Addiction Mechanisms, Phenomenology and Treatment by R. Maldonado (auth.), Prof. Dr. W. W. Fleischhacker, Prof.

By R. Maldonado (auth.), Prof. Dr. W. W. Fleischhacker, Prof. Dr. D. J. Brooks (eds.)

Substance-related issues pose an expanding problem not just to the sector of psychiatry but in addition to public wellbeing and fitness. The speedy improvement of our society has additionally replaced the face of substance use and abuse, either quantitatively and qualitatively. during this quantity overseas specialists current studies of the newest learn protecting many components starting from neurobiology to mental administration, in addition to diverse medications, from alcohol to ecstasy.

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This includes out-patient early intervention techniques, aversive therapies, participation in self-help groups and other relapse prevention methods. Disulfiram as an aversive medication shortens the metabolisation of Methadone and invites a higher frequency of intake. Benzodiazepine dependence and dependence from other sedatives is a frequent and serious complication in Heroin addicts. Most prevalent is the use of Flunitrazepam. An avoidable reason for using it is an insufficient dosage of Methadone.

Some experiments with low-threshold Methadone prescription in the Netherlands and in Switzerland have demonstrated the feasibility of a safe prescription practice without ancillary psychosocial care, if controlled daily Methadone intake is provided and measures against overdosing are taken. When offered to heroin dependents who are reluctant to engage in a care program, results seem to be doubtful, although transition to a well structured Methadone program is encouraged. , 1998). The regime seems to be better justified in cases without major health or social deficits.

Disadvantages are the additional risks for patients who are not sufficiently stable, as they may loose or sell their Methadone and replace it by illegal injections, or they may use more than one daily dose at once. Especially the mortality risk is increased in such cases, due to overdosing of patients or of other persons who have no opiate tolerance. Also, prescribed Methadone may be found on the illegal market and lead to discredit of substitution treatment. , 1994). Take away doses of Methadone should not replaced if claimed to be lost.

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