Essentials - Opioid Use Problems: Recommendations for Medical Management-Event Recording

Video Transcription

Video Summary

Summary:<br /><br />Dr. Steve Wyatt discusses opiate use problems and recommendations for medical management in a video for the American Osteopathic Academy of Addiction Medicine. He covers the history of opiates, genetic predisposition to opioid use disorder, indicators and risk factors for patients, and the need for a balanced approach. Dr. Wyatt provides an overview of the three medications commonly used for opioid use disorder: methadone, buprenorphine, and naltrexone, discussing how they work, dosing considerations, and the importance of monitoring and psychosocial interventions. He also emphasizes treatment retention, benefits of medication use, and the need for ongoing support and monitoring. The video highlights the use of buprenorphine, naloxone, and naltrexone, their safety profiles, the combination of buprenorphine and naloxone to reduce diversion, and the use of other medications to manage withdrawal symptoms. Naltrexone is described as a long-acting opioid antagonist that helps reduce cravings. Psychosocial treatments, support systems, naloxone prescriptions, and harm reduction strategies are discussed. The video addresses challenges with fentanyl use and the difficulties in transitioning patients to buprenorphine. It also explores the use of medications in adolescent and criminal justice populations, and common barriers to prescribing these medications such as lack of training, reimbursement issues, and concerns about DEA monitoring. Healthcare providers are encouraged to seek training and resources from organizations like PCSS NOW, A-S-A-M, and NIDA.

Keywords

opiate use problems

medical management

opioid use disorder

medications

methadone

buprenorphine

naltrexone

psychosocial interventions

treatment retention

withdrawal symptoms

cravings reduction

harm reduction strategies

healthcare providers