S2 Ep11: #22 Low Key Pearls for Low Dose Bup With Amelia Goff FNP and Eleasa Sokolski, MD

The Curbsiders Addiction Medicine Podcast

Accelerate your knowledge on low-dose buprenorphine starts for individuals with opioid use disorder. We cover the physiology of how low-dose starts work, different 4-7 day protocols, and how to troubleshoot challenges patients may face. We’re joined by Dr. Eleasa Sokolski, MD (Oregon Health and Sciences University) and Amelia Goff, MSN, FNP (Oregon Health and Sciences University).
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Credits

• Producer: Era Kryzhanovskaya, MD
• Show Notes, Infographic, Cover Art: Carolyn Chan, MD, MHS & Kenny Morford, MD
• Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
• Reviewer: Sarah Leyde, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Dr. Eleasa Sokolski, MD and Amelia Goff, MSN, FNP

Show Segments

• Intro, disclaimer, guest bio: 0:55
• Guest one-liner: 5:10
• Case from Kashlak: 9:05
• Buprenorphine and fentanyl: 10:20
• Methods to start buprenorphine: 16:00
• 4-day low-dose buprenorphine protocol: 18:20
• Buprenorphine formulations: 22:30
• Counseling patients on low dose start: 26:10
• Patient population considerations: 28:20
• Troubleshooting; 30:15
• Outpatient low dose starts: 36:55
• Take Home Points: 45:14
• Outro: 50:48