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Inpatient Management of Alcohol and Opioid Withdrawal Strategies

This episode of The Deep Dive reviews the Carlat Publishing Addiction Treatment Report and provides clinical guidance on managing substance use disorders within acute care and inpatient settings. Expert interviews highlight the shift toward using phenobarbital and front-loaded diazepam for alcohol withdrawal, emphasizing these methods over traditional symptom-triggered protocols to improve efficiency and safety. The publication also outlines rapid buprenorphine induction strategies, such as high-dose sublingual administration and long-acting injections, to treat opioid use disorder during brief hospital stays. Additional articles offer evidence-based approaches for treating patients with comorbid bipolar disorder and assessing new research on vaping cessation and methadone effectiveness. Collectively, these sources advocate for proactive pharmacological interventions to stabilize patients during critical windows of medical contact.