Treating Opioid Use Disorder in General Practice - Diagnosis, Harm Reduction, and Medications | NEJM

In this Double Take video from the New England Journal of Medicine and NEJM
Knowledge+, L.J. Punch (the T St. Louis, a harm-reduction program), Sarah
Bagley (Boston Medical Center), Jennifer Foreman (Randolph Health Medical
Group), and Scott Hadland (Massachusetts General Hospital for Children) review
how primary care providers can best care for patients with opioid use disorder.
They guide clinicians on how to diagnose the disorder, build trust with patients,
offer counseling on harm reduction, and use medications to treat addiction and
withdrawal symptoms. They also emphasize the importance of reducing stigma
to improve therapeutic alliances with this patient population.
To learn more about the latest practices for assessing and managing acute
and chronic pain, current guidelines for the appropriate use of opioids for pain
management, and evidence-based strategies for recognizing and treating opioid
use disorder, participate in a free NEJM Knowledge+ Pain Management and
Opioids program, available at knowledgeplusoffers .nejm
.org/
oud
-double
-take/ .
For further reading on stigma reduction, review the following articles: Stigma
Reduction to Combat the Addiction Crisis - Developing an Evidence Base
(McGinty and Barry, in the April 2, 2020, issue; www.nejm.org/d... ), and Stigma as a Fundamental
Hindrance to the United States Opioid Overdose Crisis Response (Tsai et al., in
the November 26, 2019, issue of PLOS Medicine; journals.plos.... ).
For further reading on alternative dosing of buprenorphine and naloxone,
review the following articles: Low -Dose Initiation of Buprenorphine in
Hospitalized Patients on Full Agonist Opioid Therapy: A Retrospective
Observational Study (Schult et al, in the November 12, 2023, issue of the Journal
of Addiction Medicine; journals.lww.c... ), and Microinduction of Buprenorphine/Naloxone:
A Review
of the Literature (Ahmed et al., in the December 30, 2020, issue of the American
Journal on Addictions; onlinelibrary.... ).
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