Understanding Complex Cases in Opioid Use Disorder Treatment
This webinar will explore two complex cases related to opioid use disorder (OUD) treatment and its complications. The first case examines the diagnosis and management of presumed naltrexone-XR (Vivitrol®)-precipitated withdrawal in a patient chronically treated with buprenorphine-XR (Sublocade®). While optimal treatment strategies remain unclear, we will review a potential approach and its rationale, along with relevant literature.
The second case highlights a 39-year-old woman with a long history of intranasal opioid and recent xylazine use, who presented with severe nasal and skull base damage, including nasal septum perforation and oral-nasal fistulae. Her case underscores the need for clinicians to recognize nasal destruction as a potential consequence of intranasal fentanyl and xylazine use and to refer patients for both OUD treatment and otolaryngologic care to prevent further harm.
Continuing Medical Education (CME) Credits Available
Participants in this program may earn the following CME credits:
✔ 1 AOA Category 1-A Credit✔ 1 AMA PRA Category 1 Credit™ (Approval Anticipated)✔ 1 AAPA Category 1 CME Credit (Approval Anticipated)✔ 1 Nurses CNE Credit (Approval Anticipated)
Earn valuable continuing education credits while enhancing your professional knowledge!
Jessica Moore, MD FAAEM FASAM is an attending physician at Temple University Hospital in Philadelphia, PA. She attended medical school at Cooper Medical School at Rowan University in Camden, NJ and completed Emergency Medicine residency at Temple University Hospital. She is passionate about improving care for those with substance use disorders, and completed fellowship training in Addiction Medicine at Cooper University Health Care in Camden, NJ. She is board certified in both Emergency Medicine and Addiction Medicine. Dr. Moore currently spends her clinical time working in the Emergency Department, on the inpatient Addiction Medicine consult service, and at a low-barrier, streetside mobile buprenorphine clinic. Jessica's hobbies include traveling, baking, reading, running, and spending time with her dog, Pete.
Julie Kmiec, DO, FAOAAM, is an Associate Professor of Psychiatry at the University of Pittsburgh School of Medicine. She completed her psychiatry residency and addiction psychiatry fellowship at Western Psychiatric Institute and Clinic at the University of Pittsburgh Medical Center. Her clinical interests include withdrawal management and the treatment of opioid use disorder. She previously served as Medical Director of the UPMC Opioid Treatment Program and Ambulatory Detox and Bridge Clinic. She currently works in the Center for the Treatment of Addictive Disorders at the Pittsburgh VA which provides a range of services for veterans with substance use disorders. She is a past president of the American Osteopathic Academy of Addiction Medicine.