Dr. Stephen Klein

speaker

550 appearances 1 recordings 1 series first heard Jun 2026 last heard 25 Jun

Dr. Stephen Klein’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jun 2026 with 1.

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RECOVERable: Mental Health and Addiction Experts Answer Your Questions · Naltrexone, Suboxone, Methadone: How Medications Treat Opioid Addiction · 25 Jun 2026 podcast

I think for just logistics to administer them, some, I think,

run into logistic issues of that as a treatment center that refers to multiple sober livings, multiple after cares.

It's something that we have to judge and make sure that the right patient is going to the right setting.

Definitely ask.

Yeah.

That's the biggest part.

I think also if you're looking at navigating a few different treatment options and you are someone who's struggling with opioids, you may want to know if the treatment center that you're going to is offering MAT and MOUD.

Most treatment centers do now, but that wasn't always the case.

And there may be some growing pains, again, largely depending on geography and what the ideology of that treatment center is.

So it's something you may want to look into while doing the research and picking out the right treatment center for you.

Yeah, so going back to naltrexone, naltrexone is actually the standard of care for alcohol use disorder, which is really interesting because you're now saying why.

We talked all about the opioid receptor, but now...

Alcohol works on a completely different receptor class.

It's basically the GABA receptor.

So why is it that the data shows that patients on naltrexone drink less?

It's a pretty fascinating mechanism.

So we have now started to understand that really the first drink, the first time that someone ingests alcohol, yes, it's GABA mediated, but there's a euphoric feeling.

What some patients describe is that like first, like,

Breath of alcohol drinking, that first kind of wave of drunkenness, that's all mediated through the opioid receptor.

So there's something that happens at that level that decreases cravings for opioids.

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