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British Columbia Centre on Substance Use
เข้าร่วมเมื่อ 28 เม.ย. 2017
Set It and (Don’t) Forget It: Innovations with Extended-Release Buprenorphine- What's New Vol. 113
Presenter: Dr. Marco Arimare, BC Centre on Substance Use Addiction Medicine Fellow
Learning objectives:
1. Review the use of extended release buprenorphine in special populations
2. Review novel induction methods and dosing schedules
What’s New in Addiction Medicine is a lunch-time series featuring clinicians and researchers who will deliver the latest research and information on novel, evidence-based addiction medicine topics.
This free series is geared towards the needs and interests of individuals operating in a healthcare or research setting, however, the public and other interested stakeholders are welcome and encouraged to attend.
Learning objectives:
1. Review the use of extended release buprenorphine in special populations
2. Review novel induction methods and dosing schedules
What’s New in Addiction Medicine is a lunch-time series featuring clinicians and researchers who will deliver the latest research and information on novel, evidence-based addiction medicine topics.
This free series is geared towards the needs and interests of individuals operating in a healthcare or research setting, however, the public and other interested stakeholders are welcome and encouraged to attend.
มุมมอง: 81
วีดีโอ
Considerations for Treating Pregnant People with Opioid Use Disorder
มุมมอง 9814 วันที่ผ่านมา
BC ECHO on Substance Use Topic: Considerations for Treating Pregnant People with Opioid Use Disorder Presented: Thursday October 24, 2024 Presenter: Dr. Janine Hardial, MD, CCFP, FCFP
Bed-based treatment and Therapeutic Communities for substance use disorders- WNAM Vol. 112
มุมมอง 118หลายเดือนก่อน
What's New in Addiction Medicine Vol 112 Presenter: Dr Funmi Olaoye Recorded on October 15, 2024 Title: Bed-based treatment and Therapeutic Communities for substance use disorders Learning Objectives: Define Bed-based treatment and Therapeutic Community approaches for substance use disorders 2. Identify the types of services that typically occur within the Bed-based treatment, Therapeutic Commu...
Safe Spaces: An Overview of Overdose Prevention and Supervised Consumption Site
มุมมอง 131หลายเดือนก่อน
What's New in Addiction Medicine Vol. 111 Presenter: Dr. Ceire Storey, Addiction Medicine Fellow, BC Centre on Substance Use What’s New in Addiction Medicine is a lunch-time series featuring clinicians and researchers who will deliver the latest research and information on novel, evidence-based addiction medicine topics. This free series is geared towards the needs and interests of individuals ...
Navigating Patient Requests to Taper Opioid Agonist Therapy
มุมมอง 87หลายเดือนก่อน
What's New in Addiction Medicine Vol. 110 Preseter: Dr. Alex Wong, Addiction Medicine Fellow, BC Centre on Substance Use Learning Objectives: 1. Review literature surrounding tapering opioid agonist therapy, including reasons why patients may request a taper 2. Develop an approach to counselling patients considering tapering opioid agonist therapy, including potential risks 3. Provide an overvi...
"Perinatal Substance Use & The Child Welfare System"
มุมมอง 98หลายเดือนก่อน
What’s New in Addiction Social Work [Vol. 25] Presenter: Allison Heppelll, Addiction Social Work Fellow, BC Centre on Substance Use Recorded: Tuesday, October 1st, 2024 What’s New in Addiction Social Work is a lunch-time series featuring clinicians and researchers who will deliver the latest research and information on novel, evidence-based addiction medicine topics. This free series is geared ...
Considerations for Treating Youth Who Use Substances
มุมมอง 231หลายเดือนก่อน
BC ECHO on Substance Use Topic: Considerations for Treating Youth Who Use Substances Presented: Thursday September 26, 2024 Presenter: Dr. James Wang, MD, FRCPC
"Considerations for Substance Use Interventions for Older Adults"
มุมมอง 532 หลายเดือนก่อน
What’s New in Addiction Social Work [Vol. 25] Presenter: Julie Wade, Addiction Social Work Fellow, BC Centre on Substance Use Recorded: Tuesday, September 10th, 2024 What’s New in Addiction Social Work is a lunch-time series featuring clinicians and researchers who will deliver the latest research and information on novel, evidence-based addiction medicine topics. This free series is geared tow...
Caring for People with Alcohol Use Disorder in Primary Care
มุมมอง 2713 หลายเดือนก่อน
BC ECHO on Substance Use Topic: Caring for People with Alcohol Use Disorder in Primary Care Presented: Thursday July 18, 2024 Presenter: Dr. Olivia Brooks, MD, CCFP(AM), CISAM, DRCPSC
Adapting Substance Use Care During Extreme Events
มุมมอง 2665 หลายเดือนก่อน
BC ECHO on Substance Use Topic: Adapting Substance Use Care During Extreme Events Presented: Thursday June 13, 2024 Presenter: Dr. Alexis Crabtree, MD, MPH, PhD
Caring for People Who Use Opioids: How to Get Started
มุมมอง 2595 หลายเดือนก่อน
BC ECHO on Substance Use Topic: Caring for People Who Use Opioids: How to Get Started Presented: Thursday May 23, 2024 Presenter: Dr. Sean Fernando, MD, CCFP
"NAS Associated with Antenatal Exposure to Benzodiazepine Due to Toxic Drug Supply"
มุมมอง 545 หลายเดือนก่อน
What’s New in Addiction Nursing [Vol. 40] Presenter: Karen Edwards, Addiction Nursing Fellow, BC Centre on Substance Use Recorded: Tuesday, May 21st, 2024 What’s New in Addiction Nursing is a lunch-time series featuring clinicians and researchers who will deliver the latest research and information on novel, evidence-based addiction medicine topics. This free series is geared towards the needs ...
"iOAT Continuation in Acute Care Settings"
มุมมอง 996 หลายเดือนก่อน
What’s New in Addiction Nursing [Vol. 39] Presenter: Courtney Amoraal, Addiction Nursing Fellow, BC Centre on Substance Use Recorded: Tuesday, May 14th, 2024 What’s New in Addiction Nursing is a lunch-time series featuring clinicians and researchers who will deliver the latest research and information on novel, evidence-based addiction medicine topics. This free series is geared towards the nee...
What's New in Addiction Medicine Vol 75
มุมมอง 656 หลายเดือนก่อน
What's New in Addiction Medicine Vol 75
What's New in Addiction Medicine Vol 65
มุมมอง 1026 หลายเดือนก่อน
What's New in Addiction Medicine Vol 65
What CP-OUD RN/RPNs need to know: Clinical Management of Opioid Use Disorder (OUD) Webinar
มุมมอง 1966 หลายเดือนก่อน
What CP-OUD RN/RPNs need to know: Clinical Management of Opioid Use Disorder (OUD) Webinar
"Powdered Fentanyl - The New Safer Supply on the Block
มุมมอง 3706 หลายเดือนก่อน
"Powdered Fentanyl - The New Safer Supply on the Block
Client-centred Substance Use Care and Pharmacy
มุมมอง 1786 หลายเดือนก่อน
Client-centred Substance Use Care and Pharmacy
Testing the Limits Novel Synthetic Opioids (e.g.“nitazenes”) and Canadian Drug Checking-WNAP Vol. 06
มุมมอง 1407 หลายเดือนก่อน
Testing the Limits Novel Synthetic Opioids (e.g.“nitazenes”) and Canadian Drug Checking-WNAP Vol. 06
Impacts of Psilocybin on Substance Use Disorders- What's New in Addiction Medicine Vol. 05
มุมมอง 717 หลายเดือนก่อน
Impacts of Psilocybin on Substance Use Disorders- What's New in Addiction Medicine Vol. 05
"OAT Nurse Prescribing as Certified Practice"
มุมมอง 1537 หลายเดือนก่อน
"OAT Nurse Prescribing as Certified Practice"
Stimulant Use Disorder in Pregnancy and Postpartum- What's New in Addiction Medicine Vol. 108
มุมมอง 1047 หลายเดือนก่อน
Stimulant Use Disorder in Pregnancy and Postpartum- What's New in Addiction Medicine Vol. 108
Providing Substance Use Disorder Care for 2S/LGBTQQIA+ Populations
มุมมอง 2278 หลายเดือนก่อน
Providing Substance Use Disorder Care for 2S/LGBTQQIA Populations
"Substance Use Care and Access for Indigenous Populations"
มุมมอง 1058 หลายเดือนก่อน
"Substance Use Care and Access for Indigenous Populations"
Changes To The Opioid Use Disorder Guidelines And What Pharmacists Need To Know
มุมมอง 3269 หลายเดือนก่อน
Changes To The Opioid Use Disorder Guidelines And What Pharmacists Need To Know
Opioid Use Disorder Guideline: Take-Home Dosing
มุมมอง 1819 หลายเดือนก่อน
Opioid Use Disorder Guideline: Take-Home Dosing
Rural & Remote Settings: Updates to a Guideline for the Clinical Management of Opioid Use Disorder
มุมมอง 1499 หลายเดือนก่อน
Rural & Remote Settings: Updates to a Guideline for the Clinical Management of Opioid Use Disorder
Principles and General Approaches to Managing Co-occurring Substance Use Disorders
มุมมอง 2569 หลายเดือนก่อน
Principles and General Approaches to Managing Co-occurring Substance Use Disorders
"The Spectrum of Evidence-Based Addiction Care in BC and Implications For Rural Communities"
มุมมอง 14410 หลายเดือนก่อน
"The Spectrum of Evidence-Based Addiction Care in BC and Implications For Rural Communities"
Yo brotha IK the felln of losing some1 and some thing that gives u purpous and a hole lot of hope in life jus keep ur head up buddy...ps im sooooo fkin srry for ur lose...pps iv always got chuu mg nigguh!!!!!!
This is gross misconduct. Nurses, teachers, pharmacists, and "prescribers" - you are hereby on notice. If you follow this protocol even once, you are guilty of professional misconduct. A) Informed consent cannot be obtained from someone under the influence of drugs. B) Informed consent cannot be obtained from anyone under 18 without parental involvement. Furthermore, the child’s capacity to provide consent is significantly diminished if under the influence of opioids. I recommend a professional misconduct course, as it appears many nurses are not educated on what informed consent truly is. Simply labeling something as "informed consent" does not make it so-STOP contributing to the over-drugging of our population. You have also failed to address additional risks such as the resale of medications to other children or addicts. The fact that schools are allowing medical interventions without parental notification is absolutely unacceptable.
Death rates have increased substantially since the implementation of this experiment of pharmaceutical excessive prescription
Epic fail
Is there anything like this in southern ontario?
Seemed impossible, but it’s been over 2 years and I don’t crave a drop of alcohol, the key difference was that I didn’t suffer withdrawal, not even within the first 30 days, just happened after go’ogling Steffon Barkloads Quit Drinking Forever and genuinely quitting because I was a mess.
DIE WELT IST KONSUM - Selbst 30-Jähriger Heroin-KO²nsument "Wir Kinder dreckigen letzten Generation" verlorenen Seelen Haufen Beiträgen! Good Lock allem Gesunde zukünftigen Welt bewegt - SIXMO - Buprenorphin Depot-Implantat - Probuphine szenebedingten Überdosierung zu empfehlen.
I miss you, Ben. I wish we could go skate.
Hey Ben its Josh we used to be friends down there, good to see you man you are looking really good
They say they are saving lives there, but in reality lives are not meaningfully saved when just hours later they are just poisoning themselves all over again and again in a never ending cycle and mostly refuse treatment to get off fentanyl even when revived from overdosing, So how do you call that saving lives? Its seems more like a prolonged living death than anthing else...
What ever happened to DONT DO DRUGS? now its do drugs, in fact govt gives it to you FOR FREE, this is f--ked !
Most junkies do not care. They do fentanyl and most are hooked on it. This band aid approach with free dope and free supplies is a waste of money. The junkies are hooked on fent now. They choose to do dope. Let em die. Get tough on drugs. Do dope ? No welfare or disability for junkies is a start. Wake up.
Thank you Leslie McBain and thank you BCCSU!🙏
If you're stupid enough to ingest street drugs, you deserve what you get.
Im going to have to move to Vancouver. I've been wanting to for years. The United States is moving too slowly and people continue to die. Canada cares about it's people. America hates it's people.
My brother used street drugs to commit suicide ... I think it's disgusting to enable people to take street drugs
Sometimes its the way out of here
Slayyyyyyy😅
The checking might be free but the program cost taxpayers millions in funding. This for a group who chooses to be selfish and use drugs as an easy escape from reality .
That's the worst take on substance use I've ever heard of. No, programs like this save millions in taxpayer money. Educate yourself.
@@timdelage8098 you are only triggered because I'm right. It's people like you, who don't contribute that want these programs but don't want to put the effort into them. Your ignorance shows and im just pointing it out to you. You are just as selfish as these drug users, always looking for the easy way.
@@timdelage8098 I don't expect you to know anything about the cost of these programs when you are just a freeloader. These selfish people expect others to take care of them. These junkie made the decision to use drugs because it was easier when life got hard. They take time from first responder when everytime they od, those resources could be used better. LET THEM OD AND DIE, IT WAS THEIR TIME.
@SLIDEWAYSLIIDEWAY I whole heartedly agree !
@@timdelage8098 educate yourself perhaps, youre just parroting the theory behind all of this. In the end harm reduction isn't working because some people just don't want to stop using.
Glad you guys are helping these people out
This is an enabling channel it really sucks 😕 Enabling kills are youths like crazy probably the number one reason why they are dying. I really honestly don't care about that old person but I care about the 18 year olds and 20 year old so I see die under my window
On the one hand, great presentation and thank you for making this specialist information so readily accessible. On the other, what's conspicuously absent is an explanation of why naloxone is built into this "first line" treatment. If it's because people will still try to supplement with traditional full agonists, shouldn't we ask why buprenorphine fails to meet their needs to begin with? If people prefer faster acting, shorter duration drugs, why not simply allow people more than one dose a day, not to mention more user autonomy in general? There are people who use opioids non-medically who are not and don't want to be physically dependent. No OAT/iOAT for them? The way "euphoria" is viewed in this context is quite strange to me, and I don't see the desire to feel well a "disorder". Second count again Bupe & Methadone: Many who have experience with dependence report that full agonists are actually easier in withdrawal/detox than slower/longer forms. The problem in practice is that the opioids people actually prefer to use are hard to legally obtain in any quantity (and now quality) that facilitates a gradual, safe taper over a long period. Could we not make other safe, legal options available that would help a much wider variety of cases? I'm not saying these things have no place, but a big part of the reason people are still being harmed and dying is because the barriers within the (treatment) system.
STOP PRESCRIBING SUBOXONE FOR CHRONIC PAIN. YOU MDs ABUSE SUBOXONE. SUBOXONE IS NOT TO BE USED FOR PAIN. STOP USING IT OFF LABEL. US CHRONIC PAIN PATIENTS ARE SUFFERING BECAUSE OF YOUR ABUSE OF SUBOXONE. IT IS NOT A GO TO DRUG. AND MAYBE START FOLLOWING THE STEPS TO PUTTING A PATIENT ON SUBOXONE . SUBOXONE IS NOT FOR CHRONIC PAIN. STOP ABUSING IT AND STOP ABSUSING GABAPENTIN. MDs ARE NOT TO BE PRESCRIBING THIS AS AN ALTERNATIVE TO PAIN TREATMENT. STOP TREATING US CHRONIC PAIN SUFFERS LIKE STREET ADDICTS. The NP that decided I needed suboxone did not do anything she was supposed to before putting me on suboxone. I am a paraplegic and naloxone triggers my neuropathy. STOP ABUSING THIS DRUG. IT IS NOT A GO TO FOR CHRONIC PAIN SUFFERS
This is absolute BS all of you think that chronic pain patients think we need to be on suboxone. It doesn't work. I can not believe you MDs treat us like street users and I'm tired of it. I am a paraplegic and the NP decided it would be good if I took it for pain. IT IS NOT TO BE USED FOR PAIN. STOP PRESCRIBING IT FOR PAIN. JUST LIKE GABAPENTIN. MDs think us chronic pain sufferers think we are all addicts. I'm tired of it. Suboxone triggers my neuropathy. So tired of it STOP HURTING CHRONIC PAIN PATIENTS by TREATING THEM LIKE STREET ADDICTS
great presentation and thank you for sharing practical ways to support alcohol users, using harm reduction
Thanks for your work. It is really necessary.
Thanks for sharing
Hi, keep being a voice. You might enjoy this channel 👉 #drjohnaking. I find him instructional and practical.
Omg I am a house wife, with a broken back watching this. The NP put me on suboxone for pain. It is not help because she has me on 6mg a day. I am a partial paraplegic and my NP will not up the dose for my chronic pain nor will she put me back on my pain meds
This treatment saved my life 14 years ago
Thank you for getting this out and thank you for showing that addiction isn’t cut and dry and neither is family…
Two years later and I am still so grateful for this
Extremely powerful. Great work getting this story told and spreading awareness of these realities. ❤️❤️
Bullshit the doctors should take that medication
I'm on day 8 of no subs!! Was put on them 8 years straight from pain pills that I was given for breast cancer. There was no reason to be on them so long or even on them!! The doctors over prescribed many medications, thank goodness for my therapist that helped me see the light and a new doctor that helped with the taper. I have mild brain damage and memory issues I will need routine mri's and see a dementia doctor for just in case. When I am healthy enough I will be getting a lawyer for my self. I have joined in on a class action lawsuit but who knows how long that will take.. good luck to everyone. 🙏🏼💪🏼💯❤
Today is February 8th 2022
I wonder how are you doing without subs? Did you start taking them again or are you still completely off I've tried several times over 14 years and always go back on I can't get off my subs but I'm ok with that long as I'm not chasing the devil himself
MAKE SURE PEOPLE ARE NOT SNORTING OR SHOOTING STREET HEROIN !!! It’s all fentanyl China bullshit !!! Stays in your system for DAYS !! Worse than methadone !! My advice is to switch these people to oxy for minimum of two weeks THEN induct to suboxone!! Precipitated withdrawal WILL happen up to FIVE OR MORE DAYS OF ABSTINENCE !!!! VERY LIPOPHILIC!! China has completely taken over the planets illicit drug supply with their bullshit fentanyl !! Total different molecular makeup from pharmaceutical fentanyl.
I want to see a video SHOWING how to use it properly!!
I am on 2 per day I take one at 6:00am and the other around 2:00pm this has worked for me for the last 14 years
Time and labor intensive? My doctor spends a couple seconds with every patient except me, He gives it to me for pain.
My sub Dr has the script waiting for me and he says hello and goodbye and I'm out the door !!!
@@lauraestes9304 = Aye, don't even take Urine samples tbh! 😕
That's bs,the only solutions that works is to decriminalize all drugs like Portugal and of course Switzerland where u can use heroin
I appreciate all the knowledge and learnings from this video and course. Dr. Mead is an excellent speaker and advocate for trauma informed care.
I can’t understand the reason why anyone considered that people can also snort subutex/suboxon. There’s no clinical study about this
I know people who've injected subutex for decades, no problem at all but not advised. It does have a good effect too
@@nickydaviesnsdpharms3084 Subutex, maybe, Suboxone, no way.
The reason people inject them or snort them is because Buprenorphine is unique among opioids in that it comes in a formulation which has to be dissolved under the tongue. This also means its soluble so you can mix crush with hot water then pull into a syringe and inject the solution. I've done this for 12 years and in all that time I've not once had a single negative issue from it. I always think ahead tho cos of the potential Dangers like heart valves infection so I ensure to be sterile and wash hands and prepare area I'm working on. This has kept me away from Heroin since 2004. Not once have I relapsed
@@moondancer9066 yeah naturally ecause it contains Neloxone a drug that'll make an opioid addict ill and in withdrawal.
@@moondancer9066 yes I shot suboxone ....for a year. People Addicted to the needle will shoot anything to get a rush
3 years clean from heroin on 4 pills subutex a day (32mg) went back on sublocaid after relapse now on 3 pills a day plus the monthly injection sublocaid
Hello, know of any programs that will help pay for this medication when insurance won’t cover it?
Dont get on it go to your psychiatrist and get some anti depesants and anxiet meds your better of just buying 3 from the street and diy
Look into plan g if you're in BC.