Methadone Treatment For Opioid Dependence

Author : World Health Organization. Department of Mental Health and Substance Abuse,World Health Organization
Publisher : World Health Organization
Page : 133 pages
File Size : 41,9 Mb
Release : 2009
Category : Medical
ISBN : 9789241547543

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Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence by World Health Organization. Department of Mental Health and Substance Abuse,World Health Organization Pdf

"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

Author : Committee on Federal Regulation of Methadone Treatment,Institute of Medicine
Publisher : National Academies Press
Page : 251 pages
File Size : 43,8 Mb
Release : 1995-02-01
Category : Medical
ISBN : 9780309598620

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Federal Regulation of Methadone Treatment by Committee on Federal Regulation of Methadone Treatment,Institute of Medicine Pdf

For nearly three decades, methadone hydrochloride has been the primary means of treating opiate addiction. Today, about 115,000 people receive such treatment, and thousands more have benefited from it in the past. Even though methadone's effectiveness has been well established, its use remains controversial, a fact reflected by the extensive regulation of its manufacturing, labeling, distribution, and use. The Food and Drug Administration regulates the safety and effectiveness of methadone, as it does for all drugs, and the Drug Enforcement Administration regulates it as a controlled substance. However, methadone is also subjected to a unique additional tier of regulation that prescribes how and under what circumstances it may be used to treat opiate addiction. Federal Regulation of Methadone Treatment examines current Department of Health and Human Services standards for narcotic addiction treatment and the regulation of methadone treatment programs pursuant to those standards. The book includes an evaluation of the effect of federal regulations on the provision of methadone treatment services and an exploration of options for modifying the regulations to allow optimal clinical practice. The volume also includes an assessment of alternatives to the existing regulations.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Medication-Assisted Treatment for Opioid Use Disorder
Publisher : National Academies Press
Page : 175 pages
File Size : 55,9 Mb
Release : 2019-06-16
Category : Medical
ISBN : 9780309486484

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Medications for Opioid Use Disorder Save Lives by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Medication-Assisted Treatment for Opioid Use Disorder Pdf

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.

Author : Eric C. Strain,Maxine L. Stitzer
Publisher : Unknown
Page : 360 pages
File Size : 42,6 Mb
Release : 1999
Category : Medical
ISBN : UOM:39015048931979

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Methadone Treatment for Opioid Dependence by Eric C. Strain,Maxine L. Stitzer Pdf

Throughout the world, hundreds of thousands of people are addicted to opiates. The human, economic, and societal costs of this addiction are staggering: more than one-quarter of prison inmates are incarcerated for drug offenses and there has been a dramat.

Author : Ricardo A. Cruciani,Helena Knotkova
Publisher : Springer Science & Business Media
Page : 298 pages
File Size : 54,5 Mb
Release : 2014-07-08
Category : Medical
ISBN : 9781461469742

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Handbook of Methadone Prescribing and Buprenorphine Therapy by Ricardo A. Cruciani,Helena Knotkova Pdf

Methadone and buprenorphine are the only two opioids that are indicated for the management of both pain and opioid-related drug addiction. Both present unique challenges to the general practitioner and pain specialist, requiring a separate analysis from the rest of the drugs in the same family. Handbook of Methadone Prescribing and Buprenorphine Therapy is an invaluable guide to the safe use of these opioids. Authored by clinical and academic leaders from a variety of settings and backgrounds, this book includes chapters on pharmacology, adverse effects, safe rotation from other opioids, cardiac toxicity, prescribing, pharmacokinetics, equianalgesic dose and replacement therapy. This comprehensive text provides clinicians, researchers, policy-makers and academicians a resource for all the relevant points in methadone prescribing and buprenorphine therapy.

Author : Substance Abuse Mental Health Services Administration/SAMHSA (U.S.)
Publisher : Government Printing Office
Page : 404 pages
File Size : 51,6 Mb
Release : 2018-06-05
Category : Medical
ISBN : 9780160943751

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Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder by Substance Abuse Mental Health Services Administration/SAMHSA (U.S.) Pdf

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.

Author : A. E. Arif,Joseph Westermeyer
Publisher : Praeger
Page : 142 pages
File Size : 45,5 Mb
Release : 1990-06-26
Category : Education
ISBN : UOM:39015018456643

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Methadone Maintenance in the Management of Opioid Dependence by A. E. Arif,Joseph Westermeyer Pdf

The result of the combined effort of over 30 experts working in 19 different countries, the book presents a comprehensive survey of the development, policy, and procedures of methadone maintenance in countries with experience in this treatment. In addition to presenting a general overview of methadone's role in treating opioid addiction, the volume also focuses on specific questions of current interest, particularly the critical issue of methadone maintenance in the prevention of AIDS.

Author : U.S. Department of Health and Human Services
Publisher : Lulu.com
Page : 84 pages
File Size : 41,5 Mb
Release : 2019-11-23
Category : Reference
ISBN : 9781794763531

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Federal Guidelines for Opioid Treatment Programs by U.S. Department of Health and Human Services Pdf

The Federal Guidelines for Opioid Treatment Programs (Guidelines) describe the Substance Abuse and Mental Health Services Administration's (SAMHSA) expectation of how the federal opioid treatment standards found in Title 42 of the Code of Federal Regulations Part 8 (42 CFR � 8) are to be satisfied by opioid treatment programs (OTPs). Under these federal regulations, OTPs are required to have current valid accreditation status, SAMHSA certification, and Drug Enforcement Administration (DEA) registration before they are able to administer or dispense opioid drugs for the treatment of opioid addiction.

Author : John F. Kelly,Sarah E. Wakeman
Publisher : Springer
Page : 264 pages
File Size : 49,8 Mb
Release : 2019-07-15
Category : Medical
ISBN : 9783030162573

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Treating Opioid Addiction by John F. Kelly,Sarah E. Wakeman Pdf

This book addresses opioids and opioid use disorders from epidemiological, clinical, and public health perspectives. It covers detailed information on the nature of opioids, their effects on the human body and brain, prevention, and treatment of opioid addiction. Unlike other texts, the first section of this volume builds a strong historical, neurobiological, and phenomenological foundation for a deep understanding of the topic and the patient. The second section addresses the most challenging issues clinicians face, including pharmacological and psychosocial treatments, harm reduction approaches, alternative approaches to pain management for the non-specialist, and prescribing guidelines. Treating Opioid Addiction is a valuable resource for psychiatrists, psychologists, addiction medicine physicians, primary care physicians, drug addiction counselors, students, trainees, scholars, and public health officials interested in the effects and impact of opioids in the clinical and epidemiological context.

Author : Raymond S. Sinatra,Jonathan S. Jahr,J. Michael Watkins-Pitchford
Publisher : Cambridge University Press
Page : 551 pages
File Size : 40,6 Mb
Release : 2010-10-14
Category : Medical
ISBN : 9781139491983

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The Essence of Analgesia and Analgesics by Raymond S. Sinatra,Jonathan S. Jahr,J. Michael Watkins-Pitchford Pdf

The Essence of Analgesia and Analgesics is an invaluable practical resource for clinicians giving pain relief in any clinical setting, describing the pharmacologic principles and clinical use of all available pain medications. As well as detailed overviews of pain processing and analgesic theory, sections are dedicated to oral and panteral opioid analgesics, neuraxial opioids, NSAIDs, local anesthetics, anticonvulsant type analgesics, NMDA antagonists, alpha adrenergic analgesics, antidepressant analgesics, muscle relaxants, adjuvant medications, and new and emerging analgesics. The concise format of the chapters allows for quick and easy reading and assimilation of information. Enhanced by summary tables and figures, each chapter provides an overview of a particular drug, covering chemical structure, mode of activity, indications, contraindications, common doses and uses, advantages and disadvantages, and drug related adverse events. Key references are also provided. Edited by leading experts in pain management, this is essential reading for any clinician involved in pain management.

Author : Pearl Isaac,Anne Kalvik,Eva Janecek,Maria Zhang
Publisher : Unknown
Page : 128 pages
File Size : 42,5 Mb
Release : 2015-05
Category : Buprenorphine
ISBN : 177114243X

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Opioid Agonist Maintenance Treatment by Pearl Isaac,Anne Kalvik,Eva Janecek,Maria Zhang Pdf

"This book provides pharmacists with an overview of pharmacological therapies for opioid use disorders and information about related issues pertaining to pharmacy practice. Its main focus is to provide information on evidence-based treatment of opioid dependence using opioid agonists--methadone and buprenorphine--while acknowledging the importance of behavioural interventions such as psychosocial counselling."--

Author : John Strang,Gillian Tober
Publisher : CRC Press
Page : 324 pages
File Size : 50,8 Mb
Release : 2003-04-03
Category : Medical
ISBN : 0203633091

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Methadone Matters by John Strang,Gillian Tober Pdf

Methadone heals, but methadone kills. Methadone is a life-saving treatment, but methadone is also a life-threatening poison. The challenge is how to confer the benefit without incurring the harm. And that is what this book is all about. Methadone is by far the most widely prescribed drug in the treatment of heroin addiction, and yet, all too often, we are clumsy in our use of this powerful drug. So how much of the observed benefit is to do with methadone itself? Does dose matter? How important is the psychosocial component of care? How can problems of poor compliance be addressed? Is supervised consumption feasible, and, if so, is it justifiable and beneficial? And what is injectable methadone all about? When is it ever prescribed, and for whom, and how? And what about the dangers? Methadone itself can be the actual drug of overdose. How successful have efforts been made to re-structure methadone treatment to prevent overdose deaths? and how can the problems of diversion to the illicit market be kept to a minimum? This multi-authored book, comprising chapters from the best of clinicians, researchers and policymakers, is the essential guide to increasing the relevance and effectiveness of methadone treatment. Like it or loathe it, Methadone Matters.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse
Publisher : National Academies Press
Page : 483 pages
File Size : 43,7 Mb
Release : 2017-09-28
Category : Medical
ISBN : 9780309459570

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Pain Management and the Opioid Epidemic by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse Pdf

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.

Author : Anonim
Publisher : Unknown
Page : 35 pages
File Size : 50,7 Mb
Release : 2018
Category : Opioid abuse
ISBN : OCLC:1099609592

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Facing Addiction in America: the Surgeon General's Spotlight on Opioids by Anonim Pdf

Author : Pearl Isaac,Beth Sproule
Publisher : Unknown
Page : 60 pages
File Size : 41,5 Mb
Release : 2009-10
Category : Medical
ISBN : 1770523022

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Methadone Maintenance Treatment by Pearl Isaac,Beth Sproule Pdf

The problem of opioid addiction is growing in Ontario, primarily associated with the use of pharmaceutical products rather than heroin. For many Ontarians struggling with opioid dependence, methadone maintenance is an effective treatment that could save their lives. However, methadone has a unique pharmacological profile that requires specialized knowledge and procedures to ensure its safe use. Pharmacists are at the front line of ensuring clients' safe and effective use of methadone. This guide complements CAMH's comprehensive best-practice manual for pharmacists, Methadone Maintenance: A Pharmacist's Guide to Treatment, a required resource for all pharmacies dispensing methadone in Ontario. This new book addresses issues beyond best practice by the individual pharmacist, making a series of recommendations related to interprofessional collaboration, the pharmacy environment, education programs, accessibility of services and research needs. As the most accessible member of the treatment team, pharmacists are uniquely positioned to make a difference in the care of MMT clients. This book envisions ways in which professional organizations, educators, policy makers and researchers, among others, may support individual pharmacists working in a variety of practice settings in enhancing the care they provide through MMT pharmacy services.