Addiction Flashcards

1
Q

Substance Use History

A

For each substance
- How much
- When
- When last used
- Total duration
- How (inject, oral, snorted, smoked)
- Why (high, numbing, pressure, sexual)

Other Substances
- Alcohol
- Tobacco
- Sedative hypnotics (benzos, barbiturates, z drugs)
- Cannabis
- Opioids
- Psychostimulants (e.g. cocaine, amphetamines, ecstasy)
- Other drugs (e.g. hallucinogens, ketamine, GHB / GBL, anabolic steroids, Khat)

Risk Assessment
- Withdrawal Symptoms
- Overdose
- Forensics - stealing, prison, police cautions,

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1
Q

Methadone History

A

Methadone Prescription
- Dose
- Duration
- Compliance
- Date and time of last prescription
- Location of dispensing pharmacy
- Supervised vs unsupervised dispensing
- Concurrent use of heroin / prescription opioid analgesics

Alternatives
- Benzos
- Hyoscine butylbromide
- Loperamide
- Clonidine

Naloxine
- Can sometimes be given for patients in case of overdose if using heroin as well

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