Addiction Medicine: Closing the Gap between Science and Practice

The comprehensive assessment should result in a treatment plan that is developed in concert with the patient by a physician with ...

smoking and maintain their abstinence.* 28 Alcohol and Other Drugs. Some patients with addiction involving alcohol and other dru ...

threatening.* 43 These withdrawal symptoms can be more severe in persons who have undergone prior multiple episodes of alcohol w ...

trazadone to treat insomnia.^63 Detoxification also can be achieved using specific medically- prescribed opioids that have less ...

benzodiazepines to experience significant withdrawal symptoms lasting between 10 and 14 days,^79 and symptoms can persist for fo ...

Table 5.1 Food and Drug Administration (FDA) Approved and Promising Pharmaceutical Therapies and the Types of Substances They Ad ...

Pharmaceutical agents for addiction treatment may work via one of the following mechanisms of action or by a combination of thes ...

is associated with better treatment retention rates.^103 Acamprosate generally is safe to use, as it does not appear to have a p ...

Clonidine (brand name Catapres), a medication normally used to lower blood pressure, may reduce withdrawal symptoms and assist i ...

standard dose of disulfiram reported significantly fewer drinking days than their peers over the course of a year.^140 One expla ...

Research indicates that varenicline use, compared with a placebo, can significantly increase a patient’s chances of attaining co ...

prevent addiction and should be used in conjunction with other therapeutic approaches.^178 A cocaine vaccine also has been devel ...

treatment is most common;^198 however, one study found that an extended course of treatment--24 weeks--improves outcomes.^199 Un ...

be obtained only through specially-licensed treatment programs.* 218 Buprenorphine. Buprenorphine is used in the treatment of ad ...

Psychosocial Therapies .............................................................................................. Psychosoci ...

Cognitive Behavioral Therapy (CBT). Cognitive Behavioral Therapy (CBT) involves training in social skills, self-control and stre ...

with other interventions, such as the community reinforcement approach (CRA).* 268 Behavioral Couples/Family Therapy. Couples- a ...

they need to avoid relapse over the longer term.^283 Forms of pharmaceutical therapy other than NRT, such as antidepressants, al ...

involving both opioids and cocaine fared better if they were randomly assigned to receive bupropion versus placebos and CM versu ...

likely than those who did not exercise to have relapsed.^313 Chronic Disease Management ........................................ ...