Opioids

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How to Safely Prescribe Z-Drugs

By: zdavis | August 13th , 2020 | The Carlat Psychiatry Blog| 0 Comment

There’s good reason to be careful prescribing Z-drugs. Here’s an overview of Dr. Reban Aziz’s recent article in The Carlat Addiction Treatment Report. Safety Tips Go short-term or intermittent to reduce the potential for adverse events and withdrawal. Avoid for SUD or complex sleep disorders.  Use as last resort after considering ot

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Prescribing Medications for Opioid Use Disorder During the COVID-19 Emergency

By: jives | April 15th , 2020 | The Carlat Psychiatry Blog| 2 Comment

Buprenorphine and methadone, the cornerstones of treatment for opioid use disorder (OUD), are subject to more restrictions than other medications due to their inherent risks and concerns for diversion. These restrictions obligate that people receiving medications for OUD present to the clinic or opioid treatment program (OTP) frequently for refills and

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Is your patient hooked on Vicodin? Try this

By: jives | March 19th , 2019 | The Carlat Psychiatry Blog| 0 Comment

I don't specialize in addiction treatment, but occasionally I do have patients who tell me they've been overusing prescription narcotics. For example, I once treated a woman for depression who was dependent on Vicodin that was originally prescribed after surgery by her OB/GYN. Over the years she had tried quitting on her own, unsuccessfully. Her PCP

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