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Seth Acton

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Everything posted by Seth Acton

  1. Welcome to the PCSS Discussion Forums!
  2. Welcome to the Forums, Lina!
  3. Welcome to the PCSS Forums, Dr. Bienstock!
  4. Welcome to the PCSS Forums!
  5. This question was submitted through pcssNOW.org: I have a 25yo patient treated for abdominal pain with 150 mcg fentanyl patches q72hrs? The pain has improved but he can't wean off the patches. Do I transition him to suboxone and if so; how in terms of timing and dosing?
  6. Welcome to the PCSS Discussion forums!
  7. This question was submitted through pcssNOW.org: For a patient with severe COPD in chronic pain, i think suboxone or other buprenorphine would be safest, and if the Butrans patch is not affordable, is there another regimen that could be tried, even is off label but accepteable in the state of SC. Can that example of what i could use, what starting dose, and what I can titrate to be illustrated?
  8. This question was posted on pcssNOW.org: Frail elder female suddenly self-stopped chronic use (200 mg/day for 9 years) of tramadol x 3 weeks ago. How long will withdrawal symptoms last? Still experiencing soaking cold sweats 3-4x/day, difficulty sitting still, anxiety, difficulty sleeping, difficulty voiding. Any safe suggestions to treat the sweats? Clonidine and Lucemyra have been discussed but not good options for patient. Very remote area here. thank you.
  9. Welcome to the PCSS Discussion Forums!
  10. Welcome to the Forums!
  11. Welcome to the Forums! I hope you find them helpful.
  12. Welcome to the PCSS Discussion Forums!
  13. This question was submitted on pcssNOW.org: I now have my substance abuse treatment license and getting ready to treat my first patient. He is 55 male, has been on hydrocodone-acetaminophen 7.5-325 mg every 4 hours. He is also on ambien 10 mg nightly. I inherited this patient from a retired provider and continued with these refills. I have been counseling him on dangers of combo and he is now ready to transfer to Suboxone. Can you please help me figure out the dose. This is my first patient to counsel on the matter and want to give him the correct dose to cover his pain. Dr. A
  14. Welcome! Here are some previous threads which may help:
  15. Welcome! Thanks for joining the PCSS Discussion Forums!
  16. This question was submitted through pcssNOW.org: Patient was on Fentanyl 50mcg patch every 72 hours – wants to titrate slowly to zero. Just switched to 37.5mcg. About how long should I be in the 37.5 before moving to 25 mcg, then to 12mcg and then off the patch completely? Thinking clonidine for withdrawal assistance. What other withdrawal assistance and/or breakthrough pain meds would you recommend? Also, am very interesting in any natural/homeopathic assistance for this process. Looking forward to this for the long run but anxious on how to beat get there. Would appreciate any additio
  17. Here are some resources from PCSS which may be helpful: https://pcssnow.org/event/heroin-epidemic-adolescents-young-adults/ https://pcssnow.org/event/treatment-and-engagement-strategies-for-youth-and-young-adults-with-opioid-use-disorder-oud/ https://pcssnow.org/event/adolescents-and-young-adults-with-chronic-pain-and-substance-abuse-assessing-risks-and-utilizing-resources/ And here is an upcoming Clinical Roundtable you can register for: https://pcssnow.org/event/supporting-primary-care-colleagues-to-treat-adolescents-with-substance-use-disorders/
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