Ketamine and esketamine have been shown to provide rapid relief of suicidality, however, many lingering doubts have been raised about these medicines. In a previous article from The Carlat Psychiatry Report, Nolan Williams, M.D., discusses the potential negative consequences of ketamine/esketamine treatment. Here are some of Dr. Williams’s tips:It might...
Specimens of urine, blood, hair, saliva, sweat and even nails can be used to drug test. Some are more specific, sensitive and accurate than others, says Talia Puzantian, PharmD, BCCP, who goes over the following drug testing methods in The Carlat Addiction Treatment Report:Urine screening is noninvasive and the most-common...
Christian J. Teter, PharmD, BCPPDr. Teter has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
New evidence suggests that the prevalence of fetal alcohol spectrum disorder is higher than previously documented. In this study, prevalence estimates were derived from 13,146 first-grade children in four U.S. communities between 2010 and 2016.
Thomas Jordan, MD.Dr. Jordan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Acting on the nicotinic acetylcholine receptors, varenicline (Chantix) is an FDA-approved treatment for smoking cessation. These receptors are implicated in both nicotine and alcohol reward pathways, so could varenicline also be helpful for treating alcohol use disorder (AUD)?
Carl Christensen, MD, PhD
Principal, Christensen Recovery Services, Ann Arbor, MI.
Dr. Christensen has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Typically, the most frequent problem that I’m referred is the pregnant patient who’s dependent on opioids. And this could be either someone who’s using illicit drugs, such as heroin, or is prescribed prescription opioids.
Kirsten Pickard, BA.Ms. Pickard has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Mindfulness is a growing trend in mental health treatment, but it often requires hours of practice to become proficient. What if you could provide your patients with an introductory mindfulness lesson in less than 15 minutes and see meaningful reductions in their risky drinking?
Michael Weaver, MD
Professor and medical director at the Center for Neurobehavioral Research on Addiction at the University of Texas Medical School. Author of Addiction Treatment (Carlat Publishing, 2017).
Dr. Weaver has disclosed that he received payment from Indivior in the past 12 months. Dr. Carlat has reviewed this article and has found no evidence of bias in this educational activity.
Detox (also known as “medically supervised withdrawal”) refers to treatment to help patients withdraw from substances that cause physical dependence, such as alcohol, sedative-hypnotics, and opioids. But detox is far more than a several-day process of ridding the body of an addictive substance. It should be considered an important component in the overall care and treatment of addiction.
Kevin P. Hill, MD
Director, Division of Addiction Psychiatry, Beth Israel Deaconess Medical Center, and assistant professor of psychiatry at Harvard Medical School.
Dr. Hill has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Currently in the US, cannabis has evolved into an issue of individual freedom, leading to full legalization in some states on the presumption that the substance isn’t addictive. Unfortunately, cannabis use disorder is indeed a problem for many patients, Kevin Hill, MD, tells us. In fact, says Dr. Hill, one of the greatest challenges you’ll encounter while treating patients is convincing them that cannabis use disorder is a real thing. Here are some treatment strategies.
Daniel Carlat, MD
Editor-in-Chief, The Carlat Addiction Treatment Report
Dr. Carlat has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Kratom (Mitagyna speciose) is a tropical evergreen tree in the coffee family whose leaves have been used for centuries in South Asian countries as a stimulant and pain reliever. Recently, kratom has entered US and European markets and is now sold in various forms, both online and at local head shops.
Taylor Noriega, PharmD candidate (2018).Ms. Noriega has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Opioid withdrawal protocols often rely on a buprenorphine taper, but other medications are regularly used either in addition to or in the place of buprenorphine. In particular, tramadol ER, a mild opiate, may be effective and was recently studied at Johns Hopkins University School of Medicine.