Topics, Trends & Updates

February 2024

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Updated Guideline: Treatment of Opioid Use Disorder

This February 2024 update, from lead author Dr. Tiffany Lu, with the Substance Use Guidelines Committee, includes:

  • New recommendation for and discussion of buprenorphine (BUP) dosing up to 32 mg daily for treatment of patients with ongoing withdrawal, cravings, and opioid use
  • Information about Brixadi dosing


Also noted is that, as of January 18, 2024, the New York State Medicaid program covers up to 32 mg BUP daily for OUD treatment without prior authorization.


Read the full guideline

Contents

Hot Topics

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Recent Guidelines

New: Doxycycline PEP to Prevent Bacterial STIs

Updated: Treatment of Alcohol Use Disorder

Conversations With CEI Recent Podcasts

RSV Vaccination in Adults With HIV: RSV vaccine for adults has recently become available and can protect against severe disease or death from one of the main causes of upper respiratory infections. HIV patients are asking if they should receive the vaccine. This question is discussed by Dr. Steven Fine. Listen Now


We Can Do It! Improving Access to Care for Transgender and Gender Diverse Patients: Compared with the general population, transgender and gender diverse people are more likely to experience poor health outcomes, such as chronic health conditions, HIV, substance use, and mental illness. We know these disparities are due to structural factors, such as political and economic policies, and interpersonal factors, such as discrimination, stigma, and violence. Transgender people are also more likely to encounter barriers to accessing health insurance and health care. When transgender people do access health care, nearly half report being mistreated by medical providers.


In this episode, Dr. Antonio E. Urbina, Medical Director of CEI’s HIV Primary Care and Prevention Center of Excellence, speaks with Dr. Joshua D. Safer, Executive Director of Mount Sinai’s Center for Transgender Medicine (CTMS) and Professor at the Icahn School of Medicine. While gender wellness clinics like CTMS are so important, there is a need to expand the health care workforce of providers treating transgender patients. For example, transgender patients report barriers to accessing inclusive primary care providers and specialists who can treat them outside of their gender-affirming interventions. Drs. Urbina and Safer unpack common misconceptions and discuss how providers can improve access to inclusive care for transgender and gender diverse patients. Listen Now

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