Narcotic Addiction: Addictive Potential of Pain Medications
Dr. Robert Mallin, a family physician who specializes in addiction medication, discusses how pain medications can potentially be addictive if used inappropriately, if the patient has an addictive personality and also explains the term tolerance and what that means for pain medication dosage. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Narcotic Addiction: Treatment of Narcotic Addiction
Dr. Robert Mallin, a family physician who specializes in addiction medication, talks about treatments and therapies used to help patients get off of pain medications. Some of the non medical treatments include physical therapy, steroid injections, acupuncture and behavioral therapies. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Pain Medication: Using a Contract to Deter Addiction
In some cases, patients receiving long term narcotics for pain management will sign a contract that delineates their privileges and warns them that the detection of abuse, or abuse patterns of behavior will cause the cessation of prescriptions for their narcotic drugs or release from the medical practice. Dr. Robert Mallin, a family physician who specializes in addiction medication, explains how the contract can be beneficial for both the patient and the doctor and gives an overview of what the contract entails. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Addiction to Antianxiety Medication: Benzodiazepines
Dr. Robert Mallin, a family physician who specializes in addiction medication, discusses the criteria for addiction to antianxiety medications, such as Benzodiazepines. Dr. Mallin compares the addictive nature of antianxiety medications to that of alcohol. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Psychiatric Problems: Visiting a Family Medicine Doctor
Dr. John Freedy, a family medicine doctor with his PhD in psychology, talks about the presentation of psychiatric problems in a family medicine setting and describes common physical complaints corresponding to various psychiatric illnesses. He says that family doctors are “specialists in common conditions” and thus reasonable places to start if a person suspects he or she has, for instance, depression. Dr. Freedy concludes by mentioning substance abuse problems among patients visiting family medicine doctor. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Alcoholism: Hypertensive Effects of Heavy Drinking
Dr. Peter Miller, a researcher in substance abuse, discusses his research findings on the relationship between alcoholism and hypertension. He explains that heavy drinking, which he identifies as three or more drinks per day, increases the likelihood of cardiovascular risk factors. Dr. Miller talks about sub-populations at particular risk of hypertensive effects of alcohol, focusing on increased risk with age. He concludes this alcohol podcast by explaining why hypertension poses the significant health threat it does. Learn more about MUSC and its South Carolina heart center today at http://www.muschealth.com/heart/index....
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Stimulants: Use Among Young People
Dr. Robert Malcolm, Director of Outpatient Substance Abuse Programs at MUSC, talks about widespread use of stimulants among young people. He identifies certain underlying issues, such as eating problems or sleep disorders, which seem to motivate some people to abuse stimulants. In this podcast, he discusses his policy for prescribing stimulants and mentions possible adverse effects, including psychological effects, of stimulants. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Alcoholism: Links to Insomnia
Director of Outpatient Substance Abuse Programs at MUSC, Dr. Robert Malcolm, explains the link between alcohol dependence and sleep deficiency. He also discusses how chronic use of sleeping pills can affect various aspects of sleep. Dr. Malcolm concludes this substance abuse podcast by offering a limit for daily alcohol consumption, which differs slightly between men and women. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Alcoholism: Use of Naltrexone
Dr. Raymond Anton, an expert in the area of substance abuse research, talks about the drug naltrexone as a therapy for alcohol dependence. He explains the mechanism of action by which alcohol acts in the brain, noting that some people are more sensitive to the euphoric effects of alcohol. In this substance abuse podcast, Dr. Anton describes how naltrexone functions, noting that it does not work for everyone. He mentions ongoing studies being performed at MUSC’s Center for Drug and Alcohol Programs. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Alcoholism: Genetic Variance and Different Treatment Outcomes
An expert in substance abuse research, Dr. Raymond Anton talks about reasons naltrexone, a drug used to treat alcohol dependence, is only effective in some individuals. He also discusses other methods of therapy, noting results of a combined study exploring the effectiveness of both naltrexone and cognitive behavioral therapy. Dr. Anton concludes this substance abuse podcast by mentioning substance abuse studies going on at MUSC. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Substance Abuse: The Disease of Addiction
Dr. Suzanne Thomas, a psychologist with her PhD in experimental psychology, talks about addiction as a disorder of the brain. She defines addiction and describes the actual neurological changes that occur when a person develops substance addiction. She focuses on the hypersensitive motivation pathway and explains that cessation in substance use allows for some recovery of the affected brain systems. Dr. Thomas concludes this mental health podcast by addressing the notion of food addiction, explaining that research is not yet conclusive on this topic. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Substance Abuse: Stress and Alcohol Addiction
Dr. Suzanne Thomas,a psychologist with her PhD in experimental psychology, talks about the connection between stress and alcohol consumption. In this mental health podcast she focuses on stress as a major contributor to addiction relapse. Dr. Thomas talks about the underlying brain mechanisms linking alcohol with stress and offers advice on how to make oneself more resilient to the ill effects of stress. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Clinical Trials at MUSC: Institutional Review Board
Dr. Suzanne Thomas, a psychologist with her PhD in experimental psychology, discusses the important role of the Institutional Review Board (IRB) to ensure ethical and relevant research, proper clinical protocol, safety of participants, as well as informed consent for all clinical trials. She indicates common obstacles for investigators in gaining IRB approval. To conclude this podcast, Dr. Thomas points to the particularly stringent requirements of confidentiality for substance abuse research. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Addiction: Neurological Basis
Dr. Peter Kalivas, Director of the Department of Neurosciences at MUSC, discusses his research on the neurological basis for addiction. He provides an overview of how lab rats and mice are used to observe changes in the brain as a result of addiction to drugs such as heroin and cocaine. Dr. Kalivas goes on to explain the neurological reason for why drug use can easily become such an incredibly difficult habit to break. Dr. Kalivas concludes this podcast by discussing how stress can factor into drug-seeking behavior and drug addiction. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts

Cancer: Links to Moderate Drinking Among Middle-Aged Women
Research involving more than a million middle-age women finds that even moderate drinking raises risks for breast, liver, and other cancers. On the other hand, numerous studies have suggested that alcohol, especially red wine, might help deter heart disease - complicating decisions around drinking and health. (Source: MUSC Substance Abuse Podcast)
Source: MUSC Substance Abuse Podcast - April 5, 2014 Category: Addiction Authors: Medical University of South CarolinaMedical University of South Carolina Source Type: podcasts