ITEMS IN AFP WITH KEYWORD:

Substance Abuse

Jul 1, 2013 Issue
Uncommon Adverse Effects of Commonly Abused Illicit Drugs [Editorials]

Illicit drug use should be considered in the differential diagnosis of many clinical presentations, because the list of known deleterious effects is growing. There are an increasing number of case reports involving uncommon adverse effects of commonly abused illicit drugs.


Sep 15, 2012 Issue
Opioid Dependence [Clinical Evidence Handbook]

What are the effects of drug treatments for stabilization (maintenance), withdrawal, and relapse prevention in persons with opioid dependence?


Oct 1, 2011 Issue
Abuse of Over-the-Counter Medications Among Teenagers and Young Adults [Editorials]

In recent years, recognition of over-the-counter (OTC) medication abuse by patients—especially teenagers and young adults—has increased.1 Abuse is defined as the use of a drug to experience psychoactive effects instead of for its medical indication. OTC medications are easily abused because they are...


Mar 1, 2010 Issue
Urine Drug Screening: A Valuable Office Procedure [Article]

Urine drug screening can enhance workplace safety, monitor medication compliance, and detect drug abuse. Ordering and interpreting these tests requires an understanding of testing modalities, detection times for specific drugs, and common explanations for false-positive and false-negative results. E...


Sep 15, 2009 Issue
Screening for Illicit Drug Use [Putting Prevention into Practice]

Case study: An 18-year-old woman visits your office for routine prenatal care. She is in the first trimester of pregnancy and has had no notable medical problems. The physical examination is normal, and she expresses no concerns.


Sep 15, 2009 Issue
Screening for Illicit Drug Use: Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening adolescents, adults, and pregnant women for illicit drug use.


Feb 1, 2008 Issue
Adolescent Substance Use and Abuse: Recognition and Management [Article]

Screening for substance use is recommended for all adolescents. If screening is positive, physicians can conduct an in-depth evaluation or refer the patient to a subspecialist. Treatment involves multiple therapeutic components for the abuse and its comorbid disorders. Ongoing lethality assessment is essential.


Oct 15, 2007 Issue
Methamphetamine Abuse [Article]

Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with men. Methamph...


May 1, 2006 Issue
Managing Opioid Addiction with Buprenorphine [Article]

Legislation has enabled physicians to treat opioid-dependent patients with an office-based maintenance program using buprenorphine, a partial mu-opioid receptor agonist. Clinical studies indicate buprenorphine effectively manages opioid addiction. Buprenorphine is more effective than placebo for man...


Jun 1, 2004 Issue
Club Drugs: MDMA, Gamma-Hydroxybutyrate (GHB), Rohypnol, and Ketamine [Article]

Club drugs are substances commonly used at nightclubs, music festivals, raves, and dance parties to enhance social intimacy and sensory stimulation. The most widely used club drugs are 3,4-methylenedioxymethamphetamine (MDMA), also known as ecstasy; gamma-hydroxybutyrate (GHB); flunitrazepam (Rohypn...


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