Summary: In this conversation, Dr. Taylor Nichols discusses his journey from emergency medicine to addiction medicine, emphasizing the importance of harm reduction and addressing stigma in healthcare. He shares insights on pain management, medication-assisted treatment options like Sublocade and Brixadi, and the significance of patient autonomy. The discussion also touches on the challenges families face when dealing with substance use disorder and the need for supportive resources. Takeaways Dr. Nichols transitioned from ER to addiction medicine to address systemic issues in healthcare. Harm reduction is essential in treating individuals with substance use disorders. Stigma against drug users negatively impacts pain management and treatment options. Medication-assisted treatment (MAT) is a valid and effective approach for opioid use disorder. Sublicade and Brixadi are innovative treatments that offer alternatives to traditional MAT. Patient autonomy should be respected in treatment decisions. Families need support and resources to navigate substance use disorders. Understanding the pharmacology of buprenorphine is crucial for effective treatment. Healthcare providers must be educated on the complexities of pain management in patients with substance use disorders. Open discussions about tapering off MAT should be encouraged. Dr. Nichols TikTok: Click Here Dr. Nichols Website: Click Here Recovery Reform Podcast by Dr. Nichols and McCauley Sexton: Click Here Recovery Reform YouTube Channel: Click Here Article: Naloxone to Buprenorphine