S2 Ep4: #15 Buprenorphine for Chronic Pain with Dr. Will Becker

The Curbsiders Addiction Medicine Podcast

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