Butalbital and Promethazine Misuse ”Do not fall into the Daily Fiorcet and Phenergan Trap”
Butalbital and Promethazine Misuse ”Do not fall into the Daily Fiorcet and Phenergan Trap”

The Addiction Files

We discuss two commonly prescribed medications, who is at risk of misuse, rates of use and history. Mechanism of action withdrawal symptoms and treatment. Hosted by Darlene Petersen, MD and Paula Cook, MD. Information cited in this episode: Rodulfo A...

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34:36•13 Jun 2023

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About this podcast

The Addiction Files

Darlene Petersen, MD and Paula Cook, MD

Darlene Petersen, MD and Paula Cook, MD are board certified addiction medicine and family medicine physicians providing evidence based education, clinical pearls and resources to physicians, residents and students while striving to destigmatize the treatment of addiction in our medical culture and save lives. Tune in to learn about the latest treatments for all things addiction. Join us as we conduct expert interviews, review clinical pearls and best practices and discuss the latest updates in addiction medicine. No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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The Hidden Dangers of Butalbital and Promethazine: Insights from The Addiction Files

Episode Overview

Butalbitol's history, regulations, and risks
Personality types at high risk of dependence
Promethazine's potential dangers and side effects
Importance of cautious prescription and monitoring
Insights into combining promethazine with opioids

“So be very careful about who you would prescribe this to. And then promethazine BIDs. And so cautious on who we prescribe that to. This is a first generation antihistamine and antipsychotic medication. And it can have some very serious side effects and we want to be careful about not exposing a very vulnerable our youth to this medication either in the just promethazine by itself or in the combination promethazine and opiate, the promethazine and coding. So not exposing them to either of those combinations.”

Ever heard of Butalbital or Promethazine? These commonly prescribed medications might sound harmless, but they come with their own set of risks. In this episode of 'The Addiction Files', Dr. Darlene Petersen and Dr. Paula Cook break down the misuse of these drugs, highlighting their history, usage rates, and who’s most at risk. They dive into the science behind how these medications work, the tough withdrawal symptoms, and the treatments available.

The discussion also uncovers the potential dangers when Promethazine is combined with opioids, making it clear why careful prescription and monitoring are crucial. Whether you’re a medical professional or someone keen to understand more about these substances, this episode offers a comprehensive look at why these medications need to be handled with care.

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