The Curbsiders Internal Medicine Podcast8 Sep 2025

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

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

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