#528 Hospital Addiction Medicine 3.0 with Dr. Maggie Lowenstein
Summary
Hosts Carolyn Chan and Sean Cohen interview Dr. Maggie Lowenstein on managing hospital addiction medicine, focusing on methadone verification and dosing strategies for patients with missed doses. They discuss balancing withdrawal treatment against QTc prolongation risks and using short-acting opioids when methadone is contraindicated. The episode also covers the rising prevalence of metomidine, an alpha-2 agonist adulterant in the fentanyl supply, and its distinct withdrawal symptoms.
Topics discussed
Intro, Guest Bio, and Personal Interests
Guest's Career Path and Philosophy
Case Study: Confirming Methadone Doses in Hospital
Sponsors: Babbel and FIGS Scrubs
Restarting Methadone After Missed Doses
Managing QTc Prolongation and Withdrawal
Introduction to Metatomidine Adulterant
Sponsor: Freed AI
Metatomidine: Mechanism and Clinical Presentation
Treatment Protocols for Metatomidine Withdrawal
Discharge Planning and Follow-up Care
Key Takeaways and Resources
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