By Icon Health Publications
This sourcebook has been created for sufferers who've determined to make schooling and Internet-based examine an essential component of the remedy procedure. even though it supplies info priceless to medical professionals, caregivers and different future health pros, it additionally tells sufferers the place and the way to appear for info masking nearly all subject matters on the topic of heroin dependence, from the necessities to the main complex components of study. The name of this e-book contains the note legitimate. This displays the truth that the sourcebook attracts from public, educational, govt, and peer-reviewed learn. chosen readings from a number of enterprises are reproduced to offer you many of the most modern authentic details on hand up to now on heroin dependence. Following an introductory bankruptcy, the sourcebook is equipped into 3 elements. half I: THE necessities; bankruptcy 1. The necessities on Heroin Dependence: directions; bankruptcy 2. looking information; bankruptcy three. medical Trials and Heroin Dependence; half II: extra assets AND complicated fabric; bankruptcy four. experiences on Heroin Dependence; bankruptcy five. Books on Heroin Dependence; bankruptcy 6. Multimedia on Heroin Dependence; bankruptcy 7. health care professional instructions and Databases; half III. APPENDICES; Appendix A. learning Your medicines; Appendix B. getting to know substitute medication; Appendix C. learning food; Appendix D. discovering clinical Libraries; Appendix E. ideas of Drug habit remedy; on-line GLOSSARIES; HEROIN DEPENDENCE thesaurus; INDEX. similar subject matters contain: heroin, heroin abuse, heroin dependancy, heroin overdose.
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Extra resources for The 2002 Official Patient's Sourcebook on Heroin Dependence: A Revised and Updated Directory for the Internet Age
Example text
Withdrawal, which in regular abusers may occur as early as a few hours after the last administration, produces drug craving, restlessness, muscle and bone pain, insomnia, diarrhea and vomiting, cold flashes with goose bumps (“cold turkey”), kicking movements (“kicking the habit”), and other symptoms. Major withdrawal symptoms peak between 48 and 72 hours after the last dose and subside after about a week. Sudden withdrawal by heavily dependent users who are in poor health is occasionally fatal, although heroin Guidelines 23 withdrawal is considered much less dangerous than alcohol or barbiturate withdrawal.
Outcomes of Pregnancy A substantial number of pregnant women dependent upon opiates also have HIV/AIDS. on the basis of preliminary data, women who receive MMT are more likely to be treated with zidovudine. It has been well established that administration of zidovudine to HIV-positive pregnant women reduces by two-thirds the rate of HIV transmission to their babies. Comprehensive MMT, along with sound prenatal care, has been shown to decrease obstetrical and fetal complications as well. Current Treatment Modalities The Pharmacology of Commonly Prescribed Opiate Agonists and Antagonists The most frequently used agent in medically supervised opiate withdrawal and maintenance treatment is methadone.
Therefore, the program has come to be termed methadone “maintenance” treatment (MMT). Patient attributes that have sometimes been linked to better outcomes include older age, later age of dependence onset, lesser abuse of other substances including cocaine and alcohol, and lesser criminal activity. Recently, it has been reported that high motivation for change has been associated with positive outcomes. The effectiveness of MMT is often dependent on the involvement of a knowledgeable and empathetic staff and the availability of psychotherapy and other counseling services.