Slips and Slip Ups: Managing Buprenorphine in Patients with Co-Occurring Pain and Addiction

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By Erin Zerbo, MD
Associate Professor of Psychiatry, Rutgers New Jersey Medical School

Sponsoring organization: American Psychiatric Association (APA)

Clinical Vignette Description: Many addicted patients have co-occurring pain, and they often have a difficult time finding pain management providers that will treat them. It is crucial that psychiatrists and other physicians develop an understanding of co-occurring pain, so that these patients can be treated in other types of clinics or in conjunction with standard pain management clinics.

Educational Objectives:

  1. Explain the next best steps to take when a patient with co-occurring depression has a relapse in her/his opioid use disorder
  2. Understand the appropriate dosing of opioid maintenance medications in the patient with co-occurring pain
  3. Explore the role that buprenorphine/naloxone can have in the management of chronic pain

Accreditation and Designation: The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The APA designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

How to obtain your CME Credit/Certificate of Completion:
CME Credit Certificates or Certificates of Completion are available to those who complete an evaluation. Please follow the instructions below to obtain your certificate:

  1. Go to http://bit.ly/Slips-and-SlipUps-Vignette
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  4. Select your statement of credit type, click Submit, acknowledge your selection on the pop-up by clicking “OK”
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  10. Complete the APA Evaluation, click Submit and then Next
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For questions regarding this activity, please contact APA staff: [email protected]