Addiction Toxicology Case Conference - February 2023

Buprenorphine & Methadone Protocols from the Toxicology Team in Detroit

Case 1: A 61-year-old male chronically maintained on methadone 180 mg daily for years presents from a skilled nursing facility for methadone dosing, as the nursing facility is not comfortable providing high dose methadone.

Case 2: A 64-year-old female is admitted for heart failure. She has a history of opioid use disorder, and on hospital day two is experiencing opioid withdrawal and is given hydromorphone IV. The AM team is consulted for treatment of opioid withdrawal.

Case 3: A 63-year-old male with a history of opioid use disorder is hospitalized for treatment of pneumonia. On hospital day 2 he is started on methadone and the AM team is consulted. The patient discloses that he does not have the ability to present to a methadone clinic daily.

Series Moderators

• Timothy J. Wiegand, MD, FACMT, DFASAM (ACMT/ASAM Expert), Director of Toxicology and of the Toxicology Consult Service, University of Rochester Medical Center, Rochester, NY  
• Gloria J. Baciewicz, MD (ASAM Expert), Addiction Psycharcist, Strong Recovery; Professor of Clinical Psychiatry, Department of Psychiatry, University of Rochester Medical Center, Rochester, NY

Panelists

• Brett Blakely, DO, Emergency Medicine Physician, Michigan Poison and Drug Information Center, Detroit Medical Center, Detroit, MI
• Andrew King, MD, Medical Toxicology Fellowship Director, Associate Professor, Wayne State University, Michigan Poison and Drug Information Center, Detroit, MI
• Brandtly Yakey, DO, Emergency Medicine Physician, Michigan Poison and Drug Information Center, Detroit Medical Center, Detroit, MI

About The Series: The ACMT/ASAM Addiction Toxicology Case Conference webinar series discusses Addiction/Toxicology cases in an interactive fashion featuring experts from Addiction Medicine, Addiction Psychiatry, and Medical Toxicology.

This webinar is open to the public.