Opiate dependence: Difference between revisions
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In [[medicine]], '''opiate dependence''' is [[dependency]], both both physiological and emotional, upon [[opioid | In [[medicine]], '''opiate dependence''' is [[dependency]], both both physiological and emotional, upon [[opioid analgesic]]s.<ref>{{MeSH}}</ref> | ||
==Treatment== | ==Treatment== | ||
Opioid agonist therapy includes [[buprenorphine]] and [[methadone]]. Although [[buprenorphine]]–[[naloxone]] may be less effective than [[methadone]]<ref name="pmid15677600">{{cite journal| author=Schottenfeld RS, Chawarski MC, Pakes JR, Pantalon MV, Carroll KM, Kosten TR| title=Methadone versus buprenorphine with contingency management or performance feedback for cocaine and opioid dependence. | journal=Am J Psychiatry | year= 2005 | volume= 162 | issue= 2 | pages= 340-9 | pmid=15677600 | Opioid agonist therapy includes [[buprenorphine]] and [[methadone]]. Although [[buprenorphine]]–[[naloxone]] may be less effective than [[methadone]]<ref name="pmid15677600">{{cite journal| author=Schottenfeld RS, Chawarski MC, Pakes JR, Pantalon MV, Carroll KM, Kosten TR| title=Methadone versus buprenorphine with contingency management or performance feedback for cocaine and opioid dependence. | journal=Am J Psychiatry | year= 2005 | volume= 162 | issue= 2 | pages= 340-9 | pmid=15677600 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=15677600 | doi=10.1176/appi.ajp.162.2.340 }} [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=16246888 Review in: Evid Based Ment Health. 2005 Nov;8(4):112] | | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=15677600 | doi=10.1176/appi.ajp.162.2.340 }} [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=16246888 Review in: Evid Based Ment Health. 2005 Nov;8(4):112]</ref>, it has more predictable dosing<ref name="pmid15720937">{{cite journal| author=Simoens S, Matheson C, Bond C, Inkster K, Ludbrook A| title=The effectiveness of community maintenance with methadone or buprenorphine for treating opiate dependence. | journal=Br J Gen Pract | year= 2005 | volume= 55 | issue= 511 | pages= 139-46 | pmid=15720937 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=15720937 | pmc=PMC1463190 }} | | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=15720937 | pmc=PMC1463190 }}</ref>, and can be prescribed by qualifying office-based physicians.<ref name="pmid18458279">{{cite journal| author=Sullivan LE, Fiellin DA| title=Narrative review: buprenorphine for opioid-dependent patients in office practice. | journal=Ann Intern Med | year= 2008 | volume= 148 | issue= 9 | pages= 662-70 | pmid=18458279 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=18458279 }} | | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=18458279 }}</ref> | ||
Advice for the treatment of acute [[pain]] among patients on chronic [[methadone]] or [[buprenorphine]] is available.<ref name="pmid16418412">{{cite journal |author=Alford DP, Compton P, Samet JH |title=Acute pain management for patients receiving maintenance methadone or buprenorphine therapy |journal=Ann. Intern. Med. |volume=144 |issue=2 |pages=127–34 |year=2006 |pmid=16418412 |doi= |url=http://www.annals.org/cgi/content/full/144/2/127 |issn=}}</ref> | Advice for the treatment of acute [[pain]] among patients on chronic [[methadone]] or [[buprenorphine]] is available.<ref name="pmid16418412">{{cite journal |author=Alford DP, Compton P, Samet JH |title=Acute pain management for patients receiving maintenance methadone or buprenorphine therapy |journal=Ann. Intern. Med. |volume=144 |issue=2 |pages=127–34 |year=2006 |pmid=16418412 |doi= |url=http://www.annals.org/cgi/content/full/144/2/127 |issn=}}</ref> | ||
Latest revision as of 08:56, 5 May 2011
In medicine, opiate dependence is dependency, both both physiological and emotional, upon opioid analgesics.[1]
Treatment
Opioid agonist therapy includes buprenorphine and methadone. Although buprenorphine–naloxone may be less effective than methadone[2], it has more predictable dosing[3], and can be prescribed by qualifying office-based physicians.[4]
Advice for the treatment of acute pain among patients on chronic methadone or buprenorphine is available.[5]
References
- ↑ Anonymous (2024), Opiate dependence (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Schottenfeld RS, Chawarski MC, Pakes JR, Pantalon MV, Carroll KM, Kosten TR (2005). "Methadone versus buprenorphine with contingency management or performance feedback for cocaine and opioid dependence.". Am J Psychiatry 162 (2): 340-9. DOI:10.1176/appi.ajp.162.2.340. PMID 15677600. Research Blogging. Review in: Evid Based Ment Health. 2005 Nov;8(4):112
- ↑ Simoens S, Matheson C, Bond C, Inkster K, Ludbrook A (2005). "The effectiveness of community maintenance with methadone or buprenorphine for treating opiate dependence.". Br J Gen Pract 55 (511): 139-46. PMID 15720937. PMC PMC1463190.
- ↑ Sullivan LE, Fiellin DA (2008). "Narrative review: buprenorphine for opioid-dependent patients in office practice.". Ann Intern Med 148 (9): 662-70. PMID 18458279.
- ↑ Alford DP, Compton P, Samet JH (2006). "Acute pain management for patients receiving maintenance methadone or buprenorphine therapy". Ann. Intern. Med. 144 (2): 127–34. PMID 16418412. [e]