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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Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Table Some patients ... naloxone as a trial ... #Pain #Management ... #UseDisorder #Addiction
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
high-affinity, partial ... opioid that is safe and ... If patient is stable ... co-exisiting chronic pain ... #Algorithm #Addiction
Opioid Use Disorder Medications - Pharmacokinetics

Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
stages of the addiction ... margin of safety in pharmacology ... the sublingual tablet ... Pharmacokinetics #Comparison ... #Table #Pharmacology
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
include abdominal pain ... #UseDisorder #Management ... #Treatment #AUD ... Therapies #Screening #Addiction ... #Medications #Pharmacology
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
with β€˜treatment ... summarised in Tables ... EBM #Management ... #Pharmacology #BPD ... Effectiveness #Table
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Atrial Fibrillation ... Cannot tolerate addition ... #Medications #management ... #treatment #comparison ... #table
Smoking Cessation Management
Nicotine Replacement Therapy (NRT):
Long-Acting NRT:
 β€’ Patch: Wear for 24 hours at a time.
Smoking Cessation Management ... Nicotinic receptor partial ... after FDA-approved treatments ... #pharmacology # ... addition #tobacco
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - Β΅-opioid receptor agonist:
1) Continue maintenance
Acute Pain Control ... Medication Assisted Treatment ... (MAT) Methadone ... #PainControl #management ... #addiction #opiate
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... c deliriogenic meds ... if uncontrolled pain ... sleeping, administer pharmacologic ... Delirium #Checklist #Management
Quick Guide: Acute Pain and Perioperative Management in Opioid Use Disorder

The following applies to patients already
Quick Guide: Acute Pain ... Methadone: Before ... Hospital Opioid Use Treatment ... Perioperative #Pain ... #UseDisorder #Addiction