Management of Iatrogenically induced opioid dependence

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چکیده

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Recognition and management of iatrogenically induced opioid dependence and withdrawal in children.

Opioids are often prescribed to children for pain relief related to procedures, acute injuries, and chronic conditions. Round-the-clock dosing of opioids can produce opioid dependence within 5 days. According to a 2001 Consensus Paper from the American Academy of Pain Medicine, American Pain Society, and American Society of Addiction Medicine, dependence is defined as "a state of adaptation tha...

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Opioid dependence - management in general practice.

BACKGROUND Addiction to opioids, or opioid dependence, encompasses the biopsychosocial dysfunction seen in illicit heroin injectors, as well as aberrant behaviours in patients prescribed opioids for chronic nonmalignant pain. OBJECTIVE To outline the management of opioid dependence using opioid pharmacotherapy as part of a comprehensive chronic illness management strategy. DISCUSSION The sa...

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Opioid dependence.

INTRODUCTION Dependence on opioids is a multifactorial condition involving genetic and psychosocial factors. There are three stages to treating opioid dependence. Stabilisation is usually by opioid substitution treatments, and aims to ensure that the drug use becomes independent of mental state (such as craving and mood) and independent of circumstances (such as finance and physical location). ...

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Voluntary treatment, not detention, in the management of opioid dependence.

Zunyou Wu, the author of this round table,1 attempts to rebut the United Nation’s recent criticism of compulsory treatment centres for opioid dependence by arguing that: (i) illicit opioid dependence is not simply a health problem, since the dependent person’s behaviour can adversely affect other community members through drug-related crime, use of illicit opioids in public, and transmission of...

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Medical management of opioid dependence in South Africa.

Medical practitioners in South Africa are increasingly confronted with requests to treat patients with opioid use disorders. Many do not possess the required knowledge and skills to deal with these patients effectively. This overview of the medical treatment of opioid dependence was compiled by an elected working group of doctors working in the field of substance dependence. Recommendations are...

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ژورنال

عنوان ژورنال: Clinical Therapeutics

سال: 2015

ISSN: 0149-2918

DOI: 10.1016/j.clinthera.2015.05.046