ITEMS IN AFP WITH KEYWORD:

Substance Abuse

Jul 15, 2018 Issue
Stimulant and Designer Drug Use: Primary Care Management [Article]

Approximately 10% of the U.S. population 12 years and older reported using illicit substances in 2015. This article reviews the clinical effects and treatment of persons who use cocaine, methamphetamines, 3,4-methylenedioxymethamphetamine (MDMA), synthetic cannabinoids, and synthetic cathinones (“bath salts”).


Jul 15, 2018 Issue
Counseling Parents and Adolescents About Marijuana [Editorials]

Physicians are increasingly likely to be asked by adolescents or their parents whether recreational marijuana use is safe. Although many adults view marijuana as benign, there are major concerns about its use in adolescents because all illicit drug use, including marijuana, may have negative consequences.


Jun 15, 2018 Issue
Injectable Extended-Release Naltrexone Effective for Opioid Use Disorder [POEMs]

Injectable extended-release naltrexone administered every four weeks is similar in efficacy to daily oral buprenorphine/naloxone for the treatment of opioid use disorder. Patients using extended-release naltrexone reported higher satisfaction with treatment and were more likely to recommend it to others.


May 15, 2018 Issue
Implantable Buprenorphine (Probuphine) for Maintenance Treatment of Opioid Use Disorder [STEPS]

Implantable buprenorphine is an expensive alternative for patients on a stable dosage of transmucosal buprenorphine. Based on current research and guidance, implantable buprenorphine should not be used as initial treatment for opioid dependence or as a substitute for medication-assisted treatments other than transmucosal buprenorphine.


Mar 1, 2018 Issue
Buprenorphine Therapy for Opioid Use Disorder [Article]

Get the DSM-5 updates on opioid use disorder, and find out whether you meet the criteria for a waiver to prescribe buprenorphine for maintenance therapy in the office setting.


Mar 1, 2018 Issue
Treating Opioid Use Disorder as a Family Physician: Taking the Next Step [Editorials]

An AHRQ review showed that there are different ways in which buprenorphine-based MAT can be safely and effectively delivered in primary care settings.


Nov 1, 2017 Issue
Interventions for Tobacco Cessation in Patients Being Treated for or Recovering from Substance Use Disorders [Cochrane for Clinicians]

Pharmacotherapy alone and pharmacotherapy plus counseling are effective for tobacco cessation among patients being treated for or recovering from alcohol and substance use disorders. Counseling interventions without pharmacotherapy are not effective for tobacco cessation among patients in treatment for or recovery from substance use disorders.


Sep 15, 2017 Issue
How Family Physicians Can Combat the Opioid Epidemic [Editorials]

Family physicians must commit to responsible prescribing of opioid medications. The decision to initiate opioid therapy should be a careful and deliberate one, especially in patients who are at risk of addiction.


Apr 1, 2017 Issue
Chronic Pain Management and Opioid Misuse: Guidance for Family Physicians [Editorials]

Family physicians are committed to advancing population and community health, and we must take the lead in reducing opioid misuse and overdose before outside entities mandate practice strategies that may not be patient-centered.


Apr 1, 2017 Issue
Management of Chronic Pain and Opioid Misuse: A Position Paper from the AAFP [Practice Guidelines]

Overprescribing, misuse, diversion, and dependence on opioids have occurred as a result of external pressures, physician behavior, inadequate evidence, and pharmacologic development. Family physicians could play an important role in alleviating these problems; therefore, the American Academy of Fami...


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