#497 Methamphetamine Use Disorder: Tailoring and Ramping up Management with Dr. Phillip Coffin

#497 Methamphetamine Use Disorder: Tailoring and Ramping up Management with Dr. Phillip Coffin

Author: The Curbsiders Internal Medicine Podcast September 8, 2025 Duration: 1:02:33
In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you’re in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our amazing guest, Dr. Phillip Coffin, Director of the Center on Substance Use and Health in the SFDPH. 

Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Credits

  • Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD
  • Infographic and Cover Art: Zoya Surani
  • Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
  • Reviewer: Sarah Leyde MD
  • Showrunner: Carolyn Chan, MD, MHS
  • Technical Production: PodPaste
  • Guest: Dr. Phillip Coffin

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Case from Kashlak; Definitions
  • Four-tier approach to taking care of patients with methamphetamine use/use disorder
  • Medications for treatment
  • Psychosocial treatment
  • Harm reduction
  • New horizons in treatment 
  • Outro

Sponsor:
Locumstory

Learn about locums and get insights from real-life physicians, PAs and NPs at Locumstory.com

Sponsor:
Panacea

Visit panaceafinancial.com and Panacea’s Resource Library for free student loan articles, guides, and webinars built to help you make informed decisions.

Sponsor: Grammarly 

Download Grammarly for free at Grammarly.com/PODCAST

Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
Podcast Episodes
UNLOCKED #43 Exclusive! HFrEF (TFTC audio) [not-audio_url] [/not-audio_url]

Duration: 30:37
Join us at patreon.com/curbsiders today and save 20% on NEW Annual Memberships with promo code: UNLOCKED. *This offer expires at 3am EST on May 15, 2025. Matt and Paul recap top pearls from a recent episode on heart fail…
#482 Recap from SHM #Converge25 [not-audio_url] [/not-audio_url]

Duration: 1:29:15
Highlights and Pearls from SHM’s Annual MeetingWe recap the top pearls for the hospitalist from #SHM #Converge25 hitting updates in GI, stroke, anticoagulation, perioperative medicine, artificial intelligence, and more.…
#481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs [not-audio_url] [/not-audio_url]

Duration: 1:33:25
Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating screening tests for diabetes and prediabetes, identifying atypical cases of prediabetes, and indi…
#480 Hypermobility with Dr. Linda Bluestein [not-audio_url] [/not-audio_url]

Duration: 1:24:11
Don’t bend the knee to hypermobility! Learn how to evaluate patients for possible joint hypermobility, what associated conditions to be mindful of, and where to start with management. We’re joined by Dr. Linda Bluestein,…
#479 Managing Treatment-Resistant Depression featuring Dr. Jessi Gold [not-audio_url] [/not-audio_url]

Duration: 1:34:04
Lead the way in depression management! We’re joined by Dr. Jessi Gold, a psychiatrist and mental health advocate, who provides essential pearls on ways to recognize the multifaceted nature of depression and similarly pre…
#478 Dementia 2.0 with Anna Chodos [not-audio_url] [/not-audio_url]

Duration: 1:30:06
Updates in classification, evaluation, and treatmentBecome dexterous with dementia management! We’re talking with Dr. Anna Chodos about cognitive domains, diagnostic criteria, patient and caregiver resources, new antibod…