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Home » Topics » Addiction Treatment

Addiction Treatment
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Clinical Update

Understanding Viral Hepatitis in the Context of Addiction Psychiatry

April 1, 2025
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Danielle Herman. Case Western Reserve University School of Medicine, Cleveland, OH.

Raquel Rozner, MD. Gastroenterology Associates, PC, Stratford, CT; Bridgeport Hospital/Yale New Haven Health, Bridgeport, CT.

Akhil Anand, MD. Department of Psychiatry and Psychology, Cleveland Clinic; Department of Psychiatry, University Hospitals Medical Center, Cleveland, OH.

Ms. Herman, Dr. Rozner, and Dr. Anand have no financial relationships with companies related to this material. 

Hepatitis B and C are highly prevalent in people who use drugs and can result in significant morbidity and mortality due to progressive liver disease. In this article, we cover all the basics, including screening, symptoms, and relevant laboratory testing. We give tips to provide your patients on hepatitis prevention and when to refer them to specialists for treatment. 


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Fact Sheet

Stimulant Use Disorders Treatment

January 1, 2025
Victoria Hendrick, MD and Daniel Carlat, MD

Dr. Hendrick and Dr. Carlat have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

Stimulant use disorders are all too common among patients in psychiatric units.




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Fact Sheet

Relapse Prevention Strategies

January 1, 2025
Noah Capurso, MD, MHS, Talia Puzantian, PharmD, BCPP, and Daniel Carlat, MD

Dr. Capurso, Dr. Puzantian, and Dr. Carlat have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

Most patients are not able to achieve sobriety from opioids in their first attempt. 




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Fact Sheet

How to Educate Your Patients About Overdose Prevention

January 1, 2025
Noah Capurso, MD, MHS, Talia Puzantian, PharmD, BCPP, and Daniel Carlat, MD

Dr. Capurso, Dr. Puzantian, and Dr. Carlat have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

Drug overdose deaths, the vast majority of which involve opioids, continue to rise in the US. 




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Fact Sheet

Harm Reduction and Opioid Use Disorder

January 1, 2025
Noah Capurso, MD, MHS, Talia Puzantian, PharmD, BCPP, and Daniel Carlat, MD

Dr. Capurso, Dr. Puzantian, and Dr. Carlat have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

Harm reduction refers to a set of strategies aimed at decreasing the negative effects of drug use and other potentially harmful behaviors. 




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Fact Sheet

Buprenorphine Microinduction

January 1, 2025
Noah Capurso, MD, MHS, Talia Puzantian, PharmD, BCPP, and Daniel Carlat, MD

Dr. Capurso, Dr. Puzantian, and Dr. Carlat have no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

  • The standard method of starting a patient on buprenorphine involves having the patient stop all opioids hours to days before the induction.



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    Fact Sheet

    Buprenorphine Monotherapy (Subutex, others)

    January 1, 2025
    Noah Capurso, MD, MHS, Talia Puzantian, PharmD, BCPP, and Daniel Carlat, MD

    Dr. Capurso, Dr. Puzantian, and Dr. Carlat have no financial relationships with companies related to this material.
    Full Fact Sheet Editorial Information

  • Buprenorphine (Subutex, available now only as generic) is the active ingredient in Suboxone (buprenorphine/naloxone) and is responsible for the effectiveness of the combination medication in opioid use disorder (OUD). 



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    Fact Sheet

    Buprenorphine Extended-Release Injection Monotherapy (Brixadi, Sublocade)

    January 1, 2025
    Noah Capurso, MD, MHS, Talia Puzantian, PharmD, BCPP, and Daniel Carlat, MD

    Dr. Capurso, Dr. Puzantian, and Dr. Carlat have no financial relationships with companies related to this material.
    Full Fact Sheet Editorial Information

  • Extended-release injectable formulations of buprenorphine allow patients to receive doses weekly, monthly, or every eight weeks for patients maintained on a low dose—which improves medication adherence.



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    Clinical Guidance

    Medication Interactions

    January 1, 2025
    Noah Capurso, MD, MHS, Talia Puzantian, PharmD, BCPP, and Daniel Carlat, MD

    Dr. Capurso, Dr. Puzantian, and Dr. Carlat have no financial relationships with companies related to this material.
    Full Fact Sheet Editorial Information

  • Opioid use disorder (OUD) is highly comorbid with medical illness and other psychiatric conditions.



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    Clinical Guidance

    Neonatal Opioid Withdrawal Syndrome: Recognition and Management

    January 1, 2025
    Noah Capurso, MD, MHS, Talia Puzantian, PharmD, BCPP, and Daniel Carlat, MD

    Dr. Capurso, Dr. Puzantian, and Dr. Carlat have no financial relationships with companies related to this material.
    Full Fact Sheet Editorial Information

  • Neonatal opioid withdrawal syndrome (NOWS), sometimes used interchangeably with the term neonatal abstinence syndrome (NAS), results from prenatal opioid exposure.



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