Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psychiatry > Management of Opiate Misuse > Flashcards

Management of Opiate Misuse Flashcards

1
Q

What medical intervention is used to combat addiction?

A
  • Replacement prescribing.
  • Detoxification and relapse prevention.
  • Benzodiazepines.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What psychosocial intervention may be used to combat addiction?

A
  • Keyworking.
  • Therapeutic alliance.
  • Self-alliance.
  • Self-help.
  • Contingency management (paying people to stop).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When is detox suitable?

A

If history of opiate misuse is shorter and uncomplicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What type of person is detox suitable in?

A

Someone who is stable socially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When only does detox work?

A

Person is detoxing TO (not FROM) something

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is used only in impulsive relapsers?

A

Opiate blockage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Give an example of an opiate blocker.

A

Naltrexone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What 4 detox options are available?

A
  1. Self-detoxification (with support).
  2. Reducing prescribed opioids.
  3. Alpha-2-adrenergic agonists.
  4. Adjunctive treatments.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Outline how reducing prescribed opiates is done.

A
  • Use current drug OR consider alternative.

* Gradual reduction; time-limited process; psychosocial support; symptom Rx.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Give an example of an alpha-2-adrenergic agonist.

A

Lofexidine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does Lofexidine do?

A

Reduces physical symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the dosing of Lofexidine.

A

Initial test done, then maximise dosage to overcome sx.

Later, tailor dose down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Give examples of adjunctive treatments.

A

Loperamide.
Hypnosis.
NSAID.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

OST

A

Opiate Substitute Therapies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Give 2 examples of opiate substitute therapies.

A

Methadone
OR
Buprenorphine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the risk for patients on OST?

A

Poly drug use (plus alcohol) and drug death

17
Q

In terms of mode of action, what type of drug is Buprenophine?

A

A partial antagonist

18
Q

What is the main issue with Buprenorphine?

A

Issue of supervision – it is a sublingual tablet which takes 15mins to dissolve, so prescribing pharmacist needs to be with each pt for this length of TIME

19
Q

What can Buprenorphine be used in combination with?

A

Naloxone

20
Q

What can be done (that isn’t usually done in the UK) if OST fails?

A

Heroin assisted treatment (HAT)

21
Q

Who is HAT usually used for?

A

Those at risk of harm (PWIDs) who are failing on traditional treatments

22
Q

What are higher doses of OST-M better for?

A

Retaining patients and reducing opiate and cocaine use

Psychiatry (31 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions