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Overdose can result in severe respiratory depression or collapse and death. The ethanol component can also induce adverse effects at higher doses; the side effects are the same as with alcohol. Long-term use of laudanum in nonterminal diseases is discouraged due to the possibility of drug tolerance and addiction.
It has also been found effective in the treatment of other addictions and may be used for them off-label. [12] An opioid-dependent person should not receive naltrexone before detoxification. [8] It is taken orally or by injection into a muscle. [8] Effects begin within 30 minutes, [8] though a decreased desire for opioids may take a few weeks ...
[109] [110] This approach is seen as ineffective without plans for transition to long-term evidence-based addiction treatment, such as opioid agonist treatment. [64] Though treatment reduces mortality rates, the first four weeks after treatment begins and the four weeks after treatment ceases are the riskiest times for drug-related deaths. [7]
Opioid agonist therapy (OAT) is a treatment in which prescribed opioid agonists are given to patients who live with opioid use disorder (OUD). [1] In the case of methadone maintenance treatment (MMT) , methadone is used to treat dependence on heroin or other opioids , and is administered on an ongoing basis.
This allows the body to adapt to the absence of drugs to reduce the withdrawal symptoms. The most commonly used strategy is to offer opioid drug users long-acting opioid drugs and slowly taper the dose of the drug. Methadone, buprenorphine-naloxone, and naltrexone are all commonly used medications for opioid use disorder. [19]
These drugs can be effective if treatment is maintained, but compliance can be an issue as patients with disordered alcohol use may forget to take their medication, or discontinue use because of excessive side effects. [30] [31] The opioid antagonist naltrexone has been shown to be an effective treatment for alcoholism, with the effects lasting ...
Methadone is an opioid commonly used for this kind of therapy. However, the selection of therapy should be tailored to each specific person. [32] Methadone also is used for detoxification in people who have opiate addiction, such as heroin or drugs similar to morphine. [32] It may be given orally or intramuscularly.
This is the only treatment available which can reverse the long-term after effects of opioid addiction known as post acute withdrawal syndrome, which otherwise tends to produce symptoms such as depression and anxiety that may lead to eventual relapse.
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