Of Speedballs and Goofballs: Stimulants and the 4th Wave of The Opioid Crisis
There is a tendency to over focus on single drug use and problems, e.g., “opioids” and “opioid overdose”. There is a need to focus more on polysubstance use and problems.
Target Audience
This activity is designed for physicians, nurse practitioners, nurses, physician assistants, first responders, public health professionals and students, and other interested healthcare or public health professionals.
Learning Objectives
Upon completion of this educational activity, participants will be able to:
- Describe the epidemiology and time trends in drug overdose mortality in the US
- State 2 possible reasons for the rise in stimulant deaths
- Discuss the qualitative perspectives on opioid and stimulant co-use
Faculty & Credentials

Daniel Ciccarone, MD, MPH
Professor, Family and Community Medicine
University of California-San Francisco
San Francisco, California
Disclosure Information
Dr. Dan Ciccarone has the following relevant fincancial interests to disclose:
- Celero Systems – Scientific Advisory Board
- Arbor Pharmaceuticals – advisor
No other speakers, planners or content reviewers have any relevant financial relationships to disclose.
The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.
Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.
In support of improving patient care, this activity has been planned and implemented by University of Kentucky HealthCare CECentral and the Kentucky Department of Public Health. University of Kentucky HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Available Credit
- 1.00 AMA PRA Category 1 Credit™
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This Enduring activity is designated for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 1.00 ANCC (UK Healthcare CECentral)
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.00 nursing contact hour(s).
- 1.00 ParticipationUK Healthcare CECentral certifies this activity for 1.00 hour(s) of participation.

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