Richard Karrel, MD, FACEP, ABAM is a Fellow in the American College of Emergency Medicine and was one of the first physicians in the United States to be certified by the American Society of Addiction Medicine. As of 01/01/10 Karrel will be a Diplomat of the American Board of Addiction Medicine. Dr. Karrel is founder and Medical Director of the Richard Karrel, MD, PSC Narcotic Management Program in Louisville, Kentucky. He treats patients suffering from the Chronic Pain Syndrome (CPS) with scheduled opiates and controlled sedative hypnotics. Patients are referred to the program by pain management centers as well as from family doctors, clinics, surgeons and other specialists and health care providers. Doctor Karrel is an expert in treating Chronic Pain patients who also have an opiate addiction.

Dr Karrel has received a waiver from the Substance Abuse and Mental Health Administration’s Center for Substance Abuse Treatment (SAMHSA/CSAT)to treat opiate addicted patients in an office based setting using buprenorphine, a new drug in the treatment of opiate addiction. Dr. Karrel received his Masters in Medical Science from the University of Brussels, Brussels, Belgium, and his Doctorate in Medicine from Northwestern University Medical School, and completed his residency training in Emergency Medicine at the University of Chicago Hospitals and Clinics, Chicago, Illinois. Doctor Karrel is also a Fellow in the American College of Emergency Physicians.

Dr. Karrel was fonder of LifeBack the largest substance abuse treatment center in Northwest Indiana and the Rush Chemical Dependency Program at Rush St. Luke’s-Presbyterian Medical Center in Chicago. He was also a former Assistant Professor of Medicine and consultant in Psychiatry at the same medical center. At Rush North Shore Medical Center he was a consultant to the Multiple Personality Disorders Program and the Medical Director of the hospital’s Chemical Dependency Program. Dr. Karrel was also the Medical Director of the Rush EAP program and the medical center’s Medical Review Officer. Dr. Karrel was also a triathalete and a national champion swimmer. He just finished his first novel, 911 a hilarious and bracing dark comedy about a 45 year old virgin psychiatrist and the psychiatrist’s crazy making mother. The story is told from the point of view of 13 different characters. Dr. Karrel lives with his wife Elayne and their 13 year old son in Crestwood, Kentucky.


Chess, Writer: Just finished a novel 911 which is a dark commedy, Artist

Work History

Work History
2008 - Present

Medical Director and CEO

Metro Medical Associates


1977 - 1979


Northwestern University Medical School