The Rehab show is about overcoming drug addiction. The topics range from medical treatment to spiritual fellowships and psychotherapy. Other forms of therapy will be explored as well. The underlying theme is that everyone is different and we cannot apply a single method of treatment to all people and expect it to work. Listening carefully to what works and does not work for an individual, treating people with respect and understanding that behaviors caused by addiction are the result of a medical condition are important. Patients presenting for treatment of addiction should be addressed with caring, compassion and understanding.
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The Rehab show is about overcoming drug addiction. The topics range from medical treatment to spiritual fellowships and psychotherapy. Other forms of therapy will be explored as well. The underlying theme is that everyone is different and we cannot apply a single method of treatment to all people and expect it to work. Listening carefully to what works and does not work for an individual, treating people with respect and understanding that behaviors caused by addiction are the result of a medical condition are important. Patients presenting for treatment of addiction should be addressed with caring, compassion and understanding.
Lewis Nelson: The Art and Science of Buprenorphine MAT Induction
The Rehab
47 minutes
2 years ago
Lewis Nelson: The Art and Science of Buprenorphine MAT Induction
Lewis S. Nelson, MD, is Board Certified in Emergency Medicine, Medical Toxicology, and Addiction Medicine. Dr. Nelson is the Professor and Chair of the Department of Emergency Medicine and the Chief of the Division of Medical Toxicology. His career includes pivotal roles in the American Board of Emergency Medicine, the Accreditation Council for Continuing Medical Education, and the Association of Academic Chairs in Emergency Medicine.
In this conversation, we delve into the pressing issue of opioid use disorder and the novel strategies employed to treat it. Buprenorphine induction forms the cornerstone of our discussion. Dr. Nelson discusses the application of techniques such as micro-dosing and macro-dosing and how they are shifting paradigms in opioid use disorder treatment. We also navigate the pros and cons of these innovative solutions, and how they outperform older induction methods, particularly in an era where fentanyl—a lipophilic opioid that tends to be stored in fat cells—dominates the street opioid landscape.
Dr. Nelson, with his wealth of experience as a consultant to various national organizations such as the CDC, FDA, and DHS, as well as an editor of the acclaimed textbook Goldfrank's Toxicologic Emergencies, brings unparalleled insight into these complex discussions. Moreover, his first-hand experience providing direct clinical care to patients in the Emergency Department, coupled with his senior consultancy role with the New Jersey Poison Information & Education System, ensures a nuanced and patient-centric perspective on this complex issue.
From understanding the maximization of buprenorphine's agonist effect in replacing potent opioids like fentanyl to examining the challenges of managing precipitated withdrawal, this episode offers an in-depth exploration of the latest strategies in combating opioid addiction. Dr. Nelson’s insights highlight the need for a complete transition concept in opioid substitution, the varying success rates of different medications, and the critical importance of long-term maintenance for patient recovery. So, whether you are a medical professional seeking to enhance your knowledge or an intrigued listener looking to understand more about the opioid epidemic's unfolding narrative, this episode promises to enlighten, inform, and provoke thought. Tune in and join us in this critical conversation with Dr. Lewis Nelson.
Learn more about Dr. Nelson here: https://njms-web.njms.rutgers.edu/profile/myProfile.php?mbmid=ln196
Please visit our websites here: https://drleeds.com and https://therehab.com
The Rehab
The Rehab show is about overcoming drug addiction. The topics range from medical treatment to spiritual fellowships and psychotherapy. Other forms of therapy will be explored as well. The underlying theme is that everyone is different and we cannot apply a single method of treatment to all people and expect it to work. Listening carefully to what works and does not work for an individual, treating people with respect and understanding that behaviors caused by addiction are the result of a medical condition are important. Patients presenting for treatment of addiction should be addressed with caring, compassion and understanding.
