Substance Abuse Flashcards

1
Q

Pharmacological treatment for Alcohol dependance

A
  • Acamprostate
  • Naltrexone
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2
Q

Pharmacological treatment for Alcohol withdrawal symptoms

A
  • Long acting Benzodiazepines
  • Carbamazepine
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3
Q

Pharmacological treatment for Delirium in Alcohol addiction

A
  • Short acting Benzodiazepines
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4
Q

What is Wernick’s Encephalopathy

A

Vitamin B deficiency causing neurological symptoms

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5
Q

How to treat Wernick’s Encephalopathy

A

Vitamin B1 (Thiamine)

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6
Q

How to treat Nicotine Dependance

A
  • Varenicline
  • Bupropion
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7
Q

When is Varenicline contra-indicated

A
  • epilepsy
  • CVD
  • psychiatric illness
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8
Q

When is Bupropion contra-indicated

A
  • psychiatric illness
  • seizures
  • eating disorders
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9
Q

What is the side effect of Bupropion

A

serotonin syndrome

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10
Q

What type of NRT patch should you use if the patient is pregnant or has nightmares

A

16 hour patch

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11
Q

What should a patient do for the best NRT effects

A

use both short term relievers (lozanges)
and long term (patches)

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12
Q

How is opioid dependance treatment initiated

A

by specialist

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13
Q

What are legal obligation for opioid dependant drugs

A
  • prescribed on a blue script (FP10MDA)
  • if more than 3 missed doses, refer patient to prescriber
  • continue treatment throughout pregnancy
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14
Q

What is the maximum supply of opioid dependance treatment

A

14 days

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15
Q

What is usually prescribed for opioid dependance

A
  • Buprenorphine
  • Methadone

(if high risk of overdose: Naloxone)

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16
Q

Side effects of Methadone

A
  • causes QT prolongation
  • carefully titrated to patient need
17
Q

Which opioid dependance drugs is less sedating and has a low risk of overdose

A

Buprenorphine

18
Q

What to use there is a risk of a patient injecting

A

Suboxon
(buprenorphine, Naloxone)