Addiction Toxicology Case Conference - June 2021

Case 1
A 24-year-old with panic, tearing, nausea, vomiting, and repeated yawning just can’t stop moving around after trying to restart buprenorphine/naloxone after 2 weeks of heavy heroin use.

Case 2
3 doses of 4 mg IN naloxone in rapid succession in a patient down from presumed heroin OD is in severe withdrawal 20 minutes after rolls into the ED.

Case 3
A 42-year-old M runs out of his source for methadone (was buying 120 mg/day from a friend who “disappeared”) and decides to try buprenorphine. He takes a piece of an 8/2 mg film (1/2) about 18 hours after his last use and feels mostly restless and myalgias. He notices that his heart rate is up but he’s not having more severe symptoms. He calls his outpatient clinic provider about an hour after the onset of symptoms asking for help.

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), Medical Director, Strong Recovery; Professor of Clinical Psychiatry, Department of Psychiatry, University of Rochester Medical Center, Rochester, NY

Panelists

• JoAn Laes, MD, FACMT, FASAM (ACMT/ASAM Expert), Attending Physician, Division of Addiction Medicine, Hennepin County Medical Center, Minneapolis, MN
• Barry K. Logan, PhD, F-ABFT (Guest Expert) Executive Director, Center for Forensic Science Research and Education, Fredric Rieders Family Renaissance Foundation; Senior Vice President of Forensic Sciences, Chief Scientist, NMS Labs, Willow Grove, PA
• Lewis Nelson, MD, FACMT, FASAM (ACMT/ASAM Expert) Professor and Chair, Department of Emergency Medicine; Chief, Division of Medical Toxicology, Rutgers New Jersey Medical School, Newark, NJ
• Rachel Wightman, MD (ACMT Expert) Director, Medical Toxicology Education; Assistant Professor, Department of Emergency Medicine, Warren Alpert Medical School, Brown University, Providence, RI

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.