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This session of CareOregon Pharmacy’s MEDS Ed program focuses on increasing comfort and awareness around MOUD treatment, while helping eliminate lingering myths. KEY SESSION TAKEAWAYS (click the link to view a clip): • MOUD and mortality reduction: Pt I - 5:20 • Barriers to MOUD: Pt I – 6:57 • Buprenorphine basics: Pt I – 9:49 • Myth #1 – One can’t achieve pain control while on buprenorphine. Fact – It is possible to achieve pain control with buprenorphine! Pt I – 11:48 • Fentanyl in the drug supply: Pt I – 13:05 • Overview of buprenorphine transition options: Pt I – 13:52 • Standard dosing option: Pt I – 16:40 • Low dosing option: Pt I – 18:08 • High dosing option: Pt I – 19:22 • Standard dose initiation: Pt I – 20:07 • Low dose initiation: Pt I – 21:18 • Example patient dosing table: Pt I – 25:41 • High dose initiation: Pt I – 26:34 • CA Bridge Buprenorphine Self-Start Guide: Pt I – 27:24 • Low-to-high dose initiation: Pt I – 28:17 • Adjunct medications for opioid withdrawal: Pt I – 30:10 • Long term dosing: Pt I – 32:50 • Myth #2 – The maximum dose of buprenorphine is 24mg. Fact – One can use up to 32mg of buprenorphine, when appropriate: Pt I - 33:02 • Buprenorphine administration technique: Pt I - 34:36 • Myth #3 - Patients who use multiple substances should not use buprenorphine. Fact- Patients who use multiple substances are often able to use buprenorphine– Pt I 37:45 • Benzodiazepines and buprenorphine: Pt I – 39:15 • Co-occurring mental health disorders: Pt I – 45:02 • Buprenorphine and stimulants: Pt I – 50:37 • Buprenorphine and cannabis: Pt I – 53:39 • General approach for those using multiple substances: Pt I – 56:20 FEATURED SPEAKERS Dr. Eleasa Sokolski, MD - Addiction Medicine Specialist and Psychiatrist at Oregon Health and Science University Dr. Emily Skogrand, PharmD - Clinical Pharmacist at Oregon Health and Science University Recorded on June 5, 2025 as a remote web-cast in Portland, OR SLIDES https://www.careoregon.org/docs/default-source/providers/meds-ed/meds-ed---moud-medication-maintenance-and-myths-6-5-25.pdf?sfvrsn=12b82445_1 PROGRAM DESCRIPTION MEDS Ed is an ongoing education series presented by CareOregon’s Pharmacy team for clinicians and health care professionals involved in direct patient care. Attendees leave with valuable tools and insights (as well as CME credit) that improve how they can contribute to multi-disciplinary teams. Presenters from diverse backgrounds share expert knowledge, practical tools, and care strategies to help attendees navigate complex physical and behavioral health situations.

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