Historique
Périodique
Medical illness and comorbidities in drug users: implications for addiction pharmacotherapy treatment
(Pathologies organiques et comorbidité chez des usagers de drogue : implication pour la pharmacothérapie de l'addiction)
Auteur(s) :
DRAPER J. C. ;
McCANCE-KATZ, E. F.
Année
2005
Page(s) :
1899-1921
Langue(s) :
Anglais
Refs biblio. :
113
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
COMORBIDITE
;
PATHOLOGIE ORGANIQUE
;
PHARMACOTHERAPIE
;
MEDICAMENTS
;
INTERACTION CHIMIQUE
;
INFECTION
;
HEPATITE
;
IST
;
GROSSESSE
;
VIH
Note générale :
Substance Use and Misuse, 2005, 40, (13-14), 1899-1921
Note de contenu :
tabl.
Résumé :
ENGLISH :
Providing effective medical care to those with substance use disorders can be a challenge to clinicians. In this article, we briefly summarize issues that occur frequently in the medical treatment of substance users. The focus of this article is twofold. The first is to briefly summarize common co-occurring medical illnesses in those manifesting substance use disorders with an emphasis on issues related to providing effective treatment for these diseases in this population. Using specific examples of frequently occurring comorbid medical illness in substance users, including infectious diseases (hepatitis C and HIV disease), sexually transmitted diseases. and pregnancy as examples, the complexities of medical care for this population is demonstrated. Second, this article addresses some of the difficulties encountered in pharmacotherapy aimed specifically at treatment of substance use disorders. For example, difficulties in managing concomitant opiate therapy in those requiring medications for medical illness that may have strong and adverse interactions with opiates are addressed. Adverse events reported for some substance use disorder pharmacotherapies are also highlighted. We conclude with a brief review of models of care that have been effective in addressing the needs of this challenging population that carp provide additional means for enhancing the clinical care of substance users. (Editor's abstract.)
Affiliation :
Division of Addiction Psychiatry, Virginia Commonwealth University School of Medicine, Box 980109, Richmond, VA 23219. E-mail : emccancekatz@vcu.edu
Etats-Unis. United States.
Etats-Unis. United States.