Hmm, let me see
Reverses the effects of Opioids and primarily used in the management of alcohol dependence.
What is Naltrexone?
Suppresses withdrawal symptoms
Gabapentin, clonidine, Imodium, Benadryl, etc.
Methadone
naltrexone
Buprenorphine
What are medications available for the treatment of Opioid Dependency
Hormones related to reward in substance use.
What are dopamine and serotonin?
Naltrexone and Vivitrol: Naloxone (Narcan) is a short acting drug which will bring a patient out of an opiate overdose by stripping the opiate from the opiate receptor and is a life saving drug. Naltrexone, a short acting opiate/alcohol blocking agent has been used for the last 30 years.
What is the difference between Naltrexone and Naloxone
Reduces opioid craving and withdrawal and blunts or blocks the effects of opioids. Only dispensed under a SAMHSA-certified treatment program.
What is methadone?
A deterrent medication that produces an unpleasant reaction when alcohol is ingested, including facial flushing, nausea, headache, vomitting, elevated blood pressure and pulse rate
Need 2+ days of abstinence prior to induction
What is Disulfiram (Antabuse)
Opioid antagonist which reverses Opioid overdoses. Effects are observed within 2 minutes of IV and nasal administration.
What is Naloxone (e.g. Narcan)?
When do symptoms of withdrawal peak in opioid use disorder?
What is 72 hours?
Generally speaking the it binds to a receptor and prevents it's activation
What is an Antagonist
A semi synthetic opioid which acts as a partial agonist of the opioid receptor and is available as oral, sublingual, injection (Sublocade), patch (Butrans) and intranasal spray.
What is Buprenorphine?
Blocks brain opiate receptors and lessens euphoria associated with alcohol use, makes alcohol use less rewarding; reduces craving
Oral Naltrexone (Revia, Depade)
Gum
Patch Lozenge
What is OTC Nicotine Addiction Medications
Who is your first point of contact when you have questions or concerns about recovery?
What is your counselor?
Generally speaking it activates the receptor site in most cases
What is an agonist
Combination of Naloxone and Buprenorphine
Can help prevent cravings
Minimum effect when taken orally
Becomes pharmacologically active and can precipitate withdrawal when taken intravenously
What is Suboxone?
A long acting (30 day) version of naltrexone. Used in alcohol treatment.
Vivitrol Injection
Nicotine Nasal Spray, Nicotine Inhaler, Bupropion (zyban) - Wellbutrin
Varenicline (Chantix)
What is prescription medication for nicotine use?
When should we wear our masks?
What is wearing mask in public?
Only "qualifying" physicians
Board certified in Addiction Psyciatry
ASAM or AOA certified
Buprenorphine Clinical Trial Investigator
8 hours of specific raining
have other training/clinial expericen that is considered comparable
Has a DEA Identified Number
Who can Prescribe?
Is an opioid substitution therapy that suppresses opiate withdrawal symptoms.
What are methadone and suboxone?
Suppresses alcohol carvings by rebalancing specific brain chemicals thrown out of balance by chronic and excessive alcohol consumption
Mostly eliminated thru kidneys, not liver
Indicated for the maintenance of abstinence in patients who are dependent on alcohol
What is Acamprosate (Campral)
Toxicology testing
pill/film counts
observed administration
use of prescription drug monitoring program
Treatment agreements should also be signed and updated periodically as treatment progresses
What is "Monitoring for Compliance"
What are ways to help with mood stability that do not involve medications?
What are coping mechanisms?
Pharmacotherapy in combination with counseling, behavioral therapies and/or recovery support services
What is Medication Assisted Treatment