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The heroin and opioid abuse epidemic is hitting America hard with heroin use more than doubling in the past decade among young adults, according to the CDC. While the dire statistics tell the ...
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.
Heroin-assisted treatment (HAT), or diamorphine-assisted treatment, refers to a type of Medication-Assisted Treatment (MAT) [1] where semi-synthetic heroin is prescribed to opiate addicts who do not benefit from, or cannot tolerate, treatment with one of the established drugs used in opiate replacement therapy such as methadone or buprenorphine (brand name Subutex).
A major feature of opioid withdrawal is exacerbated noradrenaline release in the locus coeruleus. Alpha-2 adrenergic receptor agonists can be used to manage the symptoms of acute withdrawal. Lofexidine and clonidine are used for this purpose; both are considered to be equally effective, though clonidine has more side effects than lofexidine. [16]
Alprazolam and other benzodiazepines may also cause the development of physical dependence, tolerance, and benzodiazepine withdrawal symptoms during rapid dose reduction or cessation of therapy after long-term treatment.
Bartlett thinks one solution to the heroin epidemic might be a mandatory stint in a detox facility. After detox, the defendants would be brought back to his courtroom to discuss further treatment options. But when it was suggested that detoxing without medication can lead to overdoses, Bartlett came up short.
Long term, the best treatment involves the opioid medications methadone or buprenorphine in addition to offering counseling or therapy, all part of a harm reduction approach that meets patients ...
The money comes from the federal Substance Abuse and Mental Health Services Administration and goes to local organizations that offer prevention, harm reduction, treatment and long-term recovery ...
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