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The Carlat Addiction Treatment Report

Pain and Addiction (May/June) | 2018

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CME Post-Test - Pain and Addiction, CATR May/June 2018

May 1, 2018

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 2 CME credits. Read More

Treating Chronic Pain When There’s Addiction: A Primer

May 1, 2018

Michael McGee, MD

It can be challenging to manage chronic pain, even more so when our patients suffer from addiction. We can find ourselves walking a tightrope between the risk of relapse due to the inadequate treatment of pain, and the risk of relapse due to the use of opioid analgesics. Read More

Assessing and Treating Psychogenic Pain

May 1, 2018

Howard Schubiner, MD

All pain is real. It’s just a question of whether that pain is being triggered by a physical injury or by something else. Studies show that emotional injury activates the same areas of the brain as does physical injury. Read More

Using Caution While Prescribing Opioids for Pain

May 1, 2018

Amy Bohnert, PhD

Dosages matter. The risk of death from an overdose with patients prescribed at least 100 mg daily morphine equivalent is about 7 times higher than a patient prescribed less than 20 mg of morphine a day. Read More

Prevalence of Fetal Alcohol Spectrum Disorder

May 1, 2018

Christian J. Teter, PharmD, BCPP

New evidence suggests that the prevalence of fetal alcohol spectrum disorder is higher than previously documented. In this study, prevalence estimates were derived from 13,146 first-grade children in four U.S. communities between 2010 and 2016. Read More

Is Varenicline Effective for Alcohol Use Disorder?

May 1, 2018

Thomas Jordan, MD.

Acting on the nicotinic acetylcholine receptors, varenicline (Chantix) is an FDA-approved treatment for smoking cessation. These receptors are implicated in both nicotine and alcohol reward pathways, so could varenicline also be helpful for treating alcohol use disorder (AUD)? Read More

Guidelines for Switching From Methadone to Buprenorphine

May 1, 2018

Rehan Aziz, MD.

Recent guidelines published by the American Society of Addiction Medicine and nationally in Australia provide support for transferring patients from methadone to buprenorphine-naloxone (BNX). Patients may switch, thinking BNX is easier to discontinue or because of methadone side effects. Read More