• ADDICTION MEDICINE

    Alcohol use – management

    Recommendations DSM-IV Criteria for Alcohol Abuse DSM-IV Criteria for Alcohol Dependence Drinking Culture in Australia Management of Alcohol Use Screening (From Age 14-15 Onwards, Indefinitely) Management Using the 5 A’s Approach Step One – Assessment Alcohol Use History Investigations Screening Tools Readiness to Change Step Two – Management Management Tailored…

  • ADDICTION MEDICINE

    Alcohol withdrawal

    Alcohol Withdrawal Syndrome Criteria for Diagnosis Clinical Features Stages of Withdrawal Evaluation History Examination Labs Imaging Withdrawal Assessment Outpatient or Inpatient detox and rehab: Suitability criteria for Outpatient therapy: Management of Ambulatory Alcohol Withdrawal Supportive Care Nutrition Medication https://www.racgp.org.au/your-practice/guidelines/drugs-of-dependence-b/2-evidence-based-guidance-for-benzodiazepines/24-alcohol-withdrawal other neurological disorders associated with alcoholism Wernickes Hangover A type of…

  • ADDICTION MEDICINE

    Benzodiazepines 

    Name Duration of Action# Time to peak Approx dose equiv to 5mg diazepam Trade names Tablet strengths Schedule Alprazolam Short½ life 12-15 hrs 1-2 hours (intermediate) 0.5 – 1mg AlpraxKalmaXanax 0.25mg, 0.5mg, 1mg, 2mg Schedule 8 Controlled Drug Bromazepam Intermed 3 – 6mg Lexotan 3mg, 6mg S4 Clobazam Long 10…

  • ADDICTION MEDICINE

    Nicotine

    is a stimulant is the main psychoactive ingredient in tobacco  (Tar and carbon monoxide (a toxic gas) are also released when tobacco is burned) Products such as cigarettes, cigars, pipe tobacco, chewing tobacco, and wet and dry snuff and the dried leaves from the tobacco plant all contain nicotine. Electronic…

  • ADDICTION MEDICINE

    Opioid dependence

    Opioid Addiction in Medical Practice: Opioid Substitution Therapy (OST) Benefits of OST: Harm Reduction: Key Points for Medical Practitioners Assessing suitability for opioid substitution therapy: Alternative Therapies: Management of Withdrawal Short-term Prescribing: Maintenance Therapy Long-term Rehabilitation: Pharmacotherapy Methadone Methadone Syrup: Drug Interactions and Risks: Naltrexone Implant and Depot Formulations: Patient…

  • ADDICTION MEDICINE

    Recreational drugs

    Table 12.4Illicit substance abuse: a summary of hallmarks Drug Physical symptoms Look for Dangers Amphetamines including methamphetamines (3 forms)speed—powderbase—oily pasteice—crystalline Aggressive or agitated behaviour; giggling; silliness; euphoria; rapid speech; fever; confused thinking; anorexia; insomnia; extreme fatigue; dry mouth; shakiness; anxiety Jars of pills of varying colours; chain smoking; white powder and…