Episodios

  • S2 Ep23: #498 Opioid Withdrawal with Dr. Ashish Thakrar

    S2 Ep23: #498 Opioid Withdrawal with Dr. Ashish Thakrar
    Nov 17 2025
    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 | CurbsidersAddictionMed@gmail.com | 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
    Más Menos
    1 h y 13 m
  • S2 Ep22: #497 Tailoring and Ramping up Management of Methamphetamine Use Disorder for the Current Era with Dr. Phillip Coffin

    S2 Ep22: #497 Tailoring and Ramping up Management of Methamphetamine Use Disorder for the Current Era with Dr. Phillip Coffin
    Nov 17 2025
    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 | CurbsidersAddictionMed@gmail.com | 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
    Más Menos
    58 m
  • S2 Ep21: #487 Chronic Pain & Opioid Use Disorder with Dr. Jessie Merlin

    S2 Ep21: #487 Chronic Pain & Opioid Use Disorder with Dr. Jessie Merlin
    Jun 16 2025
    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 | CurbsidersAddictionMed@gmail.com | 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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    Más Menos
    1 h y 26 m
  • S2 Ep20: #31 Medications for Alcohol Use Disorder 2.0 with Dr Stephen Holt

    S2 Ep20: #31 Medications for Alcohol Use Disorder 2.0 with Dr Stephen Holt
    Mar 24 2025
    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 | CurbsidersAddictionMed@gmail.com | 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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    Sponsor:     Ezresus

    Listeners of the Curbsiders get access to a 2-month free trial, letting them use 100% of the features of the app. Go to .ezresus.com/curbsiders and use promo code Curbsiders
    Más Menos
    1 h y 2 m
  • S2 Ep19: #30 Blazing Hot Takes: The Latest in Vaping With Drs. Ling and Vijayaraghavan

    S2 Ep19: #30 Blazing Hot Takes: The Latest in Vaping With Drs. Ling and Vijayaraghavan
    Aug 22 2024
    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 | CurbsidersAddictionMed@gmail.com | 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
    Más Menos
    1 h y 7 m
  • S2 Ep18: #29 Hallucinogens with Dr. Al Garcia-Romeu

    S2 Ep18: #29 Hallucinogens with Dr. Al Garcia-Romeu
    Aug 15 2024
    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 | CurbsidersAddictionMed@gmail.com | 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
    Más Menos
    1 h y 2 m
  • S2 Ep17: #28 Alcohol-Associated Liver Disease with Dr. Lamia Haque Helping Patients Liver Longer

    S2 Ep17: #28 Alcohol-Associated Liver Disease with Dr. Lamia Haque Helping Patients Liver Longer
    Aug 8 2024
    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 | CurbsidersAddictionMed@gmail.com | 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
    Más Menos
    1 h y 6 m
  • S2 Ep16: #27- Recap: ACAAM Lightning Round

    S2 Ep16: #27- Recap: ACAAM Lightning Round
    Aug 1 2024
    Spark your learning!

    We cover clinical pearls from graduating addiction medicine fellows by covering ACAAM’s annual lighting round presentation. Learn about tianeptine, buprenorphine starts in patients with acute hepatitis, vaccinations for persons who inject drugs, and more!

    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!
    Listening to this episode and completing CME, can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

    Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

    Credits

    • Producer, Show Notes, Infographics: Carolyn Chan
    • Hosts: Carolyn Chan, MD. MHS, Shawn Cohen, MD, Kenneth Morford, MD, Natalie Stahl, MD MPHS
    • Reviewer: Sarah Leyde, MD
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste

    Show Segments

    • 00:00 Intro, disclaimer
    • 03:00 Picks of the week
    • 07:00 Buprenorphine and hepatitis
    • 16:30 Ketamine for withdrawal
    • 24:00 Hepatitis B
    • 28:20 Tianeptine
    • 35:30 Hepatitis C treatment
    • 39:00 PETH
    • 47:40 Unintended phenobarbital consequences
    • 53:40 TBI and overdose risk
    • 58:00 Outro
    Más Menos
    59 m