak; Definitions 4:22
• Assessing chronic pain and long-term opioid use 5:22 
• Treatment options when patients are not benefitting from opioids 11:55 
• Buprenorphine for chronic pain 14:28
• Assessing OUD in patients on long-term opioid therapy 15:54
• Buprenorphine mechanism of action 19:17
• When to consider buprenorphine for chronic pain 21:12
• Buprenorphine formulations 24:25
• Switching from full agonist opioids to buprenorphine 29:02
• Adding full agonists to buprenorphine 39:30
• Take Home Points 46:07
• Plug 47:38
• Lightning round 48:32
• Outro 50:20

Credits

• Show Notes, Writer, Producer, Cover Art, Infographics: Kenneth Morford, MD
• Hosts: Carolyn Chan, MD and Kenneth Morford, MD
• Reviewer: Payel Jhoom Roy, MD, MSc
• Showrunner: Carolyn Chan, MD
• Technical Production: Podpaste
• Guest: Dr. William Becker