Question

medical management for substance Abuse

Answer 1

ANSWER :

MEDICAL MANAGEMENT OF SUBSTANCE ABUSE :

OPIOD ABUSE :

• Naltrexone : It is the drug of choice because of minimal side effects
• Lack of addiction
• Ease of administration
• It act by blocking the activation of opiod receptors in the brain
• Naloxone is an antidote to opiod overdose and it actively reverse the narcotic effects of opiod agonist drugs.
• Beclofen:Used to treat muscle spasticity and used as maintenance drug for opiod dependence.

ALCOHOL ABUSE :

• Vivitrol : Injectable form of Naltrexone.It is administered via injection once a month
• Disulfiram :It acts by blocking the activity of enzymes which are useful for ethanol metabolism.
• Acamprosate: It protects the brain from over excitation which occurs due to withdrawl of alcohol by disrupting the excitatory and inhibitory signals- which can promote abstinence of alcohol.
• Gabapentine :Reduces alcohol withdrawl symptoms.

COCAINE ABUSE :

• Modafinil :It is CNS stimulant and promotes alertness.Used in cocaine dependence.
• Carbamazepine : It is anticonvulsant.

NICOTINE ABUSE :

• Bupropion:It is norepinephrine- dopamine reuptake inhibitor antidepressent.
• Used in cessation of smoking.