Narcotics Addict

Detoxification of and temporary maintenance of narcotic addiction (methadone)... 

Naloxone is contraindicated in those with a hypersensitivity to the narcotic antagonists. Naloxone is used cautiously in those with a narcotic addiction. Naloxone... 

Naltrexone is used to treat persons dependent on opioids. Fhtients receiving naltrexone have been detoxified and are enrolled in a program for treatment of narcotic addiction. Naltrexone, along with other methods of treatment (counseling, psychotherapy), is used to maintain an opioid-free state Fhtients taking naltrexone on a... 

Naltrexone is contraindicated in those with a hypersensitivity to the narcotic antagonists. Naltrexone is contraindicated during pregnancy (Category C). Naltrexone is used cautiously in those with a narcotic addiction in patients with cardiovascular disease, acute hepatitis, liver failure, or depression and in patients who are suicidal. Naltrexone is used cautiously during lactation. 

Educating the Patient and Famiiy The nurse instructs patients under treatment for narcotic addiction to wear or carry identification indicating that they are receiving naltrexone If the patient is taking naltrexone and requires hospitalization, it is important that all medical personnel be aware of therapy with this drug. Narcotics administered to these patients have no effect and therefore do not relieve pain. Fhtients receiving naltrexone may pose a problem if they experience acute pain. The primary health care provider must decide what methods must be used to control pain in these patients. 

When given a narcotic analgesic for acute pain, a patient taking naltrexone for narcotic addiction... 

Bale RN, Zarconc VP, VanStone WW, et al Three therapeutic communities a prospective controlled study of narcotic addiction treatment process and two-year follow-up results. Arch Gen Psychiatry 41 185—191, 1984 Ball JC, Ross A The Effectiveness of Methadone Maintenance Treatment. New York, Springer-Verlag, 1991... 

Dole VP Implications of methadone maintenance for theories of narcotic addiction. JAMA 260 3025-3029, 1988... 

Blinick G, Wallach RC and Jerez E (1969). Pregnancy in narcotic addicts treated by medical withdrawal. American Journal of Obstetrics and Gynecology, 105, 997. 

Khantzian EJ and Treece C (1985). DSM-III psychiatric diagnosis of narcotic addicts. Recent findings. Archives of General Psychiatry, 42(11), 1067-1071. 

Narcotic addiction Blockade of the effects of exogenously administered opioids. A/co/ o//s/t . Treatment of alcohol dependence. 

Reactions associated with treatment of narcotic addiction include difficulty sleeping, anxiety, nervousness, headache, low energy, irritability, increased energy, dizziness, abdominal cramps/pain, nausea, vomiting, loss of appetite, diarrhea, constipation, joint/muscle pain, delayed ejaculation, decreased potency, skin rash, chills, and increased thirst. 

Pain/Detoxification - For relief of severe pain detoxification and temporary maintenance treatment of narcotic addiction (except dispersible tablets and certain oral concentrates see product table). 

Narcotic-dependent patients Because of the narcotic antagonist activity of buprenorphine, use in physically dependent individuals may result in withdrawal effects. Buprenorphine, a partial agonist, has opioid properties that may lead to psychic dependence because of a euphoric component of the drug. The drug may not be substituted in acutely dependent narcotic addicts because of its antagonist component. 

Deaths, cardiac and resp have been reported during initiation and conversion of pain pts to methadone Tx from Tx w/ other opioids Uses Severe pain detox w/ maint of narcotic addiction Action Narcotic analgesic Dose Adults. 2.5-10 mg IM q3-8h or 5-15 mg PO q8h titrate as needed Feds. 0.7 mg/kg/24 h PO or IM -s- q8h T slowly to avoid resp depression X in renal impair Caution [B/D (prolonged use/high doses at term), + (w/ doses =/> 20 mg/24 h)], severe liver Dz Disp Tabs, inj SE Resp depression, sedation, constipation, urinary retention, T QT interval, arrhythmias Interactions T Effects W/ cimetidine, CNS depressants, protease inhibitors EtOH T effects OF anticoagulants, antihistamines, barbiturates, glutethimide, methocarbamol ... 

Nurco, D. (1999) Early deviance and related risk factors in the children of narcotic addicts. American... 

Narcotic addiction IM, PO 15-40 mg once daily or as needed. Reduce dose at 1- to 2-day intervals based on patient response. Maintenance Individualized. 

When used for the treatment of narcotic addict ion in detoxification or maintenance programs, can only be dispensed by approved hospital pharmacies, approved community pharmacies, and maintenance programs approved by the Food and Drug Administration and the designated state authority... 

Narcotic addiction (10%-5%) Insomnia, anxiety, nervousness, headache, low energy, abdominal cramps, nausea, vomiting, arthralgia, myalgia Occasional... 

Narcotic addiction (5%-2%) Irritability, increased energy, dizziness, anorexia, diarrhea or constipation, rash, chills, increased thirst... 

Newman RG Whitehill WB (1979). Doubleblind comparison of methadone and placebo maintenance treatments of narcotic addicts in Hong Kong. Lancet, 2, 485-8... 

Vaillant, G.E. (1973) A twenty year follow-up of New York narcotic addicts , Archives of General Psychiatry 29 237-41. 

Levy, B. (1972) Five years after a follow up of fifty narcotic addicts , American Journal of Psychiatry, 7 102-6. 

Drug abuse—Treatment. 2. Narcotic addicts— mental health services. 3. Community mental health services. I. Bennett, Gerald 1951-... 

Oral 10 mg/mL solution. Note Orphan drug approved only for the treatment of narcotic addiction. Levorphanol (generic, Levo-Dromoran)... 

Vaillant, George E. 1966. "A Twelve-Year Follow-up of New York Narcotic Addicts. I. The Relation of Treatment to Outcome." American journal of Psychiatry 22 727-37. 

Wolpe, Joseph, G. Groves, and S. Fisher. 1980. "Treatment of Narcotic Addiction by Inhibition of Craving Contending with a Cherished Habit." Comprehensive Psychiatry 21 308-16. 

O Donnell, John A. 1965. "The Relapse Rate in Narcotic Addiction A Critique of Follow-Up Studies." In Narcotics, edited by Daniel M. Wilner and Gene G. Kassebaum. New York McGraw-Hill. 

As early as 1874, Connecticut passed a law providing for treatment of narcotics addicts. New York established civil commitment procedures for narcotics addicts in 1909 but did not provide treatment facilities. Although California authorized a state hospital for narcotics addicts in 1927, states in general were slow to provide facilities even when authorized by law. 

This statute, therefore, is not one which punishes a person for the use of narcotics, for their purchase, sale or possession, or for antisocial or disorderly behavior resulting from their administration. It is not a law which even purports to provide or require medical treatment. Rather, we deal with a statute which makes the status of narcotic addiction a criminal offense, for which the offender may be prosecuted at any time before he reforms. California has said that a person can be continuously guilty of this offense, whether or not he has ever used or possessed any narcotics within the State, and whether or not he has been guilty of any antisocial behavior there. 

The Court found that a law criminalizing the status of being a narcotics addict was likewise unconstitutional, amounting to cruel and unusual punishment. ... 

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