By John B. Saunders et al.
Substance use and comparable addictive issues expense among the head 4 hazard elements contributing to the worldwide burden of affliction and shape an more and more vital a part of clinical and healthcare perform. Substance use problems may cause, mimic, underlie or complicate a great number of universal clinical and psychiatric problems. creating a right analysis of the substance use ailment can facilitate medical prognosis, stay away from pointless exams, shorten clinic remain and make the clinician and patient's lifestyles more uncomplicated and safer.
Part of the profitable Oxford professional Handbooks sequence, the second one variation of Addiction Medicine is a concise and useful consultant for college kids, practitioners of drugs and different healthiness professions who come into touch with individuals with substance use problems. offering updated useful evaluate, prognosis, therapy and administration recommendations, this version expands at the first version via up to date content material and worldwide assurance of habit medicine.
Edited by way of an international workforce of skilled psychiatrists really expert in addictions, Addiction drugs, moment edition includes every thing you want to recognize to aid within the evaluation, analysis and medical administration of sufferers with substance use and similar addictive disorders.
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Additional resources for Addiction medicine
You’ve Got Drugs! V: Prescription Drug Pushers on the Internet. A CASA White Paper, National Center on Addiction and Substance Abuse (CASA). New York, NY: Columbia University. org/ addiction-r esearch/r eports/youve-got-drugs-perscription-drug-p ushers-internet-2008 Degenhardt L, Whiteford H, Ferrari AJ, et al. (2013). The global burden of disease attributable to illicit drug use and dependence: results from the GBD 2010 study. Lancet 382:1564–74. European Monitoring Centre for Drugs and Drug Addiction (EMCDDA).
Different member states have pursued ‘drug wars’ and prohibition with criminal sanctions with different degrees of enthusiasm. In the US, the war on drugs ushered in during the Reagan administration has been credited with an astonishing rise in rates of imprisonment, especially of ethnic minority groups. The last 50 years has seen opposite trends in relation to policy-making for the two most common legally available drugs: alcohol and tobacco. e. fines Medical certification Government authority Profitability Supply Illicit drug dealers Dealers or home grown Approved doctors Licensed sellers Internet sales Examples of substances Heroin, UN members Cannabis, parts of EU, Argentina Opioids, OECD Tobacco, OECD Designer drugs Alternatives examples Alcohol in some Islamic countries Use of tobacco in public spaces in many OECD countries ‘Medical marijuana’ in Canada and parts of US Swedish government alcohol monopoly Highly caffeinated drinks, most countries Impacts on use and harm Concentrates use to high risk settings and users Limited impact on level of use, reduces harm from criminalization Depends on effectiveness of controls on suppliers Powerful levers for controlling use and harm Maximizes levels of use and related harm EU, European Union; OECD, Organization for Economic Cooperation and Development; UN, United Nations.
Users with a history of other drug and mental health problems may be at greater risk of developing dependence. • There has been concern about associations between psychostimulant use and HIV risk via risky sexual behaviour. Both route of administration and forms used are important factors affecting the nature and extent of associated harms. • The increase in use of the crystalline form of methamphetamine, for example, has been associated with increased problems related to dependent and binge patterns of use.