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Clinician Consultation Center Substance Use Warmline

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Substance Use Warmline
Peer-to-Peer Consultation and Decision Support
10 am – 6 pm EST Monday - Friday

Free and confidential consultation for clinicians from the Clinician Consultation Center at San Francisco General Hospital focusing on substance use in primary care


Objectives of the Substance Use Warmline:

  • Support primary care providers in managing complex patients with addiction, chronic pain, and behavioral health issues
  • Improve the safety of medication regimens to decrease the risk of overdose
  • Enhance the treatment, care and support for people living with or at risk for HIV
  • Discuss useful strategies for clinicians in managing their patients living with substance use, addiction and chronic pain.

Consultation topics include:

  • Assessment and treatment of opioid, alcohol, and other substance use disorders
  • Approaches to suspected misuse, abuse, or diversion of prescribed opioids
  • Methods to simplify opioid-based pain regimens to reduce risk of misuse and toxicity
  • Urine toxicology testing- when to use it and what it means
  • Use of buprenorphine and the role of methadone maintenance
  • Withdrawal management for opioids, alcohol, and other CNS depressants
  • Harm reduction strategies and overdose prevention
  • Managing substance use in special populations (pregnancy, HIV, hepatitis)
  • Productive ways of discussing (known or suspected) addiction with patients.

The CCC’s multi-disciplinary team of expert physicians, clinical pharmacists and nurses provides consultation to help clinicians manage complex patient needs, medication safety, and a rapidly evolving regulatory environment.

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