Central Nervous System - Substance Dependence Flashcards
is the tx given in mild alcohol dependence?
no assistance needed
Where is the tx of moderate alcohol dependence?
tx at community unless high risk of developing alcohol withdrawal seizures or delirium
what is the tx of severe alcohol dependence?
undergo withdrawal in inpatient setting
tx of alcohol dependence?
- CBT
- acamprosate
- naltrexone (alternate = disulfiram)
what is the tx of withdrawal symptoms of alcohol dependence?
- long acting benzodiazepines = chlordiazepoxide or diazepam
- alternate = carbamazepine or clomethiazole
what is tx of delirium
lorazepam
what is tx of wernick’s encephalopathy
thiamine (vit b12)
what are the tx of nicotine dependence?
- varenicline
- bupropion
- NRT
when is bupropion avoided?
- psychiatric illness
- seizures
- eating disorders
what can bupropion cause?
serotonin syndrome
when is varenicline
avoided?
- epilepsy
- cardiovascular disease
- psychiatric illnesses
What formulation of NRT is given?
patch
How long is NRT given in pregnant or experiencing nightmares
16HR if pregnant or experiencing nightmares
what is the short-term reliver added with NRT patches?
- lozenges
- gum
- sublingual tabs
- inhalator
- nasal spray
- oral spray
what are the requirements for opiod dependence tx?
- under qualified prescriber supervision
- prescribed on FP10MDA
- max 14DY supply
- three or more missed doses = specialist reinitation
- tx continue through pregnancy
