Substance Dependence Flashcards
(17 cards)
What is 1st line treatment for moderate severe alcohol use dependence
Psychological CBT
Acamproste or naltrexone
What is 2nd line for moderate severe alcohol use disorders
Disulfiram
What to give in Wernickes Encephalopathy
Thiamine vitamin B1
What to give for withdrawal symptoms in alcohol use patients
Chlordiazepoxide
Diazepam
What to give for withdrawal seizures in alcohol misuse
Lorazepam
What to give 1st and 2nd for delirium in alcohol misuse
Lorazepam
Haloperidol
What are the long acting NRT options and for who
16hrs for nightmares and pregnancy
24hrs for wake with cravings
What are short acting nrt examples
Gum
Inhalator
Lozenges
Nasal spray
Oral spray
Sublingual tablets
What are 2 medications that can be given in nicotine dependence
Varenicline
Bupropion
What is the MHRA warning for bupropion
Serotonin syndrome risk
What are the cautions of Varenicline
CVD
psychiatric illness
Epilepsy
Renal impairment
Wha is 1st line for opioid detoxification
Methadone
Buprenorphine
What are withdrawal symptoms of opioids
D+V, stomach cramps, agitation, headaches, insomnia
Why is buprenorphine chosen over methadone
Lower risk of fatal overdose
Can be given with naloxone - discourages injecting
Less mental clouding and sedation effect
MR suitable for adherence issues
Methadone can cause QT prolongation
Why is methadone chosen over buprenorphine
More effective in retaining patients on treatment
More suitable for patients using large amounts of heroin
What is the expected period of time that patients need daily supervised consumption
First 3 months
What to do in a missed dose and when to refer back to prescriber
Missed doses are not replaced
If miss 3+ days refer back to prescriber
