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The Carlat Addiction Treatment Report

Addiction Treatment in the ED (January/February/March) | 2023

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Learning Objectives, Addiction Treatment in the ED, CATR, Jan/Feb/Mar 2023

January 30, 2023

After reading these articles, you should be able to…

What to Know About Injectable Buprenorphine (Sublocade)

January 30, 2023

Audrey Abelleira, PharmD, BCPP

Various formulations of buprenorphine abound, and a new long-acting injectable form (Sublocade) is one of the latest arrivals. But does it actually work? Here, we review the pharmacology behind it, go over efficacy data, and provide guidance on how to decide when to consider long-acting injectable buprenorphine for your patients.

Managing Alcohol Withdrawal in the Emergency Department

January 30, 2023

Brian Fuehrlein, MD, PhD

Alcohol withdrawal is among the most commonly encountered scenarios managed by psychiatrists in the ED. Here, Dr. Fuehrlein discusses the natural history of alcohol withdrawal, how best to assess withdrawal risk, and choose between treatment options.

Buprenorphine and Dental Issues

January 30, 2023

Talia Puzantian, PharmD, BCPP

Buprenorphine is a first line treatment for opioid use disorder and has saved countless lives, but new warnings about associations between certain buprenorphine formulations and dental problems have people worried. Here, Dr. Puzantian reviews the data and shows us how to apply this new information to clinical care.

Alcohol Use Disorder and Thiamine Supplementation

January 30, 2023

Audrey Abelleira, PharmD, BCPP

We all learn that patients with alcohol use disorder should receive thiamine supplementation. But why, and how should it be given? We discuss the pathophysiology that underlies thiamine deficiency in alcohol use disorder and why it is so important. We then go over the latest thiamine supplementation guidelines.

Thiamine Supplementation in Patients With Alcohol Use Disorder

January 30, 2023

Peter J. Farago, MD.

We review an article that examines rates of thiamine supplementation for those with alcohol use disorder in the real world. Researchers wondered, how often is thiamine supplemented properly? The answer they found: not that often.

Driving Performance and Cannabis Users’ Perception of Safety: A Randomized Trial

January 30, 2023

Olaniyi Olayinka, MD.

Everyone knows that drinking alcohol can impair driving ability. Researchers here demonstrate that driving under the influence of cannabis can be risky as well.

Is Ibogaine Safe for Opioid Detox?

January 30, 2023

Richard Moldawsky, MD

Ibogaine is being promoted as a natural and safe way to detox from
opioids. Researchers here find that ibogaine is not quite as benign as some might believe.