Evaluation of Ongoing Oxycodone Abuse Among Methadone-Maintained Patients

Dunn, Kelly E.; Sigmon, Stacey C.; McGee, Mark R.; Higgins, Stephen T.

doi:10.1037/e510702007-001

Cited by 2 publications

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“…Objective monitoring of drug use has become a standard of care among those dependent on illicit drugs: 82% of nearly 14,000 U.S. drug abuse treatment facilities report that they perform some level of drug or alcohol screening (Substance Abuse and Mental Health Services Administration, 2006). Ultimately the frequency of testing will depend on many factors, including but not limited to the patient population, local patterns of drug use, the types of drug testing used, the type of treatment provided, and the availability of staff and other treatment facility resources (e.g., Dunn et al, 2008). …”

Section: Nida’s Principles Of Drug Addiction Treatmentmentioning

confidence: 99%

An overview of principles of effective treatment of substance use disorders and their potential application to pregnant cigarette smokers

Heil

Scott

Higgins

2009

Drug and Alcohol Dependence

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Cigarette smoking remains a leading preventable cause of poor pregnancy outcomes and infant morbidity and mortality. Despite three decades of research encompassing more than 60 trials and 20,000 pregnant women, cessation rates produced by existing interventions are often low (< 20%), especially among socioeconomically disadvantaged women. This has led to a call for the development and testing of novel interventions. One strategy for identifying novel interventions for pregnant smokers is to examine efficacious interventions for other types of substance use disorders (SUDs). Pregnant smokers share many sociodemographic similarities with other sub-populations of individuals with SUDs, suggesting that interventions efficacious with the latter may also benefit the former. The National Institute on Drug Abuse's guide, "Principles of Drug Addiction Treatment: A Research-based Guide", presents empirically validated principles of effective treatments for other SUDs. The present report enumerates these principles, briefly describes some of the empirical evidence supporting them, and explores their potential application to the treatment of smoking during pregnancy. Overall, the results of this exercise suggest much promise for enhancing treatment outcomes for pregnant smokers by borrowing from and extending what has been learned with other populations with SUDs.

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Section: Nida’s Principles Of Drug Addiction Treatmentmentioning

confidence: 99%

An overview of principles of effective treatment of substance use disorders and their potential application to pregnant cigarette smokers

Heil

Scott

Higgins

2009

Drug and Alcohol Dependence

Self Cite

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“…When patients who are ex-or current intravenous drug users present with severe pain it is often considered to be opiate seeking behaviour. 1 This may explain our patient's delay in presenting to secondary care and initial label as musculoskeletal chest pain in association with pneumonia despite the longer history of disabling symptoms. Clinicians should be aware that this, often difficult, group of patients to manage can have significant underlying diagnosis and opiate seeking behaviour should be a diagnosis by exclusion.…”

Section: Discussionmentioning

confidence: 90%

Non Hodgkin's lymphoma presenting with bone pain and no lymphadenopathy

Nelson

McKay

2009

Scott Med J

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A 40-year-old female who was an ex-intravenous drug user on methadone presented to the Emergency department reporting all over body pain and was subsequently found to have a diagnosis of non-Hodgkin's B cell lymphoma in the absence of lymphadenopathy. She did not respond to chemotherapy and pain management was difficult. This case demonstrates three things. Firstly, clinicians should be aware that ex-or current intravenous drug users presenting with pain may have significant pathology. Secondly, pain management in patients on methadone can be difficult. Lastly, the case describes an atypical but recognised presentation of lymphoma with bone involvement but no lymphadenopathy. Case historyA 40-year-old female presented to the Emergency department reporting all over body pain that was aching in nature and maximal at her hip and shoulder joints. The pain was so severe that she reported difficulty with breathing and being unable to mobilise. There was associated reduced appetite. She had a past medical history of intravenous heroin use but she had not injected for 2½ years and on admission was taking 120ml Methadone daily. She was known to be hepatitis C antibody positive, had an ileostomy for severe chronic constipation and had previously been diagnosed with severe depression. She smoked 15 cigarettes a day, did not drink alcohol and was unemployed. Her symptoms were so disabling in the month leading up to her admission that her family had been doing her housework and shopping.

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Evaluation of Ongoing Oxycodone Abuse Among Methadone-Maintained Patients

Cited by 2 publications

References 0 publications

An overview of principles of effective treatment of substance use disorders and their potential application to pregnant cigarette smokers

An overview of principles of effective treatment of substance use disorders and their potential application to pregnant cigarette smokers

Non Hodgkin's lymphoma presenting with bone pain and no lymphadenopathy

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