Substance abuse drugs Flashcards
opioid indications
relieve pain
reduce cough
relieve diarrhea
induce anesthesia
certain opioid drugs are used to treat opioid dependance
Methadone
Opioid adverse effects CNS & non CNS
diuresis Miosis Convulsions N/V Respiratory depression
Non-CNS: Hypotension Constipation urinary rentention Flushing Urticaria/
opioid drug withdrawal peak period & duration
1-3 days
duration 5-7 days
Does not produce euphoria
must be 1 week free from opioids to begin this therapy
Naltrexone
Stimulants & what they do
elevate mood
reduce fatigue
increase alterness
invigorate aggressiveness
Stimulant indications
ADHD
Narcolepsy
Obesity treatment
signs of stimulant withdrawal
social withdrawal
psychomotor retardation
hypersomnia
hyperphagia (increased hunger)
Symptoms of stimulant withdrawal
depression
Suicidal thoughts/behavior
Paranoid delusions
depressants
benzos
barbituates
marijuana
Benzos combined with alcohol or other drugs:
can be lethal
seizures delirium rebound anxiety myoclonus myalgia sleep disturbances
benzo reversal
Flumazenil
Alcohol interactions
antibiotic metronidazole
hepatotoxicity with acetaminophen
blood thinner warfarin
ethanol withdrawal
elevated BP PR Temp
Insomnia
Tremors
Agitation
treatment of choice for ethanol withdrawal
Benzos (diazepam, lorazepam)