Substance dependence Flashcards
List the effective aids to smoking cessation
Nicotine replacement therapy, bupropion and varenicline
What combination tx is not recommended for smoking cessation?
NRT combination, varenicline or bupropion
What nicotine patch is used for pt who experience strong craving on waking
Nicotine patches 24hrs slow release
When to take off the nicotine patch slow release 16hrs
Remove patch over night
State when to use immediate release preparation
To prevent cravings or when ever the urge to smoke arise
Side effects of NRT
Irritation of throat( inhalation cartridge)
Increased salivation ( spray, gum, lozenges)
Minor skin irritation( patches)
Coughing, nasal irritation, sneezing, watery eyes, G.I disturbance
What’s the side effect of oral spray NRT
Paraesthesia ( burning sensation in arms or feet)
Side effects of NRT patches
Abnormal dreams ( remove patch before bed may help)
Side effect of NRT lozenges and oral spay
Rash and hot flushes
Side effects of NRT patches and oral spray
Sweating and myalgia( patches can also cause arthralgia ( joint pain )
Drugs used in opiod substitution therapy
Methadone and buprenorphine
Complete withdrawal from opiods usually takes..
4 weeks in an inpatient and up to 12weeks in community
Is buprenorphine licensed for use in pregnancy?
No
