Non-medication treatment for opioid addiction

The Opioid Crisis in America
HarvardX
July – November, 2021
https://www.edx.org/course/the-opioid-crisis-in-america

Zev Schuman-Olivier, MD

effective non-medication treatments for Opioid Use Disorder:

  • Cognitive Behavioral Therapy
  • Mutual help organizations, such as Narcotics Anonymous or Women for Sobriety
  • Sober living environments
  • Motivational interviewing
  • Mindfulness
  • Contingency Management Behavioral Interventions

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Drug Overdose Deaths Involving Opioids

fentanyl
heroin
hydrocodone
methadone
oxycodone
tramadol

also:
July 31, 2017
https://www.wbur.org/commonhealth/2017/07/31/opium-boston-history

laudanum
August 1, 2017
https://www.wbur.org/commonhealth/2017/08/01/opium-history-addiction

About CDC’s Opioid Prescribing Guideline
February 2021
https://www.cdc.gov/opioids/providers/prescribing/guideline.html

3.
Susan’s Brain: The Science of Addiction

This Is What Happens to Your Brain on Opioids
National Geographic, 2017

experiment: monkeys playing the role of leader consumed less substance of abuse
link

3.
you start to supplant these emotional relationships with people with the drug
link

https://theopioidproject.oncell.com

5.1
Riks Factors for Opioid Overdose
link

6.3
Withdrawal and Detox From Opioids
buprenorphine, Suboxone
link

6.4
Medication Treatment for Opioid Addiction
– extended release naltrexone
– buprenorphine
link

6.
Peter on humility
link

6.
Motivational interviewing
link

7.1
Recovery capital
link

7.2
how frequently should someone who is in recovery for Substance Use Disorder work to maintain recovery and learn from their past experiences?
link

7.3
…that’s a life well lived
link

7.4
adding … some true life stories is the best way to change attitudes and behaviors
link

7
Peter: “I always notice it”
link


from:
The Opioid Crisis in America
HarvardX
July – November, 2021
https://www.edx.org/course/the-opioid-crisis-in-america

related resources:

Calculating Total Daily Dose of Opioids for Safer Dosage
undated
https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf

Waller & Rubinstein Role Play Talking to Patients on Opioids

Corey Waller & Andrea Rubinstein Role Play Talking to Patients on Opioids (9/22/2016)
California Health Care Foundation
Nov 3, 2016

These two doctors, an addiction medicine specialist and a pain specialist, role-play talking to patients on high doses of opioids to demonstrate best communication strategies to engage the patient in tapering opioid use. Dr. Corey Waller is an addiction medicine specialist and a medical director at Camden Coalition of Healthcare Providers. Dr. Andrea Rubinstein is director of pain medicine at Kaiser Permanente. They spoke at the CHCF-supported Opioid Safety Convening in Oakland, California, in September 2016.

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Opioid Overdose: Harm Reduction
National Institute on Drug Abuse (NIDA/NIH)
2018

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Prescription Opioid Withdrawal Symptoms: Assessment, Treatment and Referral
National Institute on Drug Abuse (NIDA/NIH)
2018

The patient is 38-year-old, married white female with a history of a previous pelvic fracture from bicycle injury 8 months prior and now presents with abdominal pain, nausea, vomiting and agitation.

Buprenorphine Treatment for OUD

Office-based Buprenorphine Treatment for OUD
Sep 27, 2018
National Institute on Drug Abuse (NIDA/NIH)
https://www.youtube.com/user/NIDANIH

===========================

Dr. Corey Waller on Prescribing Buprenorphine for Chronic Pain (9/22/2016)
California Health Care Foundation

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Buprenorphine induction in the ED
Emergency Physicians Monthly
Mar 4, 2019
https://epmonthly.com/article/buprenorphine-induction-in-the-ed-the-missing-link-in-a-broken-system

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Buprenorphine: What You Need To Know
The Drug Classroom
Aug 2, 2016

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Transdermal buprenorphine and fentanyl patches in cancer pain
Aug 20, 2017
Dove Medical Press
https://www.dovepress.com/transdermal-buprenorphine-and-fentanyl-patches-in-cancer-pain-a-networ-peer-reviewed-fulltext-article-JPR

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Puffy hand syndrome
https://www.thelancet.com/article/S0140-6736(16)31011-X/fulltext

Opioid-induced hyperalgesia

When Opioids Make Pain Worse
March 3, 2018
https://www.npr.org/sections/health-shots/2018/03/03/586621236/when-opioids-make-pain-worse
…I began to notice a strange pattern. These hypersensitive patients often had a history of using opioids.

“… there are limitations to any biological system, and if you exceed them, then bad things will happen,” he says. “And one of those things may be opioid-induced hyperalgesia.”

America’s 8-Step Program for Opioid Addiction

America’s 8-Step Program for Opioid Addiction
By THE EDITORIAL BOARD
Sept. 30, 2017
https://www.nytimes.com/2017/09/30/opinion/opioid-addiction-treatment-program.html

Opioid addiction has developed such a powerful grip on Americans that some scientists have blamed it for lowering our life expectancy.

Drug overdoses, nearly two-thirds of them from prescription opioids, heroin and synthetic opioids, killed some 64,000 Americans last year, over 20 percent more than in 2015. That is also more than double the number in 2005, and nearly quadruple the number in 2000