By Eliezer Soto MD, Joy Hao MD, PhD (auth.), Ricardo A. Cruciani, Helena Knotkova (eds.)
Methadone and buprenorphine are the single opioids which are indicated for the administration of either soreness and opioid-related drug dependancy. either current distinct demanding situations to the final practitioner and ache expert, requiring a separate research from the remainder of the medicine within the similar family.
Handbook of Methadone Prescribing and Buprenorphine remedy is a useful advisor to the secure use of those opioids. Authored by means of medical and educational leaders from numerous settings and backgrounds, this e-book comprises chapters on pharmacology, adversarial results, secure rotation from different opioids, cardiac toxicity, prescribing, pharmacokinetics, equianalgesic dose and alternative therapy.
This accomplished textual content presents clinicians, researchers, policy-makers and academicians a source for all of the proper issues in methadone prescribing and buprenorphine therapy.
Read or Download Handbook of Methadone Prescribing and Buprenorphine Therapy PDF
Similar therapy books
Fire Your Therapist: Why Therapy Might Not Be Working for You and What You Can Do about It
Construct the lifestyles you will have with the strong substitute to therapy
"This is a great ebook approximately you attaining height functionality, larger stability, and good fortune. examine it as your personal own advisor to getting from strong to nice on your existence. Dr. Siegler really does what many earlier than have got down to accomplish-bright, formidable humans of every age now have a confirmed route to transformation. "
—Stewart Emery, coauthor of the foreign bestsellers good fortune outfitted to final and Do You Matter?
"Dr. Siegler possesses the traits of the easiest catalysts for profound swap: readability, compassion, and the braveness to work out every one patron with fresh eyes. This ebook is the fundamental advisor for locating your manner during the complicated thicket of self-mastery strategies. "
—Raphael Cushnir, writer of the single factor conserving You again and browsing Your internal Sea
"Finally, a brand new paradigm-that is fresh, bold, leading edge, and client-centric-that can yield the lifestyles and profession you will have. With fireplace Your Therapist, Dr. Siegler ushers in a brand new period of self-improvement. "
—Josh Baran, writer of The Tao of Now
"Dr. Siegler stocks the client-centered, goal-directed philosophy of answer targeted remedy and broadens it. should you need to make an informed selection approximately tips on how to in achieving the lifestyles they need, he anticipates and solutions your questions in a accomplished and maintaining demeanour. "
—Eve Lipchik, codeveloper of answer targeted remedy and writer of past approach in answer targeted Therapy
Feel like remedy isn't operating for you? want there have been a greater method to in attaining your targets? fireplace Your Therapist introduces a brand new, holistic method of growing the existence you will have. in accordance with Dr. Siegler's groundbreaking Spheres of lifestyles training process, this booklet explains tips on how to movement past the "talking cure" of conventional remedy to a extra artistic, results-oriented method of accomplishing your objectives. You'll be encouraged by way of the reports of consumers who've benefited from Dr. Siegler's confirmed methods.
Fire Your Therapist is the fundamental step by step advisor for someone who desires to create a extra winning lifestyles.
Psychotherapy after Brain Injury: Principles and Techniques
This ebook provides hands-on instruments for addressing the a number of ways in which mind harm can have an effect on mental functioning and wellbeing and fitness. the writer is a pacesetter within the box who interprets her wide medical event into uncomplicated but versatile instructions that therapists can adapt for various demanding situations and settings.
Recent Progress in the Study and Therapy of Brain Edema
This factor comprises the complaints of the newest Inter nationwide Symposium on mind Edema, the fifth in a sequence of confer ences beginning 1965 in Vienna. The ever considering expanding curiosity during this box would possibly not in simple terms consequence from the truth that - in medical phrases - the matter isn't solved but, but additionally from the various interesting physiological and biochemical questions closing.
Das Unsterblichkeits-Enzym: Die Umkehrung des Alterungsprozesses ist möglich
Die jüngsten Nachrichten aus der medizinisch-biologischen Forschung sind aufregend, ja sensationell: Der Menschheitstraum vom Jungbrunnen - er kann Wirklichkeit werden. Denn durch die sogenannte Telomerase-Induktion kann die Lebensuhr neu eingestellt, immer wieder neu aufgezogen werden. Wir sind der Möglichkeit, bei guter Gesundheit weit über hundert Jahre alt zu werden, ein Stückchen näher gerückt.
- Antiepileptic drugs: combination therapy and interactions
- The Scientific Basis of Drug Therapy in Psychiatry. Proceedings of a Symposium Held at St. Bartholomew's Hospital, London
- The courage to love: principles and practices of self-relations psychotherapy
- The Scientific Basis of Drug Therapy in Psychiatry. Proceedings of a Symposium Held at St. Bartholomew's Hospital, London
- Cognitive-Behavioral Therapies for Trauma 2nd Edition
Additional resources for Handbook of Methadone Prescribing and Buprenorphine Therapy
Example text
Similarly, no evidence of relapse was seen in patients receiving methadone maintenance who received opioid analgesics for cancer-related pain [11]. In fact, relapse prevention theories would suggest that the stress associated with unrelieved pain is more likely to be a trigger for relapse than adequate analgesia. In one study patients receiving methadone maintenance therapy stated that pain played a substantial role in their initiating and continuing illicit opioid use [12]. A third concern is that the addition of opioid analgesics to methadone maintenance will cause severe respiratory or CNS depression.
Other medications may induce enzyme activity, accelerate its breakdown, increase its rate of clearance, lower the SML, and possibly precipitate an abstinence (withdrawal) syndrome or inhibit this enzyme system, slowing methadone metabolism, raising the SML, and possibly causing methadone toxicity from oversedation and/or respiratory depression [31]. Medications that alkalinize the urine (bicarbonate) decrease the rate of methadone excretion and medications that acidify the urine (vitamin C) increase the rate of excretion.
Therefore, cross-tolerance between methadone used for treating opioid dependence and other opioids used for analgesia may explain why these patients often require higher and more frequent doses of opioid analgesics to achieve adequate pain control. A second concern is that the use of opioid analgesics in patients receiving methadone maintenance may result in relapse to illicit opioid use. There is no evidence that exposure to opioid analgesics in the presence of pain increases rates of relapse in such patients.
