Caring for patients using mitragynine-derived substances

Familiarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by Dr. Jonathan Tanawan (Profile).

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By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

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Credits

• Written and Produced, with Show Notes, Infographic, and Cover Art by Zina Huxley-Reicher, MD
• Hosts: Carolyn Chan, MD. MHS and Zina Huxley-Reicher, MD
• Reviewer: Kento Sonoda, MD, MPH
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Jonathan Tanawan, MD

• Intro, disclaimer, guest bio
• Guest one-liner, Picks of the Week*
• Case from Kashlak; Definitions
• Pharmacology of kratom and other mitragynine-based compounds
• How to take a mitragynine-specific substance use history
• Defining a use disorder
• Withdrawal from kratom
• Managing a use disorder with MOUD
• Legal landscape and regulation
• Outro

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Separating Signal from Hype

Patients bring us lists. Greens powders, magnesium for everything, vitamin D “for immunity,” fish oil, creatine, curcumin… so how do we separate signals from hype without becoming the office that just says “no” to everything? In this home-grown deep dive, we build a practical, patient-centered framework for evaluating any supplement, then pressure-test it against the products patients actually take. Learn a five-question approach to any supplement, how to judge product quality in an industry the FDA does not pre-approve, and where the evidence actually lands on greens powders and multivitamins, magnesium, creatine, vitamin D, fish oil (and why cod liver oil is not the same thing), turmeric/curcumin, and glucosamine/chondroitin.

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Show Segments

• Intro
• Ask These Five Questions: A Framework for Any Supplement
• Supplement Quality and Regulation
• Greens Powders and Multivitamins
• Magnesium
• Creatine
• Vitamin D
• Fish Oil and Cod Liver Oil
• Turmeric and Curcumin
• Glucosamine and Chondroitin
• Simplifying the Regimen
• Take-Home Points

• Writer and Producer, Show Notes, Cover Art, Infographic: Paul Wurtz MD.
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Reviewer: Sai S Achi MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste

Disclosures

The Curbsiders report no relevant financial disclosures.

Sponsor: FIGS

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Sponsor: Panacea Financial

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Sponsor:Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.