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Substance Misuse

Welcome to the substance misuse category for physicians and pharmacists. This category features links to resources on clinical guidelines, drugs of abuse detection times, prescribing in drug addiction such as opioid dependence and more.

Drugs A-Z | FRANK

Know what's what. This glossary of drugs has all the info and the slang.

Source: talktofrank.com
Clinical Resource: Glossary
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Last Checked: 08/07/13 Link Error: Report It

 

DrugSearch

DrugSearch is DrugScope's online encyclopaedia of drugs and their history, effects and the law

Source: drugscope.org.uk
Clinical Resource: Encyclopaedia
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Last Checked: 08/07/13 Link Error: Report It

 

Drug misuse and dependence: UK guidelines on clinical management

Drug Misuse and Dependence: UK Guidelines on Clinical Management – hereafter referred to as the 2007 Clinical Guidelines – is intended for all clinicians, especially those providing pharmacological interventions for drug misusers as a component of drug misuse treatment.

Source: nta.nhs.uk
Clinical Resource: Guideline
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Last Checked: 08/07/13 Link Error: Report It

 

 

National Institute for Health and Care Excellence (NICE) Guidance > Drug misuse - psychosocial interventions

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 18/05/15 Link Error: Report It

 

NIDAMED: Medical & Health Professionals | National Institute on Drug Abuse

The National Institute on Drug Abuse (NIDA) is the Federal focal point for research on drug abuse and addiction.

Discover NIDAMED's tools and resources for physicians, patients, medical school faculty and students.

Source: drugabuse.gov
Clinical Resource: Various
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Last Checked: 08/07/13 Link Error: Report It

 

Substance Misuse Management in General Practice

SMMGP is a network to support GPs and other primary health practitioners who work with substance misuse in the UK.

Source: smmgp.org.uk
Clinical Resource: Various
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Last Checked: 08/07/13 Link Error: Report It

 

Professional Guidelines for the best practice treatment of Substance Abuse

This large e-book contains detailed information on identifying substance misuse or addiction, brief interventions (treatment) and referral to specialist services. This material is not 'general light reading on drug addiction' but is professional medical advice written for health workers seeking access to information in this specialist area.

Source: addictionadvisor.co.uk
Clinical Resource: eBook
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Last Checked: 08/07/13 Link Error: Report It

 

Safer Prescribing in Prison
Guidance for clinicians
Royal College of General Practitioners Secure Environments Group

This guidance identifies the most problematic drug groups and preparations. It considers some of the key issues and links these to national guidelines and evidence to support prescribing decisions.

The guidance is intended for all prescribers working within prisons, particularly those with less experience of this specialist area of practice. The guidance will also be of value to primary care prescribers in the community who provide care for patients with addiction and forensic problems and also to those prescribers in secondary care where, either on an out-patient or in-patient basis, their patients will return to a custodial setting.

Source: rcgp.org.uk
Clinical Resource: Guide
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Last Checked: 02/12/16 Link Error: Report It

 

Drug Misuse Management in the Acute Hospital Setting Guidelines
Doncaster and Bassetlaw Hospitals NHS Foundation Trust

Source: dbh.nhs.uk
Clinical Resource: Guideline
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Last Checked: 20/08/15 Link Error: Report It

 

A summary of the health harms of drugs

This essential guide for drug and alcohol treatment professionals provides the most up to date scientific evidence on the health harms arising from licit and illicit substance misuse. The update includes new drugs since the guide was last published, such as novel synthetic drugs and takes a more in-depth look at the potential harms of using more than one drug and the adulterants commonly added to illegal drugs.

Source: nta.nhs.uk
Clinical Resource: Guide
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Last Checked: 08/07/13 Link Error: Report It

 

Lesser-known prescribed and over-the-counter drugs of misuse

Dr Lawson highlights the problems associated with some less well-known drugs of misuse, both prescribed and available over the counter.

Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 08/07/13 Link Error: Report It

 

Comorbidity of mental disorders and substance use: A brief guide for the primary care clinician
Drug and Alcohol Services South Australia 2008

Source: sahealth.sa.gov.au
Clinical Resource: Guideline
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Last Checked: 28/01/14 Link Error: Report It

 

National clinical guidelines for the management of drug use during pregnancy, birth and the early development years of the newborn

Source: nsw.gov.au
Clinical Resource: Guideline
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Last Checked: 07/05/14 Link Error: Report It

 

Substance misuse in pregnancy
A resource pack for professionals in Lothian

Many different professionals and service providers are now involved in the care of women who use drugs and/or alcohol during the course of their reproductive life. All professionals have an equally important role to play in ensuring a high standard of care is delivered. The pack aims to establish a ‘framework for care’ so that all women who use drugs can be offered appropriate support before, during and after the birth of their child.

The framework for care consists of a philosophy of approach and guidelines on good practice. These are outlined in the pack and provide a basis from which the best possible outcomes can be achieved for both mother and baby.

Source: nhslothian.scot.nhs.uk
Clinical Resource: Resource Pack
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Last Checked: 07/05/14 Link Error: Report It

 

Management of drug misuse in pregnancy

In this review we focus on users of illicit drugs (including prescribed drugs used illicitly) during pregnancy and describe some of the issues in managing such cases. We consider the impact of subtance use on the foetus, the mother and the newborn child, and highlight the importance of multidisciplinary working in this area. Space precludes a detailed account of the issues surrounding the use of legal substances such as alcohol and tobacco during pregnancy, but we note their significant impact in this group.

Source: apt.rcpsych.org
Clinical Resource: Journal Article
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Last Checked: 07/05/14 Link Error: Report It

 

Exposure to Psychotropic Medications and Other Substances during Pregnancy and Lactation: A Handbook for Health Care Providers

Our goal with this publication is to help primary care physicians, psychiatrists, pharmacists, obstetricians, midwives, public health nurses and nurse practitioners provide the best advice, information and care to women who are taking psychotropic medications or other substances during pregnancy and postpartum. Medications and other substances discussed in this handbook have been chosen because of their psychotropic qualities: they all affect brain chemistry and functioning. Drugs and substances that are not psychotropic, that are not used during pregnancy, or about whose effects there is not enough documented evidence (e.g., herbal remedies) are not included.

Source: knowledgex.camh.net
Clinical Resource: Handbook
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Last Checked: 07/05/14 Link Error: Report It

 

Social Drugs and Breastfeeding
Handling an issue that isn’t black & white

Use of social drugs by a minority of pregnant and breastfeeding mothers is a fact of life. Breastfeeding is the only way to feed an infant for that infant to be able to achieve optimum growth, health and mental development. Drug-using mothers need to know how their drug habit will impact on their baby and their lactation and how artificial formula will affect them and their baby. Informed decision-making, which achieves the best outcome for both baby and mother, is the goal.

Source: health-e-learning.com
Clinical Resource: Article
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Last Checked: 07/05/14 Link Error: Report It

 

BestBETs
Drug / alcohol Abuse

BETs were developed in the Emergency Department of Manchester Royal Infirmary, UK, to provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. BETs take into account the shortcomings of much current evidence, allowing physicians to make the best of what there is.

Source: bestbets.org
Clinical Resource: Evidence Based Answers to Clinical Questions
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Last Checked: 08/07/13 Link Error: Report It

 

The Cochrane Collaboration
Cochrane Reviews - Tobacco, Drugs and Alcohol

The Cochrane Collaboration is an international, non-profit, independent organisation, established to ensure that up-to-date, accurate information about the effects of healthcare interventions is readily available worldwide. It produces and disseminates systematic reviews of healthcare interventions, and promotes the search for evidence in the form of clinical trials and other studies of the effects of interventions.

Source: cochrane.org
Clinical Resource: Systematic Reviews
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Last Checked: 13/07/15 Link Error: Report It

 

Bandolier Knowledge
Drug abuse

In these pages are collected the stories from Bandolier relating to drug abuse.

Source: bandolier.org.uk
Clinical Resource: Evidence Based Abstracts
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Last Checked: 13/06/17 Link Error: Report It

 

Guidance for the prevention, testing, treatment and management of hepatitis C in primary care

Royal College of General Practitioners Substance Misuse Unit
Royal College of General Practitioners Sex, Drugs & HIV Task Group
Substance Misuse Management in General Practice
Hepatitis C Trust
UK Hepatitis C Resource Centre
Release

This guidance has been produced to aid medical practitioners and others in the management of hepatitis C infection in primary care.

Source: rcgp.org.uk
Clinical Resource: Guidance
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Last Checked: 02/12/16 Link Error: Report It

 

A professional's guide to hepatitis C and injecting drug use

This booklet provides up-to-date information about hepatitis C and injecting drug use. It has been designed for professionals working with injecting drug users (IDUs).

Source: britishlivertrust.org.uk
Clinical Resource: Publication
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Last Checked: 22/11/13 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Drug misuse - opioid detoxification

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 18/05/15 Link Error: Report It

 

Guidance for the use of substitute prescribing in the treatment of opioid dependence in primary care

Royal College of General Practitioners Substance Misuse & Associated Health
Substance Misuse Unit
Royal College of General Practitioners Sex, Drugs and HIV Group
Substance Misuse Management in General Practice
The Alliance

This guidance is to aid primary care clinicians and others in the use of substitute medication for opioid dependence when prescribing for maintenance or detoxification.

Source: rcgp.org.uk
Clinical Resource: Guidance
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Last Checked: 02/12/16 Link Error: Report It

 

Buprenorphine/Naloxone for Opioid Dependence: Clinical Practice Guideline
Centre for Addiction and Mental health

The Buprenorphine/Naloxone for Opioid Dependence: Clinical Practice Guideline provides clinical recommendations for the initiation, maintenance and discontinuation of buprenorphine/ naloxone maintenance treatment in patients with opioid dependence in Ontario. The guideline will help educate practitioners in opioid prescribing, improve access to treatment for opioid dependence and lead to the safer prescribing and dispensing of buprenorphine/ naloxone.

Source: knowledgex.camh.net
Clinical Resource: Guideline
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Last Checked: 08/07/13 Link Error: Report It

 

Methadone Briefing

This book provides a comprehensive background on the history, research, pharmacology and legal aspects of methadone prescribing. It focuses on this single substance in practical aspects of assessment, treatment aims, dosages and detoxification and should be a valuable reference for workers in the field.

Source: drugtext.org
Clinical Resource: Book
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Last Checked: 08/07/13 Link Error: Report It

 

Methadone Dosing & Safety in the Treatment of Opioid Addiction

This paper examines evidence-based principles and expert opinions regarding “best practice” approaches. Such information can help shape clinical intuition allowing practitioners to reliably prescribe more adequate and safe doses of methadone for better patient care and achieving favorable treatment outcomes.

Source: atforum.com
Clinical Resource: Paper
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Last Checked: 19/10/15 Link Error: Report It

 

Methadone Toxicity

Traditionally, methadone has been used for the treatment of opioid dependence. It is now being used with increased frequency as an analgesic due to its low cost, long half-life, rapid onset, and safety in chronic renal failure and stable liver failure. Methadone’s use as an analgesic is controversial because of its variable kinetics, potential toxicities, and a recent increase in the number of fatalities associated with use in this setting.

Source: utah.edu
Clinical Resource: Poison Control Centre Newsletter
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Last Checked: 21/08/15 Link Error: Report It

 

Cardiac Considerations During Methadone Maintenance Treatment

This paper briefly summarizes the published research concerning methadone affects on cardiac repolarization and TdP. Clinical suggestions are offered in identifying individual patient cardiac risk factors and for optimizing cardiac safety during MMT.

Source: atforum.com
Clinical Resource: Paper
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Last Checked: 21/08/15 Link Error: Report It

 

Buprenorphine, Critical Questions Examined

This booklet can be considered as a combination of a short review of the scientific evidence and the experience in clinical practice with regard to buprenorphine substitute treatment. The booklet is divided into two main parts.

In Part 1, opioid dependence is discussed and questions are addressed such as: What is addiction? What is substitution treatment? How many people are addicted world-wide and what sort of treatment do they get?

In Part 2, the critical questions are examined, which were raised in the audit amongst experts in the field. This part is divided into three chapters: part 2.1 addresses clinical issues, part 2.2 non-clinical issues and in part 2.3 some patient perspectives are discussed.

Source: q4q.nl
Clinical Resource: Booklet
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Last Checked: 08/07/13 Link Error: Report It

 

Providers' Clinical Support System Guidance: Transfer from Methadone to Buprenorphine

Source: pcssmat.org
Clinical Resource: Guidance
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Last Checked: 20/08/15 Link Error: Report It

 

Opioid Advice: Management of Opioid Dependence in Pregnancy and of Neonatal Abstinence Syndrome (NAS)

In situations where a woman is pregnant and taking opioids, opioids cross the placenta. Therefore, withdrawal has the same physical effects on the fetus as it does on the woman.

Source: knowledgex.camh.net
Clinical Resource: Advice
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Last Checked: 20/03/13 Link Error: Report It

 

Providers' Clinical Support System Guidance: Pregnancy and Buprenorphine Treatment

Source: pcssmat.org
Clinical Resource: Guidance
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Last Checked: 20/08/14 Link Error: Report It

 

What every psychiatrist should know about buprenorphine in substance misuse

Buprenorphine is a partial opioid agonist analgesic that exhibits high affinity for mu receptors and causes blockade of other opioid agonists. Some of its properties are summarised in Box 1. It can be prescribed on alternate days.

Source: rcpsych.org
Clinical Resource: Journal Article
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Last Checked: 08/07/13 Link Error: Report It

 

Methadone-Drug Interactions (Medications, illicit drugs, & other substances)

Section Contents

Understanding Methadone Metabolism & Drug Interactions
Table 1: Drugs That Are Contraindicated with Methadone (May Precipitate Opioid Withdrawal)
Table 2: Drugs That May Result in Altered Metabolism or Unpredictable Interactions with Methadone
Table 3: Drugs That May Lower SML and/or Decrease Methadone Effects
Table 4: Drugs That May Raise SML and/or Increase Methadone Effects
Table 5: Methadone-Drug Interactions: Alphabetical Listing by Generic & Brand Names

Source: atforum.com
Clinical Resource: Document
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Last Checked: 21/08/15 Link Error: Report It

 

Pain and substance misuse: improving the patient experience

A consensus statement prepared by The British Pain Society in collaboration with The Royal College of Psychiatrists, The Royal College of General Practitioners and The Advisory Council on the Misuse of Drugs

This document aims to identify elements of good practice in the management of pain and in the prescription of opioid drugs. It provides non-specialists with appropriate information to assess the needs of and manage pain in patients who are or have previously been substance misusers. The document also gives guidance on models of collaborative working among relevant healthcare professionals involved in the care of patients with pain who are using, or are at risk of using, drugs inappropriately. It therefore aims to improve practice in managing this group of patients with complex needs.

Source: britishpainsociety.org
Clinical Resource: Consensus Statement
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Last Checked: 17/07/15 Link Error: Report It

 

Opioids for persistent pain: Good practice

A consensus statement prepared on behalf of the British Pain Society, the Faculty of Pain Medicine of the Royal College of Anaesthetists, the Royal College of General Practitioners and the Faculty of Addictions of the Royal College of Psychiatrists

This guidance has been written for all healthcare professionals who manage patients with persistent pain, to help their understanding of the role of opioids in pain management. The document outlines good practice regarding decision making in relation to opioid therapy, ongoing monitoring of treatment and identification and management of problems related to opioid use.

Source: britishpainsociety.org
Clinical Resource: Consensus Statement
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Last Checked: 17/07/15 Link Error: Report It

 

A Clinical Guide to Opioid Analgesia

The intent of this book is to help clinicians make practical sense of the varied and often conflicting issues (pharmacological, clinical, and regulatory) surrounding opioid pharmacotherapy, in order to promote the most healthful outcomes possible for patients in pain. The aim is to improve knowledge and skills related to both the principles of prescribing and the management of risk. In this way, healthcare professionals and those they serve may benefit increasingly from the unique therapeutic potential of this drug class, and fear less the undeniable, yet manageable, potential for harm.

Source: stoppain.org
Clinical Resource: Book
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Last Checked: 08/07/13 Link Error: Report It

 

Opioids and Methadone Equivalents for Clinicians

We provide an opioid conversion table for commonly used opioid preparations to help clinicians better understand the relationship between these agents and methadone. Conversion must take into consideration clinical issues that affect translation of equivalents to and from methadone.

Source: nih.gov
Clinical Resource: Journal Article
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Last Checked: 28/11/16 Link Error: Report It

 

Providers' Clinical Support System Guidance: Treatment of Acute Pain in Patients Receiving Buprenorphine/Naloxone

Source: pcssmat.org
Clinical Resource: Guidance
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Last Checked: 20/08/15 Link Error: Report It

 

Guidance for working with cocaine and crack users in primary care

Royal College of General Practitioners Drug & Alcohol Misuse Training Programme
Royal College of General Practitioners Sex, Drugs and HIV Task Group
Substance Misuse Management in General Practice

The guidance is aimed at all those involved in primary care working with adults using cocaine, including GPs and other team members. It will also be useful to all working in the community with drug users.

Source: rcgp.org.uk
Clinical Resource: Guidance
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Last Checked: 02/12/16 Link Error: Report It

 

Benzodiazepines: How They Work and How to Withdraw
(aka The Ashton Manual)

This monograph contains information about the effects that benzodiazepines have on the brain and body and how these actions are exerted. Detailed suggestions on how to withdraw after long-term use and individual tapering schedules for different benzodiazepines are provided. Withdrawal symptoms, acute and protracted, are described along with an explanation of why they may occur and how to cope with them.

  • Contents Page
  • Introduction
  • Chapter I: The benzodiazepines: what they do in the body
  • Chapter II: How to withdraw from benzodiazepines after long-term use
  • Chapter II: Slow withdrawal schedules
  • Chapter III: Benzodiazepines withdrawal symptoms, acute & protacted
Source: benzo.org.uk
Clinical Resource: Manual
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Last Checked: 20/06/13 Link Error: Report It

 

Benzodiazepines
Information for GPs

This information is designed to assist doctors in the management of patients ceasing benzodiazepine use, and is to be read in conjunction with the patient resource called ‘Benzodiazepines: Reasons to stop and stopping use.

Source: sahealth.sa.gov.au
Clinical Resource: Material
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Last Checked: 28/01/14 Link Error: Report It

 

Benzodiazepine equivalents

Source: sahealth.sa.gov.au
Clinical Resource: Conversion Chart
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Last Checked: 28/11/16 Link Error: Report It

 

Calculating equivalent doses of oral benzodiazepines

Benzodiazepines are the most commonly used anxiolytics and hypnotics. There are major differences in potency between different benzodiazepines and this difference in potency is important when switching from one benzodiazepine to another.

Source: sussexpartnership.nhs.uk
Clinical Resource: Document
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Last Checked: 28/11/16 Link Error: Report It

 

Cannabis: answers to your questions

This review aims to answer key questions relating to cannabis and the risks associated with its use. It was commissioned by the Australian National Council on Drugs (ANCD) for an audience including the media, key decision makers and their advisers, the alcohol and other drug sector, and interested members of the community.

This review of the current research and clinical literature reflects the status of the evidence up to the end of 2004 and involved the review of around 700 papers in international peer-reviewed journals and high quality reports. In addition, several international experts reviewed this document and commended it as an accurate synthesis, reflecting complex evidence.

Source: atoda.org.au
Clinical Resource: Research Paper
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Last Checked: 19/10/15 Link Error: Report It

 

Comprehensive Urine Drug Test (UDT)

Source: paineducation.vcu.edu
Clinical Resource: Table
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Last Checked: 13/03/14 Link Error: Report It

 

Immunoassay Urine Drug Test (UDT)

Source: paineducation.vcu.edu
Clinical Resource: Table
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Last Checked: 13/03/14 Link Error: Report It

 

Drugs of Abuse: Approximate Detection Times Table

Source: mayomedicallaboratories.com
Clinical Resource: Table
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Last Checked: 08/07/13 Link Error: Report It

 

Drugs of Abuse Detection Period

Source: paml.com
Clinical Resource: Table
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Last Checked: 08/07/13 Link Error: Report It

 

Toxicology Screening: A Review

Toxicology screening is a tool frequently used in the initial evaluation of poisoned patients. It is also commonly used in the community setting by employers and in courtmandated drug testing programs.

Source: utah.edu
Clinical Resource: Poison Control Center Newsletter
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Last Checked: 13/03/14 Link Error: Report It

 

What common substances can cause false positives on urine screens for drugs of abuse?

False-positive reports on urine drug screens by immunoassay are rare (strength of recommendation [SOR]: C, small controlled-exposure studies, small case series). Nonsteroidal anti-inflammatory drugs, fluoroquinolones, and Vicks Inhaler are most frequently implicated.

Source: jfponline.com
Clinical Resource: Evidence Based Answer to Clinical Question
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Last Checked: 13/03/14 Link Error: Report It

 

What drugs are likely to interfere with urine drug screens?

Source: uic.edu
Clinical Resource: Frequently Asked Question
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Last Checked: 04/12/15 Link Error: Report It

 

Interpretation of Urine Drug Test (UDT) based on Opioid Prescribed

Source: paineducation.vcu.edu
Clinical Resource: Table
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Last Checked: 13/03/14 Link Error: Report It

 

 

National Institute for Health and Care Excellence (NICE) Guidance > Alcohol-use disorders: Diagnosis and clinical management of alcohol-related physical complications

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 18/05/15 Link Error: Report It

 

Scottish Intercollegiate Guidelines Network (SIGN) Guideline > The Management of Harmful Drinking and Alcohol Dependence in Primary Care

Source: sign.ac.uk
Clinical Resource: Guideline
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Last Checked: 18/05/15 Link Error: Report It

 

National Treatment Agency for Substance Misuse
Review of the effectiveness of treatment for alcohol problems

This review covers the published international research literature on alcohol interventions and treatment.

Source: nta.nhs.uk
Clinical Resource: Publication
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Last Checked: 08/07/13 Link Error: Report It

 

Alcohol IBA e-Learning course

The Alcohol Identification and Brief Advice e-learning project (Alcohol IBA) helps professionals with identifying those individuals whose drinking might be impacting on their health and delivering simple, structured advice. It has been developed in partnership with the Department of Health's Alcohol Policy Team and e-Learning for Healthcare.

We have developed three e-learning coursed to date. You are encouraged to visit the e-learning course that is most appropriate to your profession.

  • Alcohol IBA in Primary Care
  • Alcohol IBA in Community Pharmacy
  • Alcohol IBA in Hospital Settings
Source: alcohollearningcentre.org.uk
Clinical Resource: CE / CPD / Learning
Register to Access Content: Yes - registration is FREE

Last Checked: 08/07/13 Link Error: Report It

 

Department of Surgical Education, Orlando Regional Medical Center
Evidence Based-Medicine Guideline on Alcohol Withdrawal

Source: surgicalcriticalcare.net
Clinical Resource: Guideline
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Last Checked: 21/08/15 Link Error: Report It

 

ABC of alcohol
Treatment for alcohol related problems

When hazardous or harmful drinking is first identified in primary care or the hospital setting, patients should be offered brief intervention.

Source: nih.gov
Clinical Resource: Journal Article
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Last Checked: 08/07/13 Link Error: Report It

 

Drug adjuncts for treating alcohol dependence

This paper reviews the scope of the problem, the neurochemistry of alcoholism, the available agents, and how physicians can help.

Source: mdedge.com
Clinical Resource: Journal Article
Register to Access Content: Yes - registration is FREE

Last Checked: 19/06/17 Link Error: Report It

 

Acamprosate: a new tool in the battle against alcohol dependence

Acamprosate, a medication that has been used in Europe for years, is the newest drug to be approved by the US Federal Drug Administration for the treatment of alcohol dependence. It has been shown to assist in the maintenance of abstinence in recently detoxified alcohol-dependent individuals. The following review delineates the proposed mechanism of action and pharmacokinetics of the drug. Findings of clinical trials are outlined and topics such as cost effectiveness, comparison with other medications used for the treatment of alcohol dependences as well as combination pharmacotherapy are discussed.

Source: nih.gov
Clinical Resource: Journal Article
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Last Checked: 08/07/13 Link Error: Report It

 

Alcohol Use During Pregnancy: Prevalence and Impact

Have you ever wondered which of your patients continue to drink alcohol during pregnancy? Have you deliberated about how to best educate the pregnant alcohol-dependent women who presents to your practice without prenatal care? Have you been concerned about the risk of suicide or of a psychiatric illness in one of your patients who is pregnant and drinking alcohol?

If you have, then the following questions and answers should serve as a stimulus for the management of the psychiatric aspects of alcohol use during pregnancy and the postpartum period for mother and the neonate.

Source: nih.gov
Clinical Resource: Journal Article
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Last Checked: 07/04/14 Link Error: Report It

 

Supporting Change: Preventing and Addressing Alcohol Use in Pregnancy Handbook

The content for this series of physician training materials on alcohol use and pregnancy was developed in partnership with:

• Motherisk • Centre for Addiction and Mental Health • City of Hamilton Social & Public Health Services • Health Canada, Population and Public Health Branch, Ontario Region • Breaking the Cycle • FASworld Canada • AWARE • FOCUS Resource Centre • Equay wuk • and concerned physicians

This guide, designed as part of a training module, informs physicians about alcohol use and abuse in pregnancy and to support physicians in appropriate screening and assessment of their pregnant patients and provides tools and resources.

Source: beststart.org
Clinical Resource: Handbook
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Last Checked: 07/05/14 Link Error: Report It

 

Drinking Alcohol while Breastfeeding

Tool for health care providers to assess and inform pregnant patients about the risk of alcohol use in pregnancy and includes a table that illustrates the time clearance of alcohol from breast milk of women, according to mother's weight, amount of alcohol consumed and hours since consumption.

Source: beststart.org
Clinical Resource: Tool
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Last Checked: 07/05/14 Link Error: Report It

 

“Is it safe to have a drink while taking medication?”

The following table provides information on the potential for interaction between alcohol and common medications.

Source: usask.ca
Clinical Resource: Drug Information Services Newsletter
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Last Checked: 19/10/15 Link Error: Report It

 

Alcohol-related Drug Interactions

There are a number of classes of drugs that can potentially interact with alcohol (e.g., antibiotics, antidepressants, sedative/hypnotics, opioids, anticoagulants, etc). The included chart summarizes common alcohol-medication interactions including precautions and recommendations for alcohol consumption.

Source: hamsnetwork.org
Clinical Resource: Detail Document
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Last Checked: 08/07/13 Link Error: Report It

 

Guidance on the administration of medicines to inpatients believed to have consumed alcohol
Sussex Partnership NHS Foundation Trust

This guidance applies to general psychiatry units, but may not be suitable for application on specialist units caring for patients who are known alcohol abusers or are alcohol dependent.

Source: sussexpartnership.nhs.uk
Clinical Resource: Guidance
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Last Checked: 02/09/15 Link Error: Report It

 

Sex, drugs and alcohol
Drug interactions of concern to consumers

Patients often express concerns about interactions between their medicines and alcohol and any illicit drugs that they may consume. Doctors and pharmacists are also often asked about interactions, especially short courses of antibiotics, which might reduce the efficacy of oral contraceptives.

Source: nps.org.au
Clinical Resource: Journal Article
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Last Checked: 08/08/16 Link Error: Report It

 

Alcohol-medication interactions

Many medications can interact with alcohol, leading to increased risk of illness, injury, or death. For example, it is estimated that alcohol medication interactions may be a factor in at least 25 per cent of all emergency room admissions. An unknown number of less serious interactions may go unrecognized or unrecorded. This Beyond the ABCs notes some of the most significant alcohol-drug interactions. (Although alcohol can interact with illicit drugs as well, the term “drugs” is used here to refer exclusively to medications, whether prescription or non-prescription.)

Source: albertahealthservices.ca
Clinical Resource: Publication
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Last Checked: 08/07/13 Link Error: Report It

 

Recreational Drugs and HIV Antiretrovirals: A Guide to Interactions for Clinicians

This educational guide is intended to provide advice that may reduce harm to patients who use substances such as the drugs cocaine, LSD, Marijuana, etc. and there effects on the human mind and body

Source: nynjaetc.org
Clinical Resource: Guide
Register to Access Content: No

Last Checked: 20/05/14 Link Error: Report It

 

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