Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
for alcohol withdrawal ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... suggests that the patient ... useful initially to gain ... #Management #Alcohol
β–Ί
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... received sufficient treatment ... for alcohol withdrawal ... #Management #Alcohol
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Quick Start - Inpatient ... use adjunctive medications ... benzodiazepines, alcohol ... #Initiation #management ... #opioid #algorithm
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... interested in medication ... assisted treatment ... Buprenorphine #Comparison #Pain
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
- Management of ... acute opiate withdrawal ... - If patient is ... stable on methadone ... co-exisiting chronic pain
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Opioid Stewardship Algorithm ... Patient Specific ... Medication Assisted ... Treatment (MAT) ... #Management #Pain
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
Alcohol Use Disorder ... if also chronic pain ... anxious, EtOH withdrawal ... #management #pharmacology ... #table #addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... for symptoms of withdrawal ... Hospital Opioid Use Treatment ... #Treatment #Management ... #Prescribing #Inpatient