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Drugs used to facilitate withdrawal?
- Benzodiazepines, and adjuncts to benzodiazepines (if over comsume).
- Benzodiasepines: Chlordiazepoxide (librium, others), Diazepam (valium) common, lorazepam (ativan) common.
- Adjuncts to benzodiazepines: carbamazepine (antiepilectic drug), clinidine (alpha-adrenergic blocker), atenolol and propranolol (B-adrenergic blockers).
Drugs used to maintain abstinence? Aversion therapy? Other drugs?
- Disulfiram (antabuse). This drug is given to someone that has a problem n can't stop.
- AT: refrain from drinking -- unpleasant effects from alcohol -- pts must be thoroughly informed to avoid all forms of alcohol.
- Naltrexone (revia): decrease craving and blocks alcohol's pleasurable effects (PO and IM).
- Acamprosate (campral): reduces unpleasant feeling brought on by abstinence.
- Topiramate (topamax): reduces craving for alcohol.
- Ondansetron (zofran): to help w nausea.
What are the most effective treatment for smoking cessation?
- Varenicline alone, nicotine patch, PRN nocotine nasal spray or nicotine gum.
- Nicotine patch: Nicotrol and nicoderm CQ.
- Nicotine gum: Nicorette
- Nicotine lozenge: Commit
- Nicotine nasal spray: Nicotrol NS
- Nicotine inhaler: Nicotrol inhaler
Nicotine free products: Verenicline (chantix), Bupropion (zyban).
- Second-line agents (when pts are gaining weight or other)
- Nortriptyline (aventyl, pamelor), and clonidine (catapres).
Controlled substances and examples?
- Schedule I: No medical or clinical use (heroin, LSD), marijuana, ecstasy.
- schedule II: high potential for abuse (Narcotics and opiods like Dilaudid, methadone, Demerol, oxycodone, morphine, opium, and codeine.
- Schedule III: less potential for abuse (Vicodin, tylenol w codeine, and others)
- Schedule IV: benzos.
- Schedule V: less potent opiods (Robitussin, phenergan w codeine, ezogabine.
Marijuana increases production of? TE?
- Prostaglandin E2.
- TE: Antiemetic, appetite stimulant, neuropathic pain.
whats in an urine drug testing?
- Alcohol (less than 1 day)
- amphetamines (up to 1 day)
- barbiturates (up to 1 day)
- Benzodiazepines (up to 2 days)
- cocaine (up to 2 days)
- methadone (up to 3 days)
- Marijuana (single use up to 6 days, chronic use up to 29 days)
- Opioids (short acting up to 1 day)
- Phencyclidine (up to 6 days)
- Phenobarbital (up to 6 days)