Concurrent Paper Session C-Concurrent Paper Session C

Video Transcription

Video Summary

The video transcript provides insights into two comprehensive discussions. The first is on a study conducted by Dr. Aquino, an assistant professor of psychiatry specializing in substance use disorders and chronic pain. His research examined how Delta-9-tetrahydrocannabinol (THC) influences pain sensitivity in individuals receiving opioid agonist therapy for opioid use disorder (OUD). In a placebo-controlled trial, findings suggested a potential analgesic effect at lower THC doses without significant abuse liabilities, although some cognitive impairments were noted. This emphasizes the complexity of integrating cannabinoid-based therapies in OUD treatment, requiring a balance of risks and benefits.<br /><br />The second discussion involves a presentation by Dr. Johnson regarding the state of alcohol withdrawal management in the Department of Veterans Affairs (VA). Highlighting variability in protocols across VA systems, the project aimed at standardizing withdrawal management via mandated environmental scans and the creation of model standard operating procedures. The process focused on optimizing care while addressing resource and staffing challenges. Diazepam was recommended for inpatient protocols, with gabapentin frequently used in ambulatory settings. The conversation around gabapentin's use included concerns about its potential for abuse, particularly noted within the VA system settings. Dr. Johnson’s presentation shed light on how large healthcare systems can navigate and standardize care across diverse sites.

Keywords

cannabinoids

THC

chronic pain

opioid use disorder

Dronabinol

opioid overdose

fentanyl

medical cannabis

methadone

biphasic effects

cannabinoid-based therapies

alcohol withdrawal management

Department of Veterans Affairs

standard operating procedures

gabapentin

Diazepam

substance use disorders

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