Shows
Cracking AddictionSecrets to opioid weaning done rightMastering Opioid Risk Management: Practical Tips & Life-Saving Strategies with Dr. Ferghal ArmstrongAre you concerned about the risks associated with opioids? Want to understand practical strategies for opioid risk management? This is the video just for you! Join me, Dr. Ferghal Armstrong, and Dr. Richard Bradlow as we delve deep into the intricacies of managing opioid toxicity, dependency, and safety.In this episode of Cracking Addiction, we tackle the pressing [keywords "opioid risk management"] head-on. We discuss why it's crucial to manage the risks of opioids and share actionable techniques that you can...
2024-09-1121 min
Cracking AddictionUnderstanding the Treatment Principles for Managing ADHDIn this episode, Dr. Ferghal Armstrong and guest Dr. Manu Bhatnagar explore the treatment principles underlying the management of ADHD. If you want to gain valuable insights into the use of stimulant medication and non-stimulant pharmacology in addressing ADHD, this episode is a must-listen.The focus keyword for this episode is "ADHD management." Dr. Armstrong and Dr. Bhatnagar provide in-depth analysis of the use of stimulant medications, such as dexamphetamine and lisdexamfetamine, as well as non-stimulant medications like atomoxetine, in the treatment of ADHD. They shed light on the difference between dexamphetamine and amphetamine, the safety concerns...
2024-03-0619 min
Cracking AddictionUnderstanding ADHD: Diagnostic Criteria ExplainedDr. Ferghal Armstrong and Dr. Manu Bhatnagar dissect the diagnostic criteria for ADHD, shedding light on the nuanced symptoms and the importance of a comprehensive assessment. By exploring the specific domain requirements, exclusion criteria, and subtypes of ADHD, they provide a deeper understanding of the diagnosis process, particularly in different age groups. The episode offers valuable insights for clinicians, educators, and individuals looking to understand ADHD and its impact on daily life.Episode focus keyword: ADHD diagnostic criteriaKey points:1. Diagnostic Criteria for ADHD: Dr. Bhatnagar explains...
2024-02-2820 min
Cracking AddictionUnmasking Cognitive Distortions: Examining the Illusion of Control in AddictionWe delve into the fascinating realm of cognitive distortions and the powerlessness individuals with addiction often face. Dr. Petracek shares her experiences and insights, highlighting the importance of motivational interviewing and the dangers of attempting to control drinking habits. We'll also explore the concept of hitting rock bottom and societal pressures that prevent individuals from seeking help.Timestamped Overview00:01:15 Inability to control substance consumption, cognitive distortions.00:05:53 Motivational interviewing is a helpful intervention strategy.00:07:20 Alcohol breaks out in handcuffs, problem.00:12:59 Outpatient approach: journal, assess, suggest, increase care.00:17:20 Challenges...
2023-10-1124 min
Cracking AddictionSober Mum Squad: How Peer Support is Cracking Addiction and Empowering MothersIn today's episode, we delve into the often isolating and lonely world of motherhood. Our host, Dr. Ferghal Armstrong, is joined once again by the inspiring Celeste Yvonne, as they discuss the challenges faced by mothers in today's society. From the impossible parenting standards set on social media to the lack of support for maternal mental health, this episode uncovers the realities that mothers often face in silence. We explore the connection between the mental load of motherhood and the rise in women's drinking, shedding light on the pressures and burdens placed upon mothers. Additionally...
2023-10-0428 min
Cracking AddictionFrom Fear and Frustration to Freedom: Breaking Free from the Grip of AlcoholIn today's episode, we have a special guest, Celeste Yvonne, sharing her personal experiences and insights on quitting alcohol and embracing a sober life.Celeste discusses the challenges that many individuals face when attempting to break free from the clutches of addiction, particularly when it comes to alcohol. She explores the fears of not fitting in, losing friends, and the belief that without alcohol, life may not be as enjoyable. Drawing from her own journey, Celeste opens up about feeling disconnected from her own life and losing her sense of identity without alcohol.However, she...
2023-09-2727 min
Cracking AddictionRadical Acceptance: Finding Healing and Empowerment | Exploring the Path to Lessen SufferingJoin Dr. Ferghal Armstrong and Dr. Laura Petracek in this enlightening discussion about Radical Acceptance—a powerful concept that can lead us towards healing and empowerment. Radical acceptance is the process of acknowledging that we have the resources to move forward despite life's challenges. By embracing this mindset, we can alleviate suffering, reduce substance use, and foster healthier relationships.In this video, Dr. Armstrong and Dr. Petracek delve into the key steps of radical acceptance. The first step involves recognising the difference between acceptable and unacceptable behaviour, empowering us to set boundaries. Next, they explore how clients ca...
2023-09-2021 min
Cracking AddictionUnderstanding Chronic Pain: How DBT and Mindfulness Help | Expert DiscussionJoin Dr. Ferghal Armstrong, Dr. Laura Petracek, and Kate Butler in this insightful discussion about using Dialectical Behavior Therapy (DBT) and mindfulness techniques to aid individuals with chronic pain. Chronic pain, persisting beyond three months with no apparent pathology, can be exacerbated by various psychological factors, such as trauma, mental health disorders, and catastrophization. In this talk, they shed light on the groundbreaking eight-week mindfulness-based stress reduction program designed by psychologist John from About Zen, which has shown remarkable success in alleviating chronic pain.Dr. Laura Petracek emphasizes the significance of addressing stress and fear of judgment...
2023-09-1323 min
Cracking AddictionPositive Dialogue: Maintaining Respectful ConversationsIn this thought-provoking discussion, Dr. Ferghal Armstrong and Dr. Laura Petracek delve into the significance of validating the invalid during conversations. They shed light on the power of respecting differing points of view, even when they may seem invalid, as a means to achieve resolution and harmony. The duo introduces the GIVE mnemonic - Gentle, Genuine, Interested, and Easy - as an effective tool for validating others' perspectives and avoiding heated arguments. They explore the benefits of adopting an easy-going approach and the use of mindful breathing to manage emotions during challenging discussions.Dr. Armstrong emphasises the...
2023-09-0613 min
Cracking AddictionMastering the Art of Communication: Importance of Showing Interest & ValidationIn this insightful conversation, Dr. Ferghal Armstrong and Dr. Laura Petracek delve into the vital aspects of effective communication: showing interest in others, active listening, and the power of validation. Dr. Armstrong emphasises the significance of giving space to open up and using body language to convey genuine interest. However, the challenge arises when discussing passionate subjects, as faking interest becomes difficult.Learn how to employ body language, such as maintaining eye contact and leaning in, to validate others' feelings and experiences. Dr. Armstrong introduces a two-step communication approach, where one person shares their feelings, the other...
2023-08-3012 min
Cracking AddictionThe Power of GIVE in DBT for Building Healthy RelationshipsIn this insightful episode of Cracking Addiction, joinDr Ferghal Armstrong and Dr. Laura Petracek as they delve into the transformative concept of GIVE from Dialectical Behaviour Therapy (DBT). GIVE, represented by the letters G-I-V-E, stands for Genuine, Showing Interest, Validating, and Using an Easy Manner. Discover how these principles can help individuals establish and maintain meaningful relationships, even amidst challenging situations.Dr. Laura explains the significance of being Genuine, a subtle yet powerful way of expressing sincere interest, especially when interacting with those who may be feeling insecure. Honesty with oneself and others fosters open and flexible...
2023-08-2311 min
Cracking AddictionDeveloping Self-Respect: The Power of Fairness, Boundaries, and Core ValuesJoin Dr. Ferghal Armstrong and Dr. Laura Petracek in this insightful discussion on self-respect as a fundamental aspect of how we relate to others. Discover effective techniques, including the FAST approach (Be Fair to Yourself and Others, No Apologies, Stick to Values, Be Truthful), that can help you cultivate self-respect and self-esteem. Gain valuable insights into the concept of fairness and its impact on relationships, as well as the distinction between equity and equality. Explore the ongoing debate in the Supreme Court regarding admissions standards and fairness for people of color. Dr. Armstrong underscores the importance of...
2023-08-1617 min
Cracking AddictionEnhance Your Interpersonal Skills with the Dear Man Technique | DBT TipsImprove your relationships and enhance your interpersonal skills with the Dear Man technique, a powerful tool derived from dialectical behavioral therapy (DBT). Join Dr. Ferghal Armstrong and Dr. Laura Petracek as they delve into the intricacies of this technique and its application for individuals with substance use disorders and borderline personality disorder.The Dear Man technique helps you navigate challenging conversations and assert your intentions confidently. Discover how to effectively express your opinions and emotions, set appropriate boundaries, and strengthen your position in interpersonal interactions. Learn the art of saying no without fear of rejection or resentment.
2023-08-0223 min
Cracking AddictionManaging Emotional Distress: Reality Acceptance and Mindfulness SkillsIn this episode of Cracking Addition, Dr. Ferghal Armstrong and Dr. Laura J. Petracek discuss the important topic of managing emotional distress through reality acceptance and mindfulness skills. They delve into the concept of reality acceptance and explain how it involves accepting the situation for what it is, which ultimately causes less suffering. They also stress the importance of being responsive rather than reactive, and the space between event and response where a choice can be made.Furthermore, they highlight the significance of mindfulness and meditation in helping to build the pause button and respond instead of...
2023-06-0716 min
Cracking AddictionBeyond Stereotypes: Unmasking Family Violence by Women - Genuine Victims vs. Victim StancingIn this thought-provoking Cracking Addiction episode, Dr Ferghal Armstrong and Steve Herd delve into the complex issue of how alcohol intersects with family violence. From the perspective of both the perpetrator and the victim of family violence, they explore the use of victim blaming and victim numbing to justify drinking in a family violence context. They also discuss the use of alcohol and drugs as a form of coercion in family violence and how access to treatment can be an issue.Dr Ferghal Armstrong and Steve Herd also discuss the prevalence of family violence perpetrated by women...
2023-05-3121 min
Cracking AddictionChallenging Misconceptions: AOD Use ≠ Elimination of Family ViolenceIn this thought-provoking episode of Cracking Addiction, Dr Ferghal Armstrong and Steve Herd delve into the complex intersection between AOD (alcohol and other drugs) use and family violence. The duo challenges the common misconception that stopping AOD use would automatically eliminate family violence. According to Armstrong and Herd, family violence is a long-term set of behaviours that require a comprehensive approach to tackle effectively.The discussion also covers the broader picture of family violence, including the personality traits and skills of the perpetrator, such as narcissism, lack of empathy, and cognitive ability. While Armstrong suggests that IQ...
2023-05-2418 min
Cracking AddictionDistress Tolerance Techniques: TIPPTIPP is a simple and effective acronym that stands for Temperature, Intense Exercise, Paced Breathing, and Progressive Muscle Relaxation. Each component of TIPP is designed to help us manage acute distress in a different way.Temperature: Exposure to cold temperatures has been shown to reduce sympathetic nervous system tone and increase parasympathetic nervous system tone. This means that cold exposure can help us calm down and feel more relaxed. To use this technique, you can try putting your face into a bucket of iced water for 30-60 seconds. While this may sound unpleasant, it can be a...
2023-05-1120 min
Cracking AddictionUnderstanding DBT: Four Components and Three Pillars ExplainedDr. Laura explains in more detail about Dialectical Behavior Therapy (DBT) and its four core components: distress tolerance, interpersonal effectiveness training, mindfulness, and emotional regulation. DBT is a type of therapy that helps people regulate their emotions and develop coping skills.Dialectics is a key concept that runs through each of the modules of DBT. It involves accepting both sides of a situation rather than seeing things in black and white, either-or terms. For example, instead of thinking "I'm in pain and it's never going to end," a dialectical approach would be to acknowledge the pain but...
2023-05-0318 min
Cracking AddictionPain is inevitable: suffering is optionalI chat with Dr Laura Petracek about unnecessary suffering. There is a famous saying: ”Pain is inevitable, suffering is optional”.We all experience inevitable pain such as bereavement, separation, illness and ageing. Suffering is optional in that it is a function of how we react to the pain. Maladaptive coping strategies cause optional suffering. These include drug or alcohol misuse, or maladaptive psychological constructs such as wishing for a different outcome, anticipating the worst, ruminating on the outcome, or trying to change the outcome. Acceptance is the key to avoiding unnecessary suffering.When we practice acce...
2023-04-2618 min
Cracking AddictionPower and Control - The Duluth ModelIn this episode Stephen Herd and I continue our discussion on the power and control wheel.The Power and Control Wheel was developed by a group of activists in Duluth, Minnesota, in the 1980s, who recognised the need for a comprehensive approach to address family violence. The Duluth Model is based on the belief that domestic violence is a result of the abuser's desire for power and control over their partner.According to the Duluth Model, domestic violence is not caused by anger, substance abuse...
2023-04-1913 min
Cracking AddictionThe Power and Control WheelIn this episode Stephen Herd and I discuss the Power and Control Wheel: a widely used tool to help understand the dynamics of family violence and identify ways to address it.The Power and Control Wheel was developed by a group of activists in Duluth, Minnesota, in the 1980s, who recognised the need for a comprehensive approach to address family violence. The Duluth Model is based on the belief that domestic violence is a result of the abuser's desire for power and control over their partner. According to the Duluth Model, domestic violence is not...
2023-04-1313 min
Cracking AddictionBreaking the Silence: Understanding the Complexity of Family ViolenceSteve Herd is an expert in the field of family violence. In our first of a series of conversations, he explains that family violence is not just physical abuse. It includes emotional, psychological and sexual abuse as well. The abuser uses various tactics to maintain control over their partner, such as isolating them from friends and family, controlling their finances, and limiting their access to information.Herd also highlights the role of gender in family violence. He explains that men are more likely to use physical violence to control their partners. He argues that this is because...
2023-04-0714 min
Cracking AddictionTrauma Assessment and ManagementIn this episode of Cracking Addiction, we are again joined by addiction psychiatrist Dr Dan Pham and discuss how to take a trauma history without further traumatising or triggering a patient. We also discuss the diagnostic criteria for PTSD and how to formulate this condition. In this episode, we discuss trauma-informed care and how to treat and manage trauma and PTSD, and what psychological and medical therapies may be useful to manage this condition, and briefly touch on some of the emerging research surrounding psychedelic-assisted psychotherapy in PTSD.Discussions and comments in our videos are for informational...
2023-03-2918 min
Cracking AddictionTrauma, PTSD and AddictionIn the episode of Cracking Addiction, we are joined by Dr Daniel Pham an Addiction Psychiatrist working at Turning Point who discusses with us the differences and similarities between Addiction Medicine and Addiction Psychiatry. We discuss the term dual diagnosis and the interplay between mental health and substance use disorders. This episode focuses mainly on trauma, PTSD and its interplay with substance use disorders and we discuss how trauma occurs and how to diagnose trauma and PTSD. We also explore integrated care and how to manage patients with co-occurring trauma or PTSD and substance use disorders and we touch...
2023-03-2220 min
Cracking AddictionWorking with Colleagues in the Grip of AddictionJoin us in this episode as we hear from Dr. Tony Weeks, a former Director of Anaesthesia at Alfred Health, as he shares his experiences in treating doctors with addiction and working in a medically supervised injecting room. Dr. Weeks speaks candidly about the challenges of helping colleagues with substance use disorders, and the complexities of treating doctors who are also struggling with addiction.After retiring from his work as an anesthetist, Dr. Weeks volunteered at a drug consumption room in North Richmond, Melbourne, where he helped patients find veins to inject into, assisted those who overdosed...
2023-03-1541 min
Cracking AddictionThe DBT Workbook for Alcohol and Drug AddictionThis week on Cracking Addiction we talk with Psycologist and Author Dr Laura Petracek.We explore the principles of Dialectical Behavior Therapy (DBT) and how they can be applied to the 12 Steps of addiction recovery.Recovering from addiction and managing a mental illness can be challenging and often feels like they take over your life. However, with the right tools and strategies, you can regulate your emotions, develop self-management skills, reduce anxiety and stress, and feel like yourself again.DBT is a type of talking therapy that is specifically tailored to individuals who...
2023-03-0830 min
Cracking AddictionOvercoming Patient Stigma in Urine Drug TestingJoin us in this informative episode as we dive into the topic of urine drug tests in Addiction Medicine. We will discuss the purpose and importance of these tests and the circumstances in which they are performed. We will also touch on the key indications that may lead to a urine drug screen being administered during addiction treatment.Patients can often have concerns and feel stigma surrounding urine drug testing. We will address these issues and offer ways to mitigate any negative feelings that may arise. Additionally, we will provide guidance on how to interpret the results...
2023-03-0118 min
Cracking AddictionPatient Perspective and Concerns Regarding Take Away DosesIn this episode, the focus is on the complicated issue of "takeaway doses" in opioid substitution therapy. Opioid substitution therapy is a treatment program that aims to help people overcome opioid addiction by substituting their drug of abuse with a safer and more controlled opioid, such as methadone or buprenorphine.One aspect of opioid substitution therapy is the use of "takeaway doses." This refers to the provision of extra doses of the opioid substitute to patients, which they can take away from the clinic for later use in case of emergency or unexpected circumstances. However, the use...
2023-02-2219 min
Cracking AddictionThe Hidden Dangers of Nitrite InhalantsInhalant Abuse: Understanding the Dangers of Hydrocarbon and Nitrite Inhalation - Hydrocarbon inhalants are substances that are inhaled for their intoxicating effects. They include a wide range of products, such as gasoline, paint thinner, glue, and aerosol sprays. These substances are commonly abused by inhaling the fumes, which can produce a feeling of euphoria and relaxation. However, inhaling hydrocarbon fumes can be extremely dangerous and can lead to a number of negative health effects, including respiratory problems, brain damage, and even death. Additionally, inhaling these substances can also be highly flammable and can lead to fires and explosions. It...
2023-02-1519 min
Cracking AddictionMedicinal Cannabis Today : Indications and Evidence Pt2Medicinal Cannabis Part 2 – In this episode of Cracking Addiction, Dr. Jim Connel joins us again and we discuss the side effects of cannabis, in particular psychiatric side effects, harms that may be associated with medicinal cannabis, the current regulations with regard to driving and medicinal cannabis, the experiences in other countries where medicinal cannabis has a longer history than in Australia, predictions with regard to the future role of medicinal cannabis, and potential roles of medicinal cannabis in addiction medicine.Discussions and comments in our videos are for informational purposes only and should not replace the advice of...
2023-02-0816 min
Cracking AddictionMedicinal Cannabis Today : Indications and Evidence Pt1Medicinal Cannabis Part 1– In this episode of Cracking Addiction, we are joined by Dr. Jim Connell, a GP and medicinal cannabis prescriber and the founder and chief medical officer of Heyday Medical. In this episode of Cracking Addiction, we discuss the endocannabinoid system, cannabis, and the cannabinoids that comprise cannabis, the history of medicinal cannabis, the current indications for medicinal cannabis, the evidence for cannabis for anxiety, depression, chronic pain, and sleep, and whether there is a role or any evidence for medicinal cannabis as an opioid-sparing agent, as well as how to select patients appropriately for a trial of...
2023-02-0118 min
Cracking AddictionNavigating the Challenges of Opioid Withdrawal: Tips and StrategiesThe distress that individuals undergoing opioid withdrawal can experience can range from mild to severe, depending on the type and duration of opioid use, as well as the individual's overall physical and mental health. Different opioids can cause slightly different withdrawal symptoms, which can include physical symptoms such as muscle aches, sweating, and insomnia, as well as psychological symptoms such as anxiety, depression, and irritability.One of the most challenging aspects of opioid withdrawal is the phenomena of precipitated withdrawal, which occurs when an individual is given a medication that binds to the same receptors as the...
2023-01-2525 min
Cracking AddictionCocaine Toxicity: Symptoms,Treatment, and PreventionCocaine toxicity - In this episode of Cracking Addiction, we discuss the metabolites of cocaine, the different organ systems affected by cocaine, and the harms associated with cocaine use. We discuss the harms of coingestion in particular of alcohol and cocaine and the toxic metabolite cocaethylene. We also discuss the common adulterants mixed in with cocaine and the harms that can be caused by these adulterants.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to...
2023-01-1120 min
Cracking AddictionCocaine, Crack and FreebaseCocaine, Crack and Freebase -In this episode of Cracking Addiction we explore cocaine, it's origins, the difference between powder cocaine and crack and freebase and the effects of cocaine on various organ systems and in pregnancy.Cocaine is a stimulant drug that is made from the leaves of the coca plant. It is a powerful psychoactive substance that is commonly used for recreational purposes. When ingested, cocaine produces feelings of increased energy, alertness, and euphoria. It is also a potent anesthetic and can be used medically to numb tissues and decrease...
2023-01-0422 min
Cracking AddictionWriting an Effective Treatment ReportDr Ferghal speaks with Dr Matthew Frei, an addiction medicine specialist who specialises in providing written reports in the field of addiction medicine. There are many agencies or entities that might request a formal opinion from an addiction medicine specialist. These include Vic Roads, insurance companies, AHPRA and the coroner’s court. When writing reports for Vic roads one must bear in mind the private and commercial driving standards. Such reports usually are requested after a patient has tested positive for a prohibited substance, or because they have tested positive for a blood alcohol concentration in excess of...
2022-12-2825 min
Cracking AddictionTips for Managing Clinicians Who Struggle with AddictionDr Ferghal speaks with Dr Matthew Frei, an addiction medicine specialist who specialises in the care and management of clinicians who find themselves struggling with addictions.Clinicians face significant stigma when dealing with their own illnesses, and even more so in the situation of mental illness and substance use disorder. An additional barrier to accessing treatment is the regulatory environment within which clinicians must access care. This includes the potential for mandatory reporting to AHPRA. For these reasons clinicians tend to present late for help. The good news is however that clinicians are more likely to make...
2022-12-2123 min
Cracking AddictionPrescription opioid use disorderIn this episode of Cracking Addiction I speak with Associate Professor Suzanne Nielsen about the opioid epidemic and what we can do about it.In the USA there seems to be more a problem with heroin whereas in Australia we are struggling with prescription opioid dependence. Even though a doctor may be prescribing your pain killers, it is still possible to become addicted to pain killers. The traditional treatments we have for opioid dependence in general include methadone and buprenorphine based opioid replacement therapy. A recent addition to the family includes the Long -Acting Injectable...
2022-12-1419 min
Cracking AddictionAddiction Medicine vs. General PracticeIn episode 69 of Cracking Addiction we discuss the difference and similarities between general practice and Addiction Medicine. We discuss Addiction Medicine consultation liaison services in hospital, inpatient and community management options with regards to Addiction Medicine. Lastly we discuss the role general practitioners play in managing patients with substance use disorders within the community and the breadth of community presentations and continuity of care that they provide their patients.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making...
2022-12-0725 min
Cracking AddictionGabapentinoidsIn this episode of Cracking Addiction we discuss the class of drugs known as gabapentinoids, a group of GABA analogues. In this episode we discuss the clinical uses of gabapentinoids and also the increasing rates of prescription of gabapentinoids in recent years and the resultant harms associated with gabapentinoids including the risks of dependence/addiction as well as increased rates of overdose and polypharmacy harms.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your...
2022-11-3020 min
Cracking AddictionMDMA and stimulant withdrawalIn episode 67 of Cracking Addiction we discuss the management of acute intoxication of MDMA and discuss the principles of both MDMA and stimulant withdrawal including supportive management options as well as the importance of psychosocial interventions in particular contingency management and CBT based interventions.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®...
2022-11-2317 min
Cracking AddictionMDMA / EcstasyIn episode 66 of Cracking Addiction we discuss MDMA or ecstacy and discuss its analogues PMA and PMMA and discuss the pharmacokinetics of these drugs, the unique properties of MDMA as both an atypical amphetamine-type substance and its effects as an empathogen. We also discuss the usage as both a recreational drug but also the new and emerging evidence of the clinical effects and benefits of MDMA and its increased usage in medical practice. MDMA has many effects on the body and we discuss the effects of MDMA on the brain, heart and liver in particular as well as some of...
2022-11-1626 min
Cracking AddictionGHB WithdrawalIn this episode of Cracking Addiction we discuss the timeframe of GHB withdrawal, the severe and significant symptoms of GHB withdrawal and the potential life threatening sequelae of GHB withdrawal. We explore the approach to GHB withdrawal management including medications that can assist to manage these symptoms and the need to speak specialist help promptly given the potential for significant deterioration.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.
2022-11-0919 min
Cracking AddictionGHBIn this episode of Cracking Addiction we discuss GHB and its analogs GBL and 1,4-butanediol and the differences between these drugs. We explore the clinical indications for GHB as well as the pharmacology and pharmacokinetics of this drug. We discuss the side effects of GHB and some of the symptoms of GHB withdrawal.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www...
2022-11-0215 min
Cracking AddictionUsing drugs in hospitalIn this episode of Cracking Addiction we discuss people who use drugs whilst in hospital and discuss the ethics of treating people who use drugs, harm reduction measures that can assist with patient engagement, the stigma and marginalisation people who use drugs experience and the evidence and ethics around behaviour contracts.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.
2022-10-1921 min
Cracking AddictionWhat is Kamini?and is it safe?Kamini an Ayurvedic opiate-Kamini or Kamini Vidrawan Ras is an Ayurvedic medicine containing opiates as well as some heavy metals. It is a medicine marketed for a variety of indications ranging from premature ejaculation and impotence to increased stamina. There is increased recognition and awareness of patients presenting to specialist Addiction Medicine services with opioid dependence secondary to Kamini Vidrawan Ras often requiring treatment with opioid substitution therapy.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any...
2022-10-1216 min
Cracking AddictionBenzodiazepine withdrawalIn this episode of Cracking Addiction we discuss the timeframe and symptoms of benzodiazepine withdrawal, how to stabilise a patient on benzodiazepines and weaning and tapering of benzodiazepines within a community setting. We also discuss and highlight the importance of psychosocial support and lifestyle interventions in managing benzodiazepine dependence and withdrawal.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com...
2022-10-0518 min
Cracking AddictionBenzodiazepine use disorderIn this episode of Cracking Addiction we discuss the effects of chronic benzodiazepine usage and the mechanisms of which tolerance and dependence to benzodiazepines develops and discuss the time course in which these syndromes can occur as well as discuss the diagnostic criteria for a benzodiazepine use disorder.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogs...
2022-09-2820 min
Cracking AddictionBenzodiazepinesIn episode 58 of Cracking Addiction we discuss the pharmacology of benzodiazepines and their interaction with the GABA-A receptor, the different types of benzodiazepines and their different half lives and effects, discuss how to calculator benzodiazepine dose equivalence, the increased risks of benzodiazepine overdose when compared with other medications especially with opioid medications and the pharmacokinetics and metabolism of benzodiazepines.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle....
2022-09-2121 min
Cracking AddictionLifestyle Medicine in AddictionIn today's episode of Cracking Addiction we are joined by Dr Sam Manger the President of the Australasian Society of Lifestyle Medicine and host of the GP Show podcast who discusses lifestyle interventions in substance use disorders. Lifestyle interventions can be safe and efficacious interventions and there is a growing evidence base for certain lifestyle interventions in some substance use disorders. For further information on lifestyle interventions in substance use disorders please read our journal article on this topic at: https://www1.racgp.org.au/ajgp/2022/august/lifestyle-interventions-for-substance-use-disorderThe GP Show podcast and other lifestyle m...
2022-09-1428 min
Cracking AddictionMethamphetamine relapse preventionIn this episode of Cracking Addiction we discuss relapse prevention strategies with regards to methamphetamine use and discuss harm reduction strategies, how to avoid a lapse becoming a relapse, the Matrix Model, motivational intervention and contingency management. We also discuss the importance of peer support programs in aiding people on their path to recovery from substance use disorder and discuss the evidence surrounding pharmacotherapy interventions for methamphetamine use disorder.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor...
2022-09-0717 min
Cracking AddictionMethamphetamine withdrawalIn this Episode of Cracking Addiction we discuss the three phases of methamphetamine withdrawal, strategies to manage the methamphetamine withdrawal including possible medication options and the ongoing psychosocial support required to support patients during methamphetamine withdrawal.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, h...
2022-08-3117 min
Cracking AddictionMethamphetamine and amphetaminesIn this episode of Cracking Addiction we mainly speak about methamphetamines but also amphetamines and discuss the amphetamine class of drugs and their physiological effects, the different types of methamphetamines, symptoms of intoxication with amphetamines, side effects of methamphetamine and amphetamines including the various organ systems they impact and in particular the potential psychological and psychiatric harms and focus on drug induced psychosis. Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please c...
2022-08-2423 min
Cracking AddictionLiving with AddictionIn this episode of Cracking Addiction we are privileged to have Steven McDonald who discusses his lived experience with addiction and his path towards recovery. Steven speaks openly and honestly about his past history and his experiences. Steven has written a book 'Thanks for Letting Me Share' which is a book of 368 quotes that have helped him along his journey. The book is available on Amazon https://www.amazon.com/dp/B09BCG67JK/ and Facebook https://www.facebook.com/Thanks-for-Letting-Me-Share-book-102078078856382Discussions and comments in our videos are...
2022-08-1636 min
Cracking AddictionCannabis hyperemesis syndromeIn this episode of Cracking Addiction we discuss cannabis hyperemesis syndrome, the various theories surrounding the pathophysiology of cannabis hyperemesis, treatment of cannabis hyperemesis syndrome, diagnostic criteria for cannabis hyperemesis syndrome and discuss the other potential differential diagnoses of cyclic vomiting symptoms and how cannabis hyperemesis syndrome is often a diagnosis of exclusion.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment...
2022-08-1016 min
Cracking AddictionSynthetic cannabisIn this episode of Cracking Addiction we discuss the variety within the class of synthetic cannabinoids, symptoms of synthetic cannabis intoxications, side effects and complication of synthetic cannabis usage and specific considerations in withdrawal management.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides o...
2022-08-0314 min
Cracking AddictionCannabis withdrawal managementIn the latest episode of Cracking Addiction we discuss the symptoms of cannabis withdrawal syndrome and the duration that can be expected for these symptoms, the common reasons that people use cannabis and how to manage these symptoms post cannabis withdrawal, the pharmacological management options for cannabis withdrawal which is largely symptomatic management and also the the common clinical scenarios of comorbid dependency with cannabis and other substances such as tobacco and caffeine and the need to often manage withdrawal of other substances ...
2022-07-2716 min
Cracking AddictionCannabis use disorderIn this episode of Cracking Addiction we discuss the symptoms of cannabis use disorder and cannabis intoxication, the different preparations of cannabis and the THC contents of these various preparations, the harms associated with cannabis use, the harms of cannabis when compared with tobacco and alcohol usage, the risk factors for developing cannabis use disorder, how to identify a person with cannabis use disorder, the social determinants impacting substance use and the classifications systems for cannabis use disorder mainly DSM 5 and ICD 11.
2022-07-2026 min
Cracking AddictionCannabidiol (CBD)In this episode of Cracking Addiction we discuss cannabidiol (CBD) and discuss the clinical effects of CBD, how CBD acts on the cannabinoid receptors, the clinical indications for CBD products, the potential areas where CBD may have the most clinical benefit and discuss the lack of psychoactive properties of CBD. We also discuss the risks associated with CBD and how to counsel patients on these risks. Finally we discuss the potential future role of CBD in the management of chronic pain and people on high...
2022-07-1316 min
Cracking AddictionTHCIn this episode of Cracking Addiction we discuss delta 9 tetrahydrocannabinol (THC) and how it interacts with the cannabinoid receptors and how this interaction with the receptors causes its effects on the body. We also explore the clinical effects of THC, side effects of THC and the clinical indications for THC products.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle....
2022-07-0616 min
Cracking AddictionThe Endocannabinoid systemIn this episode of Cracking Addiction we discuss the endocannabinoid system, the different types of endocannabinoid receptors CB1 and CB2, the location of the different receptors, the endogenous ligands of cannabinoid receptors and their synthesis and breakdown and briefly touch on the two best known cannabinoids THC and cannabidiol. Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogs
2022-06-2919 min
Cracking AddictionChasing the screamIn this episode of Cracking Addiction, Scot Aitken and Dr Ferghal Armstrong chat about Johan Hari’s book, Chasing The Scream. We explore some of themes of the book including the motivations that underpin the war on drugs, the economic factors that affect the war on drugs and the role of decriminalization of drug use.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshtt...
2022-06-2222 min
Cracking AddictionThe Evidence for vapingIn this episode of Cracking Addiction we are again joined by Dr Colin Mendelsohn to discuss the controversies around vaping including the risks around vaping, the thoughts of vaping being a gateway to smoking cigarettes, the risks of EVALI, the role of 'Big Tobacco' in vaping, looking at the evidence around vaping and challenging some of the latest reviews around vapingDiscussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.
2022-06-1617 min
Cracking AddictionHow to vape to aid smoking cessationIn part 2 of 3 episodes. In this episode of Cracking Addiction we are again joined by Dr Colin Mendelsohn to discuss the different types of vaping products on the market, the different types of nicotine e-liquids available, how to source vaping products, how to prescribe nicotine and how to vape safely.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au...
2022-06-0816 min
Cracking AddictionThe Benefits and Myths of VapingIn this 1st of three episodes of Cracking Addiction we are joined by Dr Colin Mendelsohn to discuss the harms of tobacco usage, what vaping is and how vaping can be useful to aid smoking cessation, the myths and benefits surrounding nicotine and the efficacy of vaping in smoking cessation. Nicotine vaping is surrounded in mystery with a lot of myths and misinformation abounding and in this episode we try and dispel some of this misinformation.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional...
2022-06-0117 min
Cracking AddictionTobacco use in special populationsIn this episode of Cracking Addiction we discuss tobacco use in pregnancy and the those with mental health disorders and the evidence around smoking cessation in these special population groups.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals a...
2022-05-2523 min
Cracking AddictionSmoking cessation interventionsIn this episode of Cracking Addiction we discuss various smoking cessation interventions including behavioural interventions, nicotine replacement therapy, varenicline, bupropion and nortriptyline to aid patients in stopping smoking.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See t...
2022-05-1918 min
The Physician Associate PodcastMeducate academy teaching PAsIn this episode, we meet Bob and Mark from Meducate Academy and learn about their role in helping PA students develop their communication skills and more importantly their hands on skills with patients.
Bob is the founder and training director of Meducate Academy Ltd which was created 5 years ago as a student centred educational service providing medical schools with high fidelity simulation.
Meducate uses Associate Clinical Educators (ACE) alongside Experienced clinicians teaching student Physician Associates how to examine a patient. Mark has worked with Bob as one of Meducate's senior ACEs.
In this p...
2022-05-1625 min
Cracking AddictionTobacco use disorderIn this episode of Cracking Addiction we discuss the harms associated with tobacco use, the health benefits of tobacco cessation, briefly discuss smoking cessation interventions and highlight the importance of brief interventions in eliciting behaviour change.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, h...
2022-05-1218 min
Cracking AddictionOpioid Use Disorder summary pointsIn Episode 38 of Cracking Addiction we summarise the previous episodes regarding opioid use disorder and discuss a framework on the safe management of patients with opioid use disorder.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See t...
2022-05-0432 min
Cracking AddictionSocial comorbidity in substance use disorderIn episode 37 of Cracking Addiction we discuss in detail some of the social comorbidities associated with substance use disorders and what to screen for, be aware of and some management strategies to tackle these social comorbidities.Social isolation and alienation are some of the unfortunate hallmarks of substance use disorder. Some of the biggest social harms that occur to the patient are the harms that can occur with increased rates of unemployment, homelessness, broken relationships and social isolation. Loneliness appears to be a significant product and by-product of substance use disorder and can lead to worsening outcomes.
2022-04-2727 min
Cracking AddictionPsychiatric comorbidity in substance use disorderIn episode 35 of Cracking Addiction we discuss in detail some of the psychiatric comorbidities associated with substance use disorders and what to screen for, be aware of and some management techniques.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.
2022-04-1323 min
Cracking AddictionSpecial circumstances in OST Part 2In episode 34 of Cracking Addiction we discuss how to manage some of the special circumstances in opioid substation therapy including OST in renal and hepatic impairment, managing polypharmacy complications with OST and managing acute pain whilst a patient is on OST.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides o...
2022-04-0618 min
Cracking AddictionSpecial circumstances in OST Part 1In episode 33 of Cracking Addiction we discuss how to manage some of the special circumstances in opioid substation therapy including vomiting of doses of OST, dealing with intoxicated patients, overdoses of OST and transitioning between Methadone and Suboxone and vice versa.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides o...
2022-03-3024 min
Cracking AddictionNaloxoneIn episode 32 of Cracking Addiction we discuss the harm reduction intervention of Naloxone and when to consider prescribing this medication, the benefits of take home naloxone and how it saves lives!Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.
2022-03-2321 min
Cracking AddictionHarm ReductionIn episode 31 of Cracking Addiction we discuss the harm reduction interventions that we can implement for people who inject drugs to decrease the risks of morbidity and mortality.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See t...
2022-03-1626 min
Cracking AddictionSuboxone Part 2In episode 30 of Cracking Addiction we discuss the different opioid receptors buprenorphine acts upon and the nature of these effects, the difference between agonists and antagonists, how to start a patient on Suboxone and how to monitor patients on Suboxone and adjust doses.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®M...
2022-03-0922 min
Cracking AddictionSuboxone Part 1In episode 29 of Cracking Addiction we discuss Suboxone and talk about the components of Suboxone as well as the pharmacology and pharmacokinetics of Suboxone.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse t...
2022-03-0218 min
Cracking AddictionLAIB - Top TipsIn episode 28 of Cracking Addiction we discuss our practical tips, advice and experience in managing patients on LAIB and share what we have learned.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse t...
2022-02-2319 min
Cracking AddictionLAIB The Patient ArcEpisode 27 of Cracking Addiction discusses the patient journey on LAIB and how to adequately deal with and manage adjusting doses of LAIB, commencing and ceasing LAIB and ensuring that patients are maintained on LAIB therapyDiscussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health p...
2022-02-1615 min
Cracking AddictionLAIB - SublocadeCracking Addiction discusses Sublocade one of the LAIB preparations available and how to commence, maintain and manage any dose changes or complications associated with Sublocade.Sublocade is a long acting injectable buprenorphine (LAIB) manufactured by Invidior that uses the “Atrigel” system to provide for a sustained and prolonged delivery of buprenorphine into the systemic circulation after subcutaneous injection.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.La...
2022-02-0915 min
Cracking AddictionLong Acting Injectable Buprenorphine (LAIB) - IntroductionAn Introduction to Long Acting Injectable Buprenorphine (LAIB)Long acting injectable buprenorphine (LAIB) are long acting buprenorphine depot preparations that are injected subcutaneously and provide patients with a sustained release of buprenorphine for the duration of the depot preparation. Currently, two LAIB products are available for the Australian market. They differ in their formulations, administration and pharmacology.See blog for further informationhttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse t...
2022-01-1218 min
Cracking AddictionMethadone pharmacokinetics and interactionsEpisode 21 of Cracking Addiction explores methadone pharmacokinetics, breakdown and interactions within the body and interactions with other drugs.Methadone is a drug with a wide variability in its absorption with oral bio-availability ranges from 35% to 100%. This is a significant amount of variability and explains why the same dose of Methadone can impact different patients differently. Methadone is metabolised within the liver by the cytochrome P450 enzymes but mainly 3A4. There is a 17-fold inter-individual variation of methadone blood concentration for a given dosage and variations in metabolism account for a large part of this variation...
2021-12-2216 min
Cracking AddictionMethadone pharmacology and inductionEpisode 20 of Cracking Addiction explores methadone, its origins, the pharmacology behind methadone and how to commence a patient on Methadone.Methadone is a synthetic long acting mu receptor agonist suitable for the treatment of opioid use disorder. Methadone has a longer plasma half life than morphine (average 22 hours (15-32 hours) vs 2 hours for morphine) which permits once daily supervised dosing.https://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks an...
2021-12-1522 min
Cracking AddictionOpioid use disorder Post PartumEpisode 19 of Cracking Addiction explores the management of opioid use disorder in the post partum period.Post birth the patient's usual oral methadone dose can be continued in the peripartum and post partum period. There is a theoretical concern in the postpartum period of over-sedation as methadone levels may increase as plasma volume and hepatic clearance normalise post the delivery of the child. Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the w...
2021-12-0911 min
Cracking AddictionOpioid use disorder and pregnancyEpisode 18 of Cracking Addiction explores the management of opioid use disorder in pregnancy.Most women presenting with opioid dependence are of child-bearing age with chaotic drug use predisposes to amenorrhoea. The initiation of opioid substitution therapy (OST) facilitates stability and reinstatement of regular menstrual cycles and thus OST is a risk factor for unplanned pregnancy. About Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses availablehttps://www.meducate.com.au
2021-12-0117 min
Cracking AddictionDrugs of ConcernEpisode 17 of Cracking Addiction explores the range of drugs one can become dependent upon or addicted to and how to identify someone at risk of prescription drug aberrancy.About Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses availablehttps://www.meducate.com.au
2021-11-2421 min
Cracking AddictionHow to take an accurate substance use historyHow to take an accurate substance use history.Taking an accurate substance use history is of great importance in the management of addiction. There are a number of strategies that one could use but the most important part of history taking is that of demeanour and empathy. The best results and most accurate information are often obtained when one treats one’s patients with human empathy and in a non-judgemental manner. About Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many...
2021-11-1715 min
Cracking AddictionOpioid Replacement Therapy Part 1Episode 13 of Cracking Addiction covers opioid replacement therapy (ORT) and the philosophy and evidence behind this highly effective treatment for patients with opioid use disorder.
2021-10-2619 min
Cracking AddictionDependence, Addiction and Opioid Use DisorderIn this episode of Cracking Addiction we cover the difference between dependence and addiction, the intricacies of addiction and provide a definition of opioid use disorder
2021-10-2013 min
Cracking AddictionOPQRSTCracking Addiction covers the OPQRST framework and how to use this framework to prescribe safely to patients on opioid medications.
2021-10-1318 min
Cracking AddictionAn Introduction to OpioidsIn this episode of Cracking Addiction we provide an introduction to opioids, how they work what receptors they act upon and some of the harms associated with opioids.
2021-10-0613 min
Cracking AddictionAlcohol Use Disorder Summary PointsIn this episode of Cracking Addiction we summarise the previous episodes detailing alcohol use disorder, alcohol withdrawal management, rationale for anti-craving medications and how to assist our patients in a safe, ethical and humane manner.
2021-09-2922 min
Cracking AddictionAlcoholics Anonymous and SMART RecoveryIn this episode of Cracking Addiction we discuss both Alcoholics Anonymous and SMART recovery programs and review the evidence base behind each of these interventions and how to help patients choose the best behavioural management program to help manage relapse prevention.
2021-09-2222 min
Cracking AddictionAlcohol Anti-Craving MedicationsIn this episode of Cracking Addiction we explore the common anti-craving medications used in alcohol use disorder and explain what the choices are, what the indications for these medications are, how they work as well as the common side effects and interactions.Blog available
2021-09-1525 min
Cracking AddictionResidential alcohol withdrawal managementIn this episode of Cracking Addiction we explore the intricacies of residential or inpatient alcohol withdrawal management including how to manage patients in a residential setting, complications that can arise and how to management then during alcohol withdrawal, medications and potential dosages of medications uses as well as how to manage patients with pre-existing medical and psychiatric comorbidities.
2021-09-0820 min
Cracking AddictionHome Based Residential WithdrawalThe safe management of alcohol withdrawal is a fundamental skill that medical practitioners should be aware to perform. It is a protocol driven management and needs to be to ensure patient safety. In this episode of Cracking Addiction we explore home based or outpatient alcohol withdrawal and how to select the appropriate people for home based alcohol withdrawal management, how to manage the withdrawal symptoms and how to safely follow up patients.
2021-09-0121 min
Cracking AddictionThe physiology of alcohol withdrawalChronic alcohol use can lead to physical dependence. In this episode of Cracking Addiction we talk about the physiology of alcohol withdrawal, complications of alcohol withdrawal including delirium tremens and Wernicke’s encephalopathy and we discuss some of the simple interventions that can be used to guard against these complications
2021-08-2517 min
Cracking AddictionAlcohol Consumption Pt2In this episode of Cracking Addiction, we continue our deep dive into alcohol. We define alcohol use disorder, the definitions of dependence and addiction, the harms related to alcohol and the natural progression of alcohol use disorder and how to screen for people who might be at risk of alcohol use disorder and the importance of brief interventions.
2021-08-1817 min
Cracking AddictionAlcohol Consumption Pt1Alcohol is a common and ubiquitous part of our lives. It is widely consumed, portrayed and advertised in the media and consuming alcohol is an acceptable part of adult life. However, there are significant harms associated with alcohol consumption and in this episode of Cracking Addiction we explore some of the data around alcohol, the harms it causes within society, what a standard drink is and how much alcohol it is safe to drink.
2021-08-1114 min
Cracking AddictionCracking Addiction - An IntroductionAddiction Medicine is a speciality of medicine shrouding in mystery and disinformation, as is addiction and substance use disorder. In this introductory episode, Dr Ferghal Armstrong and Dr Thileepan Naren explain their interests in Addiction Medicine, what motivated this interest in Addiction Medicine and the benefits they have seen when engaging, empathising and listening to patients with addiction issues.
2021-08-0419 min