Substance Misuse
5 important questions on Substance Misuse
Substitute prescribing for Heroin
Methadone is the liquid
This is a full agonist with a longer half-life. Therefore, the withdrawal will be longer but milder.
While try to detox over months, sometimes long-term is needed for maintenance.
Buprenorphine is the sublingual tablet.
It is a partial agonist and blocks the euphoric effects of heroin.
Effects of Ecstasy (MDMA)
Cross between stimulant and hallucinogen.
Use is confined to weekends.
Sense of empathy and closeness to others
Chatty
Dance relentlessly
Bruxism
Nausea
Vomiting
Sweating
Can die from hyperthermia and dehydration
Local complications of IV Drug Use
Cellulitis
DVT (valves are damaged)
Emboli
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Systemic complications of IV Drug Use
Infective endocarditis
Blood-borne infections
Increased risk of overdose
Effects of mixing Benzos and Alcohol
Less control over movements
Depression of the autonomic nervous system so leads to respiratory depression.
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