Prescription of Narcotics for Heroin Addicts

Prescription of Narcotics for Heroin Addicts
Author: Ambros Uchtenhagen
Publisher: S. Karger AG (Switzerland)
Total Pages: 152
Release: 1999
Genre: Medical
ISBN:

This is the first volume of the long-awaited research report on a much discussed study on the prescription of heroin and other narcotics to chronic heroin addicts in Switzerland. Data were collected over a period of 3 years on a cohort of 1,035 chronic heroin addicts who had failed in drug-free or methadone substitution treatments and who were prescribed heroin, morphine or methadone within the framework of a comprehensive care program. According to the findings of the study, heroin maintenance is considered to have a positive effect on both patients and their social environment due to an improvement in health and social status of the patients as well as a significant decrease in drug-related delinquency. This report provides a unique source of information on pharmacological, medical and psychosocial aspects of heroin maintenance. It is indispensable reading for psychiatrists, doctors, and social workers working with drug addicts as well as for pharmacologists, social scientists, criminologists and public health officials concerned with the treatment and management of drug addiction.

Medications for Opioid Use Disorder Save Lives

Medications for Opioid Use Disorder Save Lives
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 175
Release: 2019-06-16
Genre: Medical
ISBN: 0309486483

The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 483
Release: 2017-09-28
Genre: Medical
ISBN: 0309459575

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence

Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence
Author: World Health Organization. Department of Mental Health and Substance Abuse
Publisher: World Health Organization
Total Pages: 133
Release: 2009
Genre: Medical
ISBN: 9241547545

"These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv

Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder

Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder
Author: Substance Abuse Mental Health Services Administration/SAMHSA (U.S.)
Publisher: Government Printing Office
Total Pages: 398
Release: 2018-06-05
Genre: Medical
ISBN: 0160943752

This Treatment Improvement Protocol (TIP) reviews the use of the three Food and Drug Administration (FDA)-approved medications used to treat opioid use disorder (OUD)—methadone, naltrexone, and buprenorphine—and provides guidance for healthcare professionals and addiction treatment providers on appropriate prescribing practices for these medications and effective strategies for supporting the patients utilizing medication for the treatment of OUD. The goal of treatment for opioid addiction or OUD is remission of the disorder leading to lasting recovery. Recovery is a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. This TIP also educates patients, families, and the general public about how OUD medications work and the benefits they offer. Related products: Medication-Assisted Treatment of Opioid Use Disorder: Pocket Guide A Shared Burden: The Military and Civilian Consequences of Army Pain Management Since 2001 Click our Alcoholism, Smoking & Substance Abuse collection to find more resources on this topic.

American Overdose

American Overdose
Author: Chris McGreal
Publisher: PublicAffairs
Total Pages: 346
Release: 2018-11-13
Genre: Social Science
ISBN: 1541773772

A comprehensive portrait of a uniquely American epidemic -- devastating in its findings and damning in its conclusions The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs, but the corrupting of medicine and public institutions that let the opioid makers get away with it. The starting point for McGreal's deeply reported investigation is the miners promised that opioid painkillers would restore their wrecked bodies, but who became targets of "drug dealers in white coats." A few heroic physicians warned of impending disaster. But American Overdose exposes the powerful forces they were up against, including the pharmaceutical industry's coopting of the Food and Drug Administration and Congress in the drive to push painkillers -- resulting in the resurgence of heroin cartels in the American heartland. McGreal tells the story, in terms both broad and intimate, of people hit by a catastrophe they never saw coming. Years in the making, its ruinous consequences will stretch years into the future.

Free Refills

Free Refills
Author: Peter Grinspoon
Publisher: Hachette Books
Total Pages: 239
Release: 2016-02-16
Genre: Biography & Autobiography
ISBN: 031638268X

Free Refills is the harrowing tale of a Harvard-trained medical doctor run horribly amok through his addiction to prescription medication, and his recovery. Dr. Peter Grinspoon seemed to be a total success: a Harvard-educated M.D. with a thriving practice; married with two great kids and a gorgeous wife; a pillar of his community. But lurking beneath the thin veneer of having it all was an addict fueled on a daily boatload of prescription meds. When the police finally came calling--after a tip from a sharp-eyed pharmacist--Grinspoon's house of cards came tumbling down fast. His professional ego turned out to be an impediment to getting clean as he cycled through recovery to relapse, his reputation, family life, and lifestyle in ruins. What finally moves him to recover and reclaim life--including working with other physicians who themselves are addicts--makes for inspiring reading.

Pain Modulation

Pain Modulation
Author: Howard L. Fields
Publisher: Elsevier Publishing Company
Total Pages: 454
Release: 1988-01-01
Genre: Medical
ISBN: 9780444809841

This volume represents edited material that was presented at a conference on brainstem modulation of spinal nociception held in Beaune, France during July, 1987. Pain Modulation, Volume 77 in the series Progress in Brain Research reviews, analyses and suggests new research strategies on several relevant topics including: the endogenous opioid peptides; sites of action of opiates; the role of biogenic animes and non-opioid peptides in analgesia; dorsal horn circuitry; behavioural factors in the activation of pain modulating networks and clinical studies of nociceptive modulation.

Addiction by Prescription

Addiction by Prescription
Author: Joan E. Gadsby
Publisher: Granville Island
Total Pages: 304
Release: 2005-05-01
Genre:
ISBN: 9781894694360

In 1966, Joan Gadsbys four-year-old son died of a brain tumour. In response, her family physician prescribed a 'chemical cocktail' of tranquillisers, sleeping pills and anti-depressants -- an act that initiated Gadsbys slow descent into an abyss of unrecognised addiction. Over the next 20 years, Gadsbys career, her family relationships, her financial security and her health were all threatened. She was on various occasions arrested, restrained, and sedated as a result of the paradoxical side effects of the drugs. It was only after she unintentionally overdosed in 1990 that she found out the insidious effects of the drugs, stopped taking them and went through the 'hell' of withdrawal -- alone. Gadsby has emerged from her addiction to become a health and wellness consultant to corporations, governments, healthcare organisations. She is a tireless advocate for systemic change and accountability of prescribed sedative/hypnotic drugs. She interviewed thousands -- from consumers to doctors to pharmaceutical representatives and government officials as she conducted extensive international research -- in her quest to expose the shocking truth of the depth and breadth of addiction by prescription which affects hundreds of thousands of men and women world-wide who become 'accidental addicts'.