Fentanyl
As a public service in view of the ongoing epidemic of fentanyl addiction and overdose deaths, these articles about fentanyl are being made available to everyone without restriction.
Why we MUST know about fentanyl and fentanyl analogs
Special tests are needed to identify fentanyl in the urine
Special issues in using naloxone for overdoses involving fentanyl
An overview of fentanyl opioid use disorder (addiction)
Special points in the management of fentanyl opioid use disorder (addiction)
Fentanyl analogs and why they are so important
Why and how to use fentanyl test strips
Below is a list of the articles about addictions that have been published on this website (as of August 2022).
Substance-related and addictive disorders
How to learn addiction psychiatry
Practice guidelines for substance-related and addictive disorders
SAMHSA National Helpline (Treatment Referral Routing Service)
Tips on dealing with “slips” in recovery
Never crave alone
How common is the comorbidity of bipolar disorders and substance use disorders?
Bipolar disorder or substance use? Tips on resolving the diagnostic confusion
Tips on treating patients with BOTH a bipolar disorder AND a substance use disorder
What happened to polysubstance dependence?
Urine drug screens
Which urine drug screen (UDS) should we order?
Which urine drug screen do most workplaces require?
For how long are substances detected in a urine drug screen (UDS)?
False-positive urine drug screen: Principles and a table for reference
Opioids in the urine drug screen
Will zolpidem be detected on a standard urine drug screen?
“Fingerprint” metabolites that uniquely identify substances in a urine drug screen
Alcohol use disorder
Basic facts about alcohol
Three key statistics about alcohol use: Bad, worse, and worst news
What is a “standard” drink?
How much alcohol intake is “normal”?
Alcohol, not marijuana, is the real gateway drug
Screening for alcohol use disorder
How to screen for alcohol use disorder
Why, who, and how to monitor for increased alcohol use after bariatric surgery
Alcohol withdrawal
Understanding the DSM-5 diagnostic criteria for alcohol withdrawal
Clinical Institute Withdrawal Assessment for Alcohol, revised (CIWA-Ar)
Which benzodiazepines for alcohol withdrawal syndrome (AWS)?
Alcohol withdrawal syndrome: Benzodiazepine regimens
How exactly to prescribe thiamine for the prevention of Wernicke-Korsakoff syndrome
Treatment of alcohol use disorder
APA Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder
How exactly to prescribe thiamine for the prevention of Wernicke-Korsakoff syndrome
Tips on using naltrexone for alcohol use disorder
Tips on using naltrexone extended-release injectable (Vivitrol®)
How to order, store, and administer naltrexone extended-release injection (Vivitrol®)
Find a Vivitrol® prescriber
Could extended-release naltrexone injection work for alcohol use disorder even if oral naltrexone did not?
Naltrexone (Revia®, Vivitrol®): Basic information
Tips on using acamprosate (Campral®) for alcohol use disorder
Disulfiram: A shortcut to sobriety?
How to use disulfiram to help with alcoholism
Should we consider gabapentin for alcohol use disorder?
Tips on treating alcohol use disorder in persons with a bipolar disorder
Caffeine use disorder
Caffeine and mental health
How much caffeine is too much?
Key things clinicians should know about caffeine withdrawal
Minimizing caffeine may be helpful in bipolar disorder
Caffeine can significantly change serum clozapine levels
Interactions that can significantly affect caffeine metabolism
Should those with migraine not consume caffeine?
Caffeine content of various beverages
Caffeine content of coffee and tea
Should we recommend decaffeinated coffee?
Caffeine content of soft drinks
Caffeine content of “energy” drinks
Cannabis use disorder
General
What all these terms mean: Cannabis, marijuana, hemp, THC, CBD, dronabinol, and so on?
Acute effects of cannabis that we should warn patients about
Which psychotropic medications does cannabis affect?
Cannabis use disorder
Which medications work for cannabis use disorder?
Cannabis withdrawal
We may be missing cannabis withdrawal
Cannabinoid hyperemesis syndrome
What is cannabinoid hyperemesis syndrome?
Cannabinoid Hyperemesis Syndrome (CHS): Clinical features
Cannabinoid Hyperemesis Syndrome (CHS): Management
Capzasin-HP cream: Information and instructions for patients
Dextromethorphan
A primer on dextromethorphan abuse or dependence
Does dextromethorphan-bupropion (Auvelity™) have abuse potential?
Dextromethorphan: pharmacodynamics (receptor effects)
Hypnotics
Non-addictive sleep medications
Will zolpidem be detected on a standard urine drug screen?
Kratom
Kratom: A primer for clinicians
Opioid use disorder
Opioid use disorder is a VERY serious condition
Opioids in the urine drug screen
Medication-assisted treatment (MAT) for opioid use disorder
Buprenorphine
Clinical pearls on prescribing buprenorphine (Suboxone®)
Clinical pearls about prescribing buprenorphine: Part Two
Buprenorphine (Subutex®, Suboxone®)
How to initiate buprenorphine using a microdosing approach
Buprenorphine extended-release injection (Sublocade®)
Naltrexone
Naltrexone (Revia®, Vivitrol®): Basic information
Tips on using naltrexone extended-release injectable (Vivitrol®)
Naltrexone extended-release injection (Vivitrol®): The how to
Fentanyl
Why we MUST know about fentanyl and fentanyl analogs
Special tests are needed to identify fentanyl in the urine
Special issues in using naloxone for overdoses involving fentanyl
An overview of fentanyl opioid use disorder (addiction)
Special points in the management of fentanyl opioid use disorder (addiction)
Fentanyl analogs and why they are so important
Other articles on opioids
Tips for our opioid-dependent patients
Loperamide abuse: Tips for mental health clinicians
NeuroStim System-2 (NSS-2) BRIDGE
Stimulant use disorder
Eight tips for reducing the risk of abuse/diversion of stimulants
Does lisdexamfetamine really have lower abuse potential?
What is khat and why is it important in mental health?
Tobacco/ Nicotine
Are you evaluating and treating tobacco use disorder in your patients?
High-yield tips for evaluating patients who use tobacco
Smoking and psychotropic medications
A simple questionnaire to help guide tobacco cessation treatment
A practical guide to the management of tobacco use disorder
Varenicline (Chantix®)
Varenicline (Chantix®): Basic Information
A practical guide to using varenicline (Chantix®) for tobacco (smoking) cessation
Are varenicline (Chantix) and bupropion safe for smoking cessation in persons with mental disorders?
Nicotine replacement therapy
A practical guide to nicotine replacement therapy (NRT)
How exactly should nicotine patches be used?
How exactly should nicotine gum be used?
How exactly should nicotine lozenges be used?
How exactly should nicotine oral inhalers be used?
How exactly should nicotine nasal spray be used?
E-cigarettes
What are electronic cigarettes (e-cigarettes)?
Do electronic cigarettes (e-cigarettes) work for smoking cessation?
What “authorities” say about e-cigarettes for tobacco use disorder
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Disclaimer: The content on this website is provided as general education for medical professionals. It is not intended or recommended for patients or other laypersons or as a substitute for medical advice, diagnosis, or treatment. Patients must always consult a qualified health care professional regarding their diagnosis and treatment. Healthcare professionals should always check this website for the most recently updated information.
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