Stimulants and health

Concurrent Stimulant and Opioid Use

This brief provides clinicians with guidance on how to treat patients who use stimulants and opioids, including information about clinical assessment, medication management, and comorbid conditions.

Acute Stimulant Withdrawal

This brief provides clinicians with guidance on how to recognize and address the symptoms of and risks associated with acute stimulant withdrawal.

Medications for Alcohol Use Disorder Handout (ADAI)

Patient handout about medications for alcohol use disorder.

Medications for OUD in Pregnancy and Postpartum

This brief discusses the evidence for initiating MOUD in patients who are pregnant and postpartum.

Buprenorphine in the ED: How to treat opioid use disorder

Dr. Tom Robey, Emergency and Street Medicine Physician, gives an introduction to buprenorphine and shares why it matters and how to start it safely in the emergency department.

What we believe

Why you might need higher doses of buprenorphine - and how to use them safely

In today’s fentanyl-dominated drug supply, historical buprenorphine doses may not be enough. Dr. Tom Robey, Emergency and Street Medicine Physician, explains why higher doses are safe and gives practical dosing guidance.

When should clinicians consider methadone for opioid use disorder?

While methadone often carries stigma, it can be the best treatment option for certain patients. Dr. Tom Robey, Emergency and Street Medicine Physician, explains when methadone is the right choice, how it differs from buprenorphine, and key factors for starting it safely.

How to treat precipitated withdrawal - buprenorphine doses and adjunct medications

Precipitated withdrawal is not a buprenorphine failure — it’s a signal to adjust doses and provide personalized care. Dr. Tom Robey, Emergency and Street Medicine Physician, explains the science behind precipitated withdrawal, how buprenorphine can both cause and prevent it, and practical dosing strategies.