Treatment Of Opiate Misuse Flashcards
1
Q
What are the medical interventions?
A
Detoxification
Opiate blockade
Replacement prescribing
2
Q
What are the steps in detoxification?
A
1- self detox
2- reducing prescribed opioids
3- alpha 2 adrenergic agonists - lofexidine, maximised dosage to overcome symptoms and then tailor down
4- adjunctive treatments- loperamide, hypnotic, NSAID
3
Q
When are opioid blockades used?
A
In impulsive relapses
4
Q
What drugs are used in opioid substitution therapies?
A
Methadone and buprenorphine