medical management for substance Abuse

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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.

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