This handbook provides practical and evidence-based guidelines for evaluating, treating, and managing patients with substance abuse problems. The opening chapters provide an overview of key clinical issues, strategies for interviewing, screening, confronting, and motivating patients, and various treatment modalities. A major portion of the book focuses on diagnosis, medical complications, and treatment of specific drug addictions. Chapters on smoking and prescription drug abuse are also included. Other chapters discuss medical care for the addicted patient, psychiatric illness and addiction, and substance abuse in special populations. Specific treatment protocols are provided and each chapter ends with annotated references to the literature.Withdrawal symptoms from buprenorphine are less severe than withdrawal symptoms from methadone. ... Suboxone is a combination of buprenorphine and naloxone in a 4:1 ratio; the naloxone is added to prevent its parenteral use. ... have a sensitivity to naloxone or are pregnant; buprenorphine has not been adequately studied in pregnant women and should be used only if the benefit outweighs the potential risk. ... Day 1: ac Begin the first dose at least 4 hours after last opioid use.
|Author||:||Darius A. Rastegar, Michael I. Fingerhood|
|Publisher||:||Lippincott Williams & Wilkins - 2005|