Crush chronic pain with buprenorphine. Learn how to assess chronic pain and opioid use disorder (OUD) in patients on long-term opioid therapy, when to consider buprenorphine, and how to make the switch. We’re joined by addiction medicine and pain management expert, Dr. William Becker (Yale School of Medicine).  

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Show Segments




Disclaimer 0:52
Intro, guest bio 1:18
Case from Kashlak; Definitions 4:22
Assessing chronic pain and long-term opioid use 5:22 
Treatment options when patients are not benefitting from opioids 11:55 
Buprenorphine for chronic pain 14:28
Assessing OUD in patients on long-term opioid therapy 15:54
Buprenorphine mechanism of action 19:17
When to consider buprenorphine for chronic pain 21:12
Buprenorphine formulations 24:25
Switching from full agonist opioids to buprenorphine 29:02
Adding full agonists to buprenorphine 39:30
Take Home Points 46:07
Plug 47:38
Lightning round 48:32
Outro 50:20



Credits





Show Notes, Writer, Producer, Cover Art, Infographics: Kenneth Morford, MD
Hosts: Carolyn Chan, MD and Kenneth Morford, MD
Reviewer: Payel Jhoom Roy, MD, MSc
Showrunner: Carolyn Chan, MD
Technical Production: Podpaste
Guest: Dr. William Becker