Buprenorphine MAT: Dr. Lewis Nelson's Insights on Modern Opioid Treatment
Episode Overview
Understanding the complexities of buprenorphine induction and its significance in transitioning individuals from street-bought opioids to pharmaceutical alternatives. Exploring the physiological and psychological dependence associated with opioid use and the role of medications in preventing withdrawal. Highlighting the implications of fentanyl use and the challenges involved in buprenorphine MAT induction, especially in emergency department settings. Addressing misconceptions and sharing personal experiences to provide valuable insights into the art and science of buprenorphine MAT induction. Discussing the potential long-term treatments for opioid dependence and the importance of evidence-based approaches in opioid treatment.
So, yeah, I wanted to talk about the microdose and macrodose induction. I thought the idea of the macrodose induction, like where a person, and it sounds like it's great for the emergency department especially. Someone comes to the hospital and they were taking fentanyl and maybe they're withdrawing a little bit and you want to start them and you can't keep them there for one, two, three, four, five days.
Imagine trying to bridge the gap between street opioids and medical treatments. This episode of 'The Rehab' tackles just that, featuring Dr. Lewis S. Nelson, a leading figure in emergency and addiction medicine. Dr. Nelson dives deep into the world of buprenorphine induction, a critical method in treating opioid use disorder. He explains how innovative techniques like micro-dosing and macro-dosing are changing the game, especially in an era dominated by fentanyl.
With his extensive experience, including consulting roles with the CDC, FDA, and DHS, Dr. Nelson offers a nuanced look at the physiological and psychological aspects of opioid dependence. He doesn't just talk about the science; he shares real-world experiences and addresses common misconceptions, making this episode both informative and relatable. If you're curious about how modern medicine is tackling one of today's most pressing health crises, this conversation is a must-listen.