The United States is a resurgent national opioid use and overdose epidemic. Physicians are encouraged to treat opioid-use disorders (OUDs), learn about addiction medicine, and help treat OUD patients with the three Food and Drug Administration approved medications (methadone, buprenorphine, and Naltrexone). There is little disagreement at this point that these medications are safe and [...]
Contributor: Mark S. Gold, M.D., Professor, Washington University School of Medicine - Department of Psychiatry Three Phases of Buprenorphine Treatment: The Induction Phase is the medical initiation of buprenorphine treatment. Phase 1 usually begins with a visit to a qualified physician's office or certified OTP using approved buprenorphine products. Buprenorphine is administered to a person with [...]
Contributor: Mark S. Gold, M.D., Professor, Washington University School of Medicine - Department of Psychiatry Introduction Opioid use disorder (OUD) is a chronic, relapsing, and acquired disease. Opioid use stimulates it's own taking until loss of control and continued use cause numerous consequences. OUD is often associated with loss of life, employment, relationships, and health. We [...]
Contributor: Mark S. Gold, M.D., Professor, Washington University School of Medicine - Department of Psychiatry Opioid Use Disorders and Opioid Overdose Epidemics Cries for help have been increasing since the coronavirus quarantine. EMTs have been busy with COVID 19, as have community emergency departments and general hospitals. The overdose-reversal support system (Naloxone and other MATs) that [...]
Contributor: Mark S. Gold, M.D., Professor, Washington University School of Medicine - Department of Psychiatry Drug Use Changes The Brain Pleasure Systems Drug addiction is defined by self-administration, compulsive drug-seeking, drug-rationing, and loss of control [1]. Chronic use itself may be followed by anhedonia, the emergence of a profoundly painful and negative emotional state [2]. I [...]
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