Substance Abuse Disorders and Addiction Flashcards
The introduction of what opioid is throught to have spiked the increase in prescribed opioids?
Oxycontin- it was marketed as non-addicting and safe
Which is the fastest growing class of drugs in terms of deaths by overdose?
Opioids (prescriptions)
Which are the most common opioid medications associated with overdose
Methadone
Oxycodone
Hydrocodone
Opioid use often leads to what type of illicit drug use?
Heroin
How is the chance of death/overdose affected by mixing drugs?
Increased
How have incidence of neonatal abstinence syndrome changed over the use?
Grown- with opioid prescription use
What is the primary treatment strategy for neonatal abstinence syndrome?
Methadone- supportive medications
Can infectious diseases be spread by opioid use?
Yes- oxymorphone example - HIV epidemic in Indiana as people crush tablets and inject them
…some infectious disease are a problem from prescription opioid use
How do patients usually get hooked on opioids?
Pain as the “5th vital sign”
-pain is prioritized and therefore opioids are dispensed to help with the pain
What is “diversion”?
Drugs are prescribed for a specific person and then given away
What is the one type of pain that we use opioids liberally for?
Cancer/palliative care
What class of drugs should NOT be co-prescribed with opioids?
Benzodiazepines
Overdose deaths were way higher with this combination
What race is overrepresented with opioid overdoses
white
What age group is more likely to have an opioid dependency?
18-30
What dosing of opioids is more likely to lead to dependence?
Short acting, high dose
