Opioid Use Disorder Treatment (July/August)

Date of Issue: 07/01/2020 | Volume: 8 | Number: 5

Issue Links:Learning Objectives | Editorial Information

The novel coronavirus (COVID-19) pandemic has posed challenges—and opportunities—for the management of opioid use disorder. This issue highlights three recent developments: parenteral formulations of buprenorphine, expansion of telemedicine approaches, and new society guidelines for the management of opioid use disorder. Plus: can varenicline treat alcohol use disorder?

In This Issue

Editor's Note

Note From the Editor-in-Chief

Read More
Clinical Update

“What About the Implant, Doc?” Appraising Various Formulations of Buprenorphine

Topics: Buprenorphine | extended-release | Medication | Medication adherence | Opioid epidemic | Opioid Use Disorder | Pharmacology | safety | Side Effects

Buprenorphine can be administered via intravenous, transdermal, sublingual, buccal, and implanted formulations. We appraise the evidence for various formulations and suggest certain populations for which certain formulations may be a better choice.

Read More
Expert Q&A

Telemedicine for Addiction Treatment: Evidence and Implementation Strategies

Topics: Addiction | Addiction Treatment | pandemic | Special populations | Telehealth | Telemed | Telemedicine | Telepsychiatry

As many clinicians embark on new telemedicine efforts, we review the body of literature around virtual approaches to the care of patients with addiction. Dr. Swendeman reviews the evidence of efficacy for electronic self-monitoring, text-messaging, and other strategies may support your practice, and how to implement them.

Read More
Clinical Update

Updated Guidelines for Treating Opioid Use Disorder

Topics: Addiction Treatment | Buprenorphine | Medication | Methadone | Opioid epidemic | Opioid Use Disorder | Pain | Pharmacology

The American Society of Addiction Medicine released updated guidelines for the management of opioid use disorder (OUD) in March, 2020. They focus on expanding access to methadone and buprenorphine. Additionally, detailed guidance is given for perioperative management of OUD and pain management in patients with OUD.

Read More
Research Update

A Possible Option in Opioid-Related Harm Reduction

Topics: Harm reduction | Heroin | Opioid epidemic | Opioid Use Disorder | Pharmacology

Medications are the mainstay of treatment for opioid use disorder (OUD), but what if patients decline buprenorphine, injectable naltrexone, and methadone? In this randomized trial, authors compared hydromorphone (Dilaudid) with diacetylmorphine (the active ingredient in heroin) among patients who reported injecting heroin.

Read More
Research Update

Efficacy and Acceptability of Varenicline for Alcohol Use Disorder

Topics: Alcohol | Alcohol use disorder | Pharmacology | Tobacco use disorder | Varenicline

Smoking tobacco and drinking alcohol have reciprocal influences on each other. In this meta-analysis of nine randomized studies, the authors appraise the evidence for varenicline use for alcohol use disorder specifically.

Read More
CME Post-Test

CME Post-Test - Opioid Use Disorder Treatment, CATR, July/August 2020

Topics: CME Post-Test

The post-test for this issue is available for one year after the publication date to subscribers only. By successfully completing the test you will be awarded a certificate for 1 CME credit.

Read More