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Opiate Substitution Treatment --- Opiate Substitution Treatment --- methods. --- utilization.
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Le traitement de substitution aux opiacés par l’usage de méthadone a fait l’objet de nombreuses études qui attestent de son efficacité. Il est actuellement le traitement de substitution aux opiacés le plus utilisé à travers le monde car l’on considère aujourd’hui que celui-ci réduit l’utilisation d’héroïne, la criminalité, la mortalité liée à l’usage de drogue et les infections par les virus du SIDA ainsi que de l’hépatite C. Il favorise également la réintégration sociale du toxicomane. Malgré cette efficacité démontrée, la méthadone reste controversée et contestée. En effet, un tel traitement comporte des risques nécessitant des modalités de prescription scrupuleuses. La presse faisant régulièrement état d’accidents, parfois mortels, liés à son ingestion, nous avons mis en place à Namur, par la technique du focus group, un projet de réflexion commune concernant les risques inhérents au traitement par la méthadone entre patients, médecins prescripteurs et pharmaciens. Ce projet s’inscrivant sur plusieurs années, le présent travail n’est donc pas exhaustif mais se veut décrire les prémices de mise en place et les jremières conclusions qui en découlent. La principale volonté de ce projet étant donc de limiter le mésusage et le détournement du traitement par une meilleure compréhension des effets de la méthadone. De cette réflexion, nous souhaiterions rédiger une brochure d’information sur les dangers inhérents à ce traitement. Les deux risques vitaux liés à l’usage de méthadone sont la mortalité par dépression respiratoire et la mortalité par torsade de pointe.
Opiate Substitution Treatment --- Methadone --- Focus Groups --- General Practice
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With a new foreword by Nora Volkow, Director of the National Institute on Drug Abuse, this second edition of Office-Based Buprenorphine Treatment of Opioid Use Disorder provides updated information on evidence-based treatment for opioid use disorder (OUD)—an increasingly important topic as the epidemic of opioid misuse and overdose deaths grows in the United States. Bulleted clinical pearls at the end of each chapter, as well as specific clinical recommendations and detailed case discussions throughout, make it easier for readers to retain knowledge and integrate it into their clinical practice. The guide also features sample documentation and scales, including a treatment contract and a patient consent, that can be used to model documents in practice. This new edition of Office-Based Buprenorphine Treatment has been updated to reflect DSM-5 language, and two additional chapters have been included: one that addresses other pharmacotherapies useful in treating OUD, including methadone and naltrexone, and another that discusses OUD treatment specifically with regard to women’s health and pregnancy. A discussion of the Comprehensive Addiction and Recovery Act (CARA). Advice for working with Alcoholics Anonymous and Narcotics Anonymous. A discussion on integrating buprenorphine into residential and inpatient opioid treatment programs. -- Publisher
Opioid abuse --- Buprenorphine --- Analgesics --- Morphine --- Narcotic antagonists --- Opioid addiction --- Opioid habit --- Drug abuse --- Chemotherapy. --- Therapeutic use. --- Derivatives --- Opioid-Related Disorders --- Opiate Substitution Treatment. --- Medication Assisted Treatment of Opioid --- Opiate Medication-Assisted Treatment --- Opioid Medication Assisted Treatment --- Opioid Replacement Therapy --- Opioid Substitution Therapy --- Opioid Substitution Treatment --- Opiate Replacement Therapy --- Medication-Assisted Treatment, Opiate --- Opiate Medication Assisted Treatment --- Opiate Medication-Assisted Treatments --- Opiate Replacement Therapies --- Opiate Substitution Treatments --- Opioid Replacement Therapies --- Opioid Substitution Therapies --- Opioid Substitution Treatments --- Replacement Therapy, Opiate --- Replacement Therapy, Opioid --- Substitution Therapy, Opioid --- Substitution Treatment, Opiate --- Substitution Treatment, Opioid --- Therapy, Opioid Substitution --- Methadone --- 6029-M --- Buprenex --- Buprenorphine Hydrochloride --- Buprex --- Prefin --- RX-6029-M --- Subutex --- Temgesic --- Temgésic --- 6029 M --- 6029M --- Hydrochloride, Buprenorphine --- RX 6029 M --- RX6029M --- Opiate Substitution Treatment --- Addiction, Opioid --- Dependence, Opioid --- Opiate Abuse --- Opioid Abuse --- Opioid Addiction --- Opioid Dependence --- Opiate Addiction --- Opiate Dependence --- Abuse, Opiate --- Abuse, Opioid --- Abuses, Opiate --- Abuses, Opioid --- Addiction, Opiate --- Addictions, Opioid --- Dependence, Opiate --- Dependences, Opioid --- Opiate Abuses --- Opioid Abuses --- Opioid Addictions --- Opioid Dependences --- Opioid Related Disorders --- Opioid-Related Disorder --- Analgesics, Opioid --- Narcotics --- Opioid Maintenance Treatment --- Maintenance Treatment, Opioid --- Opioid Maintenance Treatments --- Treatment, Opioid Maintenance --- Opioid Misuse --- Opioid Use Disorder --- Prescription Opioid Abuse --- Prescription Opioid Misuse --- Abuse, Prescription Opioid --- Disorder, Opioid Use --- Misuse, Opioid --- Misuse, Prescription Opioid --- Opioid Abuse, Prescription --- Opioid Misuses --- Opioid Use Disorders --- Prescription Opioid Abuses --- Prescription Opioid Misuses --- drug therapy. --- therapeutic use. --- drug therapy --- therapeutic use
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Methadone and buprenorphine are the only two opioids that are indicated for the management of both pain and opioid-related drug addiction. Both present unique challenges to the general practitioner and pain specialist, requiring a separate analysis from the rest of the drugs in the same family. Handbook of Methadone Prescribing and Buprenorphine Therapy is an invaluable guide to the safe use of these opioids. Authored by clinical and academic leaders from a variety of settings and backgrounds, this book includes chapters on pharmacology, adverse effects, safe rotation from other opioids, cardiac toxicity, prescribing, pharmacokinetics, equianalgesic dose, and replacement therapy. This comprehensive text provides clinicians, researchers, policy-makers and academicians a resource for all the relevant points in methadone prescribing and buprenorphine therapy.
Buprenorphine -- Handbooks, manuals, etc. --- Drugs -- Prescribing -- Handbooks, manuals, etc. --- Methadone maintenance -- Handbooks, manuals, etc. --- Methadone maintenance --- Ketones --- Substance-Related Disorders --- Therapeutics --- Morphinans --- Neurologic Manifestations --- Analgesics --- Diseases --- Nervous System Diseases --- Opiate Alkaloids --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Sensory System Agents --- Organic Chemicals --- Alkaloids --- Chemicals and Drugs --- Peripheral Nervous System Agents --- Heterocyclic Compounds --- Physiological Effects of Drugs --- Pharmacologic Actions --- Chemical Actions and Uses --- Buprenorphine --- Pain --- Drug Therapy --- Analgesics, Opioid --- Opiate Substitution Treatment --- Methadone --- Opioid-Related Disorders --- Medicine --- Surgery & Anesthesiology --- Health & Biological Sciences --- Pathology --- Anesthesiology --- Methadone maintenance. --- Buprenorphine. --- Methadone hydrochloride --- Methadone treatment programs --- Therapeutic use --- Medicine. --- Anesthesiology. --- Internal medicine. --- Oncology. --- Neurology. --- Pain medicine. --- Rehabilitation medicine. --- Medicine & Public Health. --- Pain Medicine. --- Rehabilitation Medicine. --- Internal Medicine. --- Morphine --- Narcotic antagonists --- Drug abuse --- Derivatives --- Treatment --- Rehabilitation. --- Oncology . --- Tumors --- Medicine, Internal --- Anaesthesiology --- Surgery --- Nervous system --- Neuropsychiatry --- Algiatry --- Neurology . --- Medicine, Rehabilitation --- Rehabilitation medicine --- Rehabilitation --- Medicine, Physical
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