11. Intro to treatment Flashcards

1
Q

What is addiction

A

A treatable disease that affects brain function and behavior

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2
Q

True or false: treatment is right for everyone

A

False: no single treatment is right for all

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3
Q

What does effective treatment need to address

A

All of the patients needs, not just their drug use

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4
Q

Internal barriers to treatment

A
  1. Stigma
  2. psychological (ie depression)
  3. Personal beliefs
  4. Attitudes about abuse
  5. Attitudes about treatment
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5
Q

What is the biggest public opinion lifestyle factor

A

Do not want a drug addict as a neighbor

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6
Q

External barriers to treatment

A
  1. Financial
  2. time conflict
  3. Logistics
  4. Limited availability and accessibility
  5. Enforced treatment
  6. Accessibility to drugs
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7
Q

What is harm reduction

A

A public health approach which minimize the problems associated with use. Alternative to moral, criminal and medical disease models

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8
Q

Effectiveness of Insite Vancouver

A

Decreased needle sharing and reuse

Fewer people injecting

Decreased public disposal of syringes

INcreased referral to methadone maintanence treatment

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9
Q

Are vapes harm reduction or harmful

A

Whilst not the safest, they serve as tobacco harm reduction - better alternative §

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10
Q

Trend for number of calls to poision centres for e-cigs

A

INcrease dramatically

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11
Q

How are e-cigs marketed

A

marketed towards teenagers, flavors to entice etc.

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12
Q

What is correlation between e-cig and tobacco

A

76% of teens who use e-cigs also used regular cigarettes. Dont use as a replacements but in addition

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13
Q

What is detoxification

A

Process of ridding the system of drugs or alcohol under supervised conditions

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14
Q

Is medication readily ued in detox

A

Yes. almost 8-% of detoxifications used meds

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15
Q

What are 3 medications used for opioid addiction

A
  1. Methadone
  2. Buprenorphine
  3. Naltrexone
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16
Q

What is a receptor agonist

A

A substance that has an affinity for and stimulates cell receptor by binding to it. Produces actions similar to those produced by addictive substance

17
Q

What is a receptor antagonist

A

A substance that has affinity for the receptors and blocks that receptor without producing pyschological effects

18
Q

How does methadone work

A

An opioid AGONIST. It occupies a receptor and activates it

19
Q

How often is methadone administered

A

Once daily

20
Q

Where is methadone used

A

Only available at certified opioid treatment programs and acute inpatient hospitals. Used in detox to prevent withdrawl symptoms

21
Q

What is a problem with methadone

A

Like opioids, it is very addictive

22
Q

What is naltrexone

A

An opioid antagonist

23
Q

What is naltrexone used for

A

Prevents relapse, used after medically supervised withdrawal

24
Q

Problems was naltrexone

A

Lead to reduced tolerance to opioids, therefore, increased risk of overdose

25
Q

What is naloxone

A

An opioid antagonist used to treat opioid overdose. Anyone can carry it. Not pyschoactive, not addictive

26
Q

How does naloxone work

A

It knocks the opioids off the receptors and allows the person to breathe again and reverse the overdose of the opioid

27
Q

What is buprenorphine

A

An opioid partial agonist. Helps people withdraw from methadone and heroin. Reduced the need to use heroin

28
Q

How is buprenorphine administered

A

Sublingual, buccal, subdermal implant, subcutaneous extended release injection

29
Q

What are the 3 medications used for alcohol addiction

A

Naltrexone, Acamprosate, Disulfiram

30
Q

What does disulfiram do

A

It discourages alcohol consumption, when combined with alcohol it produces nausea, headaches, heart paplitations and vomiting

31
Q

What does acamprosate do

A

Helps to restore naturally occurring neurotransmitters, decreasing cravings and urges for alcohol

32
Q

How do the up and coming vaccines work

A

Introduces a foreign substance into the body and creates antibodies that attack the substance. Substance doesn’t have the same effect afterwards

33
Q

Are the up and coming vaccines effective

A

Promising results in animals however limited consisitent finding in adults

34
Q
A