A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3)
Agents that induce NARCOSIS. Narcotics include agents that cause somnolence or induced sleep (STUPOR); natural or synthetic derivatives of OPIUM or MORPHINE or any substance that has such effects. They are potent inducers of ANALGESIA and OPIOID-RELATED DISORDERS.
Medical treatment for opioid dependence using a substitute opiate such as METHADONE or BUPRENORPHINE.
Disorders related or resulting from abuse or mis-use of opioids.
Strong dependence, both physiological and emotional, upon heroin.
A narcotic analgesic with a long onset and duration of action.
A derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use.
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
Fetal and neonatal addiction and withdrawal as a result of the mother's dependence on drugs during pregnancy. Withdrawal or abstinence symptoms develop shortly after birth. Symptoms exhibited are loud, high-pitched crying, sweating, yawning and gastrointestinal disturbances.
A narcotic analgesic that may be habit-forming. It is a controlled substance (opium derivative) listed in the U.S. Code of Federal Regulations, Title 21 Parts 329.1, 1308.11 (1987). Sale is forbidden in the United States by Federal statute. (Merck Index, 11th ed)
Detection of drugs that have been abused, overused, or misused, including legal and illegal drugs. Urine screening is the usual method of detection.
Pyrrolidines are saturated, heterocyclic organic compounds containing a five-membered ring with four carbon atoms and one nitrogen atom (NRCH2CH2), commonly found as structural components in various alkaloids and used in the synthesis of pharmaceuticals and other organic materials.
Accidental or deliberate use of a medication or street drug in excess of normal dosage.
The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.
A narcotic analgesic structurally related to METHADONE. Only the dextro-isomer has an analgesic effect; the levo-isomer appears to exert an antitussive effect.
Abuse, overuse, or misuse of a substance by its injection into a vein.
Agents inhibiting the effect of narcotics on the central nervous system.
Drugs obtained and often manufactured illegally for the subjective effects they are said to produce. They are often distributed in urban areas, but are also available in suburban and rural areas, and tend to be grossly impure and may cause unexpected toxicity.
Disorders related to substance abuse.
Physiological and psychological symptoms associated with withdrawal from the use of a drug after prolonged administration or habituation. The concept includes withdrawal from smoking or drinking, as well as withdrawal from an administered drug.
Disorders related or resulting from use of cocaine.
The air-dried exudate from the unripe seed capsule of the opium poppy, Papaver somniferum, or its variant, P. album. It contains a number of alkaloids, but only a few - MORPHINE; CODEINE; and PAPAVERINE - have clinical significance. Opium has been used as an analgesic, antitussive, antidiarrheal, and antispasmodic.
Oxidoreductases, N-Demethylating are enzymes that catalyze the oxidation of N-methyl groups to carbonyl groups, typically found in xenobiotic metabolism, involving the removal of methyl groups from various substrates using molecular oxygen.
The phenomenon whereby compounds whose molecules have the same number and kind of atoms and the same atomic arrangement, but differ in their spatial relationships. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed)
The thick green-to-black mucilaginous material found in the intestines of a full-term fetus. It consists of secretions of the INTESTINAL GLANDS; BILE PIGMENTS; FATTY ACIDS; AMNIOTIC FLUID; and intrauterine debris. It constitutes the first stools passed by a newborn.
A specific opiate antagonist that has no agonist activity. It is a competitive antagonist at mu, delta, and kappa opioid receptors.
Psychotherapeutic technique which emphasizes socioenvironmental and interpersonal influences in the resocialization and rehabilitation of the patient. The setting is usually a hospital unit or ward in which professional and nonprofessional staff interact with the patients.
A treatment method in which patients are under direct observation when they take their medication or receive their treatment. This method is designed to reduce the risk of treatment interruption and to ensure patient compliance.
The action of a drug that may affect the activity, metabolism, or toxicity of another drug.
'Prisoners,' in a medical context, refer to individuals who are incarcerated and may face challenges in accessing adequate healthcare services due to various systemic and individual barriers, which can significantly impact their health status and outcomes.
The relationship between the dose of an administered drug and the response of the organism to the drug.
An opioid analgesic related to MORPHINE but with less potent analgesic properties and mild sedative effects. It also acts centrally to suppress cough.
Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of NALOXONE. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence.

Solid-phase microextraction for cannabinoids analysis in hair and its possible application to other drugs. (1/993)

This paper describes the application of solid-phase microextraction (SPME) to cannabis testing in hair. Fifty milligrams of hair was washed with petroleum ether, hydrolyzed with NaOH, neutralized, deuterated internal standard was added and directly submitted to SPME. The SPME was analyzed by GC-MS. The limit of detection was 0.1 ng/mg for cannabinol (CBN) and delta9-tetrahydrocannabinol (THC) and 0.2 ng/mg for cannabidiol (CBD). THC was detected in a range spanning from 0.1 to 0.7 ng/mg. CBD concentrations ranged from 0.7 to 14.1 ng/mg, and CBN concentrations ranged from 0.4 to 0.7 ng/mg. The effectiveness of different decontamination procedures was also studied on passively contaminated hair. The proposed method is also suitable for the analysis of methadone in hair; cocaine and cocaethylene can be detected in hair with SPME extraction after enzymatic hydrolysis.  (+info)

Safer sex strategies for women: the hierarchical model in methadone treatment clinics. (2/993)

Women clients of a methadone maintenance treatment clinic were targeted for an intervention aimed to reduce unsafe sex. The hierarchical model was the basis of the single intervention session, tested among 63 volunteers. This model requires the educator to discuss and demonstrate a full range of barriers that women might use for protection, ranking these in the order of their known efficacy. The model stresses that no one should go without protection. Two objections, both untested, have been voiced against the model. One is that, because of its complexity, women will have difficulty comprehending the message. The second is that, by demonstrating alternative strategies to the male condom, the educator is offering women a way out from persisting with the male condom, so that instead they will use an easier, but less effective, method of protection. The present research aimed at testing both objections in a high-risk and disadvantaged group of women. By comparing before and after performance on a knowledge test, it was established that, at least among these women, the complex message was well understood. By comparing baseline and follow-up reports of barriers used by sexually active women before and after intervention, a reduction in reports of unsafe sexual encounters was demonstrated. The reduction could be attributed directly to adoption of the female condom. Although some women who had used male condoms previously adopted the female condom, most of those who did so had not used the male condom previously. Since neither theoretical objection to the hierarchical model is sustained in this population, fresh weight is given to emphasizing choice of barriers, especially to women who are at high risk and relatively disempowered. As experience with the female condom grows and its unfamiliarity decreases, it would seem appropriate to encourage women who do not succeed with the male condom to try to use the female condom, over which they have more control.  (+info)

Harm reduction: Australia as a case study. (3/993)

This paper explicates the term, "harm reduction"; demonstrates that harm reduction has a long tradition; and uses one country, Australia, as a case study. Harm reduction can be understood as "policies and programs which are designed to reduce the adverse consequences of mood altering substances without necessarily reducing their consumption"; it is consistent with the best traditions of both medicine and public health. Although it is difficult to interpret trends in mortality from alcohol, tobacco, and illicit drugs to determine whether harm reduction in Australia "worked", the effectiveness of harm-reduction policies and programs in controlling HIV among injecting drug users (IDUs) seems extremely strong and suggests that benefits of harm-reduction programs for other drugs will become apparent in time.  (+info)

Methadone treatment by general practitioners in Amsterdam. (4/993)

In Amsterdam, a three-tiered program exists to deal with drug use and addiction. General practitioners form the backbone of the system, helping to deal with the majority of addicts, who are not criminals and many of whom desire to be free of addiction. Distinctions are made between drugs with "acceptable" and "unacceptable" risks, and between drug use and drug-related crime; patients who fall into the former categories are treated in a nonconfrontational, nonstigmatizing manner; such a system helps prevent the majority of patients from passing into unacceptable, criminalized categories. The overall program has demonstrated harm reduction both for patients and for the city of Amsterdam.  (+info)

Recent developments in maintenance prescribing and monitoring in the United Kingdom. (5/993)

After a brief historical review of British drug legislation and public and governmental attitudes, this paper describes the wide range of policies and practices that have appeared since the explosion of illicit drug abuse in the 1960s. The spectrum goes from a reluctance to prescribe at all to maintenance on injectable opiates. Comparisons are made with differing attitudes to the availability of abortion in public health services. Compared with 5 years ago, about three times more methadone is being prescribed. There is a steady increase in prescriptions for injectable methadone but heroin maintenance is still rare. The "British System" permits great flexibility in the choice of opiates for maintenance. Some amphetamine-prescribing programmes also exist. Hair analysis for drugs to monitor levels of both prescribed and unprescribed drugs is a welcome and promising alternative to undignified and often misleading urine tests.  (+info)

Harm reduction in Bern: from outreach to heroin maintenance. (6/993)

In Switzerland, harm-reduction programs have the support of the national government and many localities, in congruence with much of the rest of Europe and in contrast with the United States, and take place in public settings. The threat of AIDS is recognized as the greater harm. This paper describes the overall national program and highlights the experience from one city; the program is noteworthy because it is aimed at gathering comparative data from controlled trials.  (+info)

Studies on the uptake, metabolism, and release of endogenous and exogenous chemicals by use of the isolated perfused lung. (7/993)

The isolated perfused lung is a valuable tool for studying many lung functions. The kinds of information one can obtain from the isolated perfused lung are illustrated by examples from our studies on the uptake, accumulation, and metabolism of endogenous and exogenous chemicals.  (+info)

A pilot study to determine the usefulness of the urinary excretion of methadone and its primary metabolite (EDDP) as potential markers of compliance in methadone detoxification programs. (8/993)

Fourteen subjects (selected on the basis of compliance with the methadone-maintenance program prescribed by the consultant psychiatrist in charge of their treatment) undergoing opiate detoxification by methadone-replacement therapy were studied to determine if a relationship exists between the dose of methadone prescribed and the urinary excretion of methadone and/or its primary metabolite, 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP). After the derivation of this relationship, it was hoped that the urinary concentrations of methadone and/or EDDP could be used as a noninvasive technique to monitor the methadone compliance of 56 drug abusers. Despite statistically significant correlations (p<0.001) between methadone dose and urine concentrations of methadone and EDDP, the large variation in concentrations measured in the urine of drug abusers negated the possibility of any clear-cut relationship being confirmed. However, it may be possible to use excretion data to monitor individual compliance but only through long-term monitoring of individual subjects to establish their own intraindividual variation in excretion patterns.  (+info)

Methadone is a synthetic opioid agonist, often used as a substitute for heroin or other opiates in detoxification programs or as a long-term maintenance drug for opiate addiction. It works by changing how the brain and nervous system respond to pain signals. It also helps to suppress the withdrawal symptoms and cravings associated with opiate dependence.

Methadone is available in various forms, including tablets, oral solutions, and injectable solutions. It's typically prescribed and dispensed under strict medical supervision due to its potential for abuse and dependence.

In a medical context, methadone may also be used to treat moderate to severe pain that cannot be managed with other types of medication. However, its use in this context is more limited due to the risks associated with opioid therapy.

Narcotics, in a medical context, are substances that induce sleep, relieve pain, and suppress cough. They are often used for anesthesia during surgical procedures. Narcotics are derived from opium or its synthetic substitutes and include drugs such as morphine, codeine, fentanyl, oxycodone, and hydrocodone. These drugs bind to specific receptors in the brain and spinal cord, reducing the perception of pain and producing a sense of well-being. However, narcotics can also produce physical dependence and addiction, and their long-term use can lead to tolerance, meaning that higher doses are required to achieve the same effect. Narcotics are classified as controlled substances due to their potential for abuse and are subject to strict regulations.

Opiate Substitution Treatment (OST) is a medical, evidence-based treatment for opioid dependence that involves the use of prescribed, long-acting opioids to replace illicit substances such as heroin. The aim of OST is to alleviate the severe withdrawal symptoms and cravings associated with opioid dependence, while also preventing the harmful consequences related to illegal drug use, such as infectious diseases and criminal activity. By providing a stable and controlled dose of a substitute medication, OST can help individuals regain control over their lives, improve physical and mental health, and facilitate reintegration into society. Commonly used medications for OST include methadone, buprenorphine, and slow-release morphine.

Opioid-related disorders is a term that encompasses a range of conditions related to the use of opioids, which are a class of drugs that include prescription painkillers such as oxycodone and hydrocodone, as well as illegal drugs like heroin. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) identifies the following opioid-related disorders:

1. Opioid Use Disorder: This disorder is characterized by a problematic pattern of opioid use that leads to clinically significant impairment or distress. The symptoms may include a strong desire to use opioids, increased tolerance, withdrawal symptoms when not using opioids, and unsuccessful efforts to cut down or control opioid use.
2. Opioid Intoxication: This disorder occurs when an individual uses opioids and experiences significant problematic behavioral or psychological changes, such as marked sedation, small pupils, or respiratory depression.
3. Opioid Withdrawal: This disorder is characterized by the development of a substance-specific withdrawal syndrome following cessation or reduction of opioid use. The symptoms may include anxiety, irritability, dysphoria, nausea, vomiting, diarrhea, and muscle aches.
4. Other Opioid-Induced Disorders: This category includes disorders that are caused by the direct physiological effects of opioids, such as opioid-induced sexual dysfunction or opioid-induced sleep disorder.

It is important to note that opioid use disorder is a chronic and often relapsing condition that can cause significant harm to an individual's health, relationships, and overall quality of life. If you or someone you know is struggling with opioid use, it is essential to seek professional help from a healthcare provider or addiction specialist.

Heroin dependence, also known as opioid use disorder related to heroin, is a chronic relapsing condition characterized by the compulsive seeking and use of heroin despite harmful consequences. It involves a cluster of cognitive, behavioral, and physiological symptoms including a strong desire or craving to take the drug, difficulty in controlling its use, persisting in its use despite harmful consequences, tolerance (needing to take more to achieve the same effect), and withdrawal symptoms when not taking it. Heroin dependence can cause significant impairment in personal relationships, work, and overall quality of life. It is considered a complex medical disorder that requires professional treatment and long-term management.

I believe there might be a slight confusion in your question. Methadyl Acetate doesn't seem to be a recognized medical term. However, Methadone Hydrochloride and Methadone Acetate are both used in medical contexts. I'll provide information on Methadone Hydrochloride as it's more commonly used.

Methadone Hydrochloride is a synthetic opioid analgesic (painkiller) that is primarily used to treat moderate to severe pain. It's also widely known for its use in medication-assisted treatment (MAT) for opioid use disorder, such as heroin addiction. In this context, it helps to reduce withdrawal symptoms and cravings, while also blocking the euphoric effects of other opioids.

Methadone Acetate, on the other hand, is an ester of methadone that can be used as a local anesthetic in some cases. However, it's not as commonly used or recognized as Methadone Hydrochloride.

Buprenorphine is a partial opioid agonist medication used to treat opioid use disorder. It has a lower risk of respiratory depression and other adverse effects compared to full opioid agonists like methadone, making it a safer option for some individuals. Buprenorphine works by binding to the same receptors in the brain as other opioids but with weaker effects, helping to reduce cravings and withdrawal symptoms. It is available in several forms, including tablets, films, and implants.

In addition to its use in treating opioid use disorder, buprenorphine may also be used to treat pain, although this use is less common due to the risk of addiction and dependence. When used for pain management, it is typically prescribed at lower doses than those used for opioid use disorder treatment.

It's important to note that while buprenorphine has a lower potential for abuse and overdose than full opioid agonists, it still carries some risks and should be taken under the close supervision of a healthcare provider.

Analgesics, opioid are a class of drugs used for the treatment of pain. They work by binding to specific receptors in the brain and spinal cord, blocking the transmission of pain signals to the brain. Opioids can be synthetic or natural, and include drugs such as morphine, codeine, oxycodone, hydrocodone, hydromorphone, fentanyl, and methadone. They are often used for moderate to severe pain, such as that resulting from injury, surgery, or chronic conditions like cancer. However, opioids can also produce euphoria, physical dependence, and addiction, so they are tightly regulated and carry a risk of misuse.

Neonatal Abstinence Syndrome (NAS) is a postnatal drug withdrawal syndrome that occurs in newborns who were exposed to opioids or other addictive substances while in the mother's womb. It happens when a pregnant woman uses drugs such as heroin, oxycodone, methadone, or buprenorphine. After birth, when the baby is no longer receiving the drug through the placenta, withdrawal symptoms can occur.

NAS symptoms may include:

* Tremors, seizures, or muscle stiffness
* Excessive crying or high-pitched crying
* Sleep disturbances, poor feeding, and poor growth
* Fever, diarrhea, vomiting, and sneezing
* Rapid breathing or breath-holding
* Increased sweating, yawning, or stuffiness

The severity of NAS can vary depending on the type and amount of drug used during pregnancy, the timing and length of exposure, and the newborn's individual characteristics. Treatment typically involves a slow and careful weaning from the drug using medication such as morphine or methadone, along with supportive care to manage symptoms and promote healthy development.

Heroin is a highly addictive drug that is processed from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. It is a "downer" or depressant that affects the brain's pleasure systems and interferes with the brain's ability to perceive pain.

Heroin can be injected, smoked, or snorted. It is sold as a white or brownish powder or as a black, sticky substance known as "black tar heroin." Regardless of how it is taken, heroin enters the brain rapidly and is highly addictive.

The use of heroin can lead to serious health problems, including fatal overdose, spontaneous abortion, and infectious diseases like HIV and hepatitis. Long-term use of heroin can lead to physical dependence and addiction, a chronic disease that can be difficult to treat.

Substance abuse detection refers to the process of identifying the use or misuse of psychoactive substances, such as alcohol, illicit drugs, or prescription medications, in an individual. This can be done through various methods, including:

1. Physical examination: A healthcare professional may look for signs of substance abuse, such as track marks, enlarged pupils, or unusual behavior.
2. Laboratory tests: Urine, blood, hair, or saliva samples can be analyzed to detect the presence of drugs or their metabolites. These tests can provide information about recent use (hours to days) or longer-term use (up to several months).
3. Self-report measures: Individuals may be asked to complete questionnaires or interviews about their substance use patterns and behaviors.
4. Observational assessments: In some cases, such as in a treatment setting, healthcare professionals may observe an individual's behavior over time to identify patterns of substance abuse.

Substance abuse detection is often used in clinical, workplace, or legal settings to assess individuals for potential substance use disorders, monitor treatment progress, or ensure compliance with laws or regulations.

Pyrrolidines are not a medical term per se, but they are a chemical compound that can be encountered in the field of medicine and pharmacology. Pyrrolidine is an organic compound with the molecular formula (CH2)4NH. It is a cyclic secondary amine, which means it contains a nitrogen atom surrounded by four carbon atoms in a ring structure.

Pyrrolidines can be found in certain natural substances and are also synthesized for use in pharmaceuticals and research. They have been used as building blocks in the synthesis of various drugs, including some muscle relaxants, antipsychotics, and antihistamines. Additionally, pyrrolidine derivatives can be found in certain plants and fungi, where they may contribute to biological activity or toxicity.

It is important to note that while pyrrolidines themselves are not a medical condition or diagnosis, understanding their chemical properties and uses can be relevant to the study and development of medications.

A drug overdose occurs when a person ingests, inhales, or absorbs through the skin a toxic amount of a drug or combination of drugs. This can result in a variety of symptoms, depending on the type of drug involved. In some cases, an overdose can be fatal.

An overdose can occur accidentally, for example if a person mistakenly takes too much of a medication or if a child accidentally ingests a medication that was left within their reach. An overdose can also occur intentionally, such as when a person takes too much of a drug to attempt suicide or to achieve a desired high.

The symptoms of a drug overdose can vary widely depending on the type of drug involved. Some common symptoms of a drug overdose may include:

* Nausea and vomiting
* Abdominal pain
* Dizziness or confusion
* Difficulty breathing
* Seizures
* Unconsciousness
* Rapid heart rate or low blood pressure

If you suspect that someone has overdosed on a drug, it is important to seek medical help immediately. Call your local poison control center or emergency number (such as 911 in the United States) for assistance. If possible, try to provide the medical personnel with as much information as you can about the person and the drug(s) involved. This can help them to provide appropriate treatment more quickly.

Morphine is a potent opioid analgesic (pain reliever) derived from the opium poppy. It works by binding to opioid receptors in the brain and spinal cord, blocking the transmission of pain signals and reducing the perception of pain. Morphine is used to treat moderate to severe pain, including pain associated with cancer, myocardial infarction, and other conditions. It can also be used as a sedative and cough suppressant.

Morphine has a high potential for abuse and dependence, and its use should be closely monitored by healthcare professionals. Common side effects of morphine include drowsiness, respiratory depression, constipation, nausea, and vomiting. Overdose can result in respiratory failure, coma, and death.

Dextropropoxyphene is a mild narcotic analgesic (pain reliever) that is prescribed for the relief of moderate to moderately severe pain. It is a synthetic opioid and works by binding to opiate receptors in the brain, spinal cord, and other areas of the body to reduce the perception of pain. Dextropropoxyphene is available in immediate-release and extended-release tablets, usually in combination with acetaminophen (also known as paracetamol).

Dextropropoxyphene has a narrow therapeutic index, which means that there is only a small range between the effective dose and a potentially toxic dose. It also has a high potential for abuse and addiction, and its use has been associated with serious side effects such as respiratory depression, seizures, and cardiac arrhythmias. In 2010, the U.S. Food and Drug Administration (FDA) withdrew approval for all dextropropoxyphene-containing products due to these safety concerns.

Substance abuse, intravenous, refers to the harmful or hazardous use of psychoactive substances that are introduced directly into the bloodstream through injection, for non-medical purposes. This behavior can lead to a range of short- and long-term health consequences, including addiction, dependence, and an increased risk of infectious diseases such as HIV and hepatitis C. Intravenous substance abuse often involves drugs such as heroin, cocaine, and amphetamines, and is characterized by the repeated injection of these substances using needles and syringes. The practice can also have serious social consequences, including disrupted family relationships, lost productivity, and criminal behavior.

Narcotic antagonists are a class of medications that block the effects of opioids, a type of narcotic pain reliever, by binding to opioid receptors in the brain and blocking the activation of these receptors by opioids. This results in the prevention or reversal of opioid-induced effects such as respiratory depression, sedation, and euphoria. Narcotic antagonists are used for a variety of medical purposes, including the treatment of opioid overdose, the management of opioid dependence, and the prevention of opioid-induced side effects in certain clinical situations. Examples of narcotic antagonists include naloxone, naltrexone, and methylnaltrexone.

"Street drugs" is a colloquial term rather than medical jargon, but it generally refers to illegal substances or medications that are used without a prescription. These can include a wide variety of drugs such as marijuana, cocaine, heroin, methamphetamines, ecstasy, LSD, and many others. They are called "street drugs" because they are often bought and sold on the street or in clandestine settings, rather than through legitimate pharmacies or medical professionals. It's important to note that these substances can be highly dangerous and addictive, with serious short-term and long-term health consequences.

Substance-related disorders, as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), refer to a group of conditions caused by the use of substances such as alcohol, drugs, or medicines. These disorders are characterized by a problematic pattern of using a substance that leads to clinically significant impairment or distress. They can be divided into two main categories: substance use disorders and substance-induced disorders. Substance use disorders involve a pattern of compulsive use despite negative consequences, while substance-induced disorders include conditions such as intoxication, withdrawal, and substance/medication-induced mental disorders. The specific diagnosis depends on the type of substance involved, the patterns of use, and the presence or absence of physiological dependence.

Substance Withdrawal Syndrome is a medically recognized condition that occurs when an individual who has been using certain substances, such as alcohol, opioids, or benzodiazepines, suddenly stops or significantly reduces their use. The syndrome is characterized by a specific set of symptoms that can be physical, cognitive, and emotional in nature. These symptoms can vary widely depending on the substance that was being used, the length and intensity of the addiction, and individual factors such as genetics, age, and overall health.

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), published by the American Psychiatric Association, provides the following diagnostic criteria for Substance Withdrawal Syndrome:

A. The development of objective evidence of withdrawal, referring to the specific physiological changes associated with the particular substance, or subjective evidence of withdrawal, characterized by the individual's report of symptoms that correspond to the typical withdrawal syndrome for the substance.

B. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C. The symptoms are not better explained by co-occurring mental, medical, or other substance use disorders.

D. The withdrawal syndrome is not attributable to another medical condition and is not better accounted for by another mental disorder.

The DSM-5 also specifies that the diagnosis of Substance Withdrawal Syndrome should be substance-specific, meaning that it should specify the particular class of substances (e.g., alcohol, opioids, benzodiazepines) responsible for the withdrawal symptoms. This is important because different substances have distinct withdrawal syndromes and require different approaches to management and treatment.

In general, Substance Withdrawal Syndrome can be a challenging and potentially dangerous condition that requires professional medical supervision and support during the detoxification process. The specific symptoms and their severity will vary depending on the substance involved, but they may include:

* For alcohol: tremors, seizures, hallucinations, agitation, anxiety, nausea, vomiting, and insomnia.
* For opioids: muscle aches, restlessness, lacrimation (tearing), rhinorrhea (runny nose), yawning, perspiration, chills, mydriasis (dilated pupils), piloerection (goosebumps), nausea or vomiting, diarrhea, and abdominal cramps.
* For benzodiazepines: anxiety, irritability, insomnia, restlessness, confusion, hallucinations, seizures, and increased heart rate and blood pressure.

It is essential to consult with a healthcare professional if you or someone you know is experiencing symptoms of Substance Withdrawal Syndrome. They can provide appropriate medical care, support, and referrals for further treatment as needed.

"Cocaine-Related Disorders" is a term used in the medical and psychiatric fields to refer to a group of conditions related to the use of cocaine, a powerful stimulant drug. These disorders are classified and diagnosed based on the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association.

The two main categories of Cocaine-Related Disorders are:

1. Cocaine Use Disorder: This disorder is characterized by a problematic pattern of cocaine use leading to clinically significant impairment or distress, as manifested by at least two symptoms within a 12-month period. These symptoms may include using larger amounts of cocaine over a longer period than intended, persistent desire or unsuccessful efforts to cut down or control cocaine use, spending a great deal of time obtaining, using, or recovering from the effects of cocaine, and continued use despite physical or psychological problems caused or exacerbated by cocaine.
2. Cocaine-Induced Disorders: These disorders are directly caused by the acute effects of cocaine intoxication or withdrawal. They include:
* Cocaine Intoxication: Presents with a reversible syndrome due to recent use of cocaine, characterized by euphoria, increased energy, and psychomotor agitation. It may also cause elevated heart rate, blood pressure, and body temperature, as well as pupillary dilation.
* Cocaine Withdrawal: Occurs when an individual who has been using cocaine heavily for a prolonged period abruptly stops or significantly reduces their use. Symptoms include depressed mood, fatigue, increased appetite, vivid and unpleasant dreams, and insomnia.

Cocaine-Related Disorders can have severe negative consequences on an individual's physical health, mental wellbeing, and social functioning. They often require professional treatment to manage and overcome.

Opium is defined as the dried latex obtained from incisions made in the unripe seedpods of the opium poppy (Papaver somniferum). It contains a number of alkaloids, including morphine, codeine, and thebaine. Opium has been used for its pain-relieving, euphoric, and sedative effects since ancient times. However, its use is highly regulated due to the risk of addiction and other serious side effects.

Oxidoreductases are a class of enzymes that catalyze oxidation-reduction reactions, where a electron is transferred from one molecule to another. N-Demethylating oxidoreductases are a specific subclass of these enzymes that catalyze the removal of a methyl group (-CH3) from a nitrogen atom (-N) in a molecule, which is typically a xenobiotic compound (a foreign chemical substance found within an living organism). This process often involves the transfer of electrons and the formation of water as a byproduct.

The reaction catalyzed by N-demethylating oxidoreductases can be represented as follows:
R-N-CH3 + O2 + H2O → R-N-H + CH3OH + H2O2

where R represents the rest of the molecule. The removal of the methyl group is often an important step in the metabolism and detoxification of xenobiotic compounds, as it can make them more water soluble and facilitate their excretion from the body.

Stereoisomerism is a type of isomerism (structural arrangement of atoms) in which molecules have the same molecular formula and sequence of bonded atoms, but differ in the three-dimensional orientation of their atoms in space. This occurs when the molecule contains asymmetric carbon atoms or other rigid structures that prevent free rotation, leading to distinct spatial arrangements of groups of atoms around a central point. Stereoisomers can have different chemical and physical properties, such as optical activity, boiling points, and reactivities, due to differences in their shape and the way they interact with other molecules.

There are two main types of stereoisomerism: enantiomers (mirror-image isomers) and diastereomers (non-mirror-image isomers). Enantiomers are pairs of stereoisomers that are mirror images of each other, but cannot be superimposed on one another. Diastereomers, on the other hand, are non-mirror-image stereoisomers that have different physical and chemical properties.

Stereoisomerism is an important concept in chemistry and biology, as it can affect the biological activity of molecules, such as drugs and natural products. For example, some enantiomers of a drug may be active, while others are inactive or even toxic. Therefore, understanding stereoisomerism is crucial for designing and synthesizing effective and safe drugs.

Meconium is the first stool passed by a newborn infant, typically within the first 48 hours of life. It is composed of materials ingested during fetal development, including intestinal epithelial cells, lanugo (fine hair), amniotic fluid, mucus, bile, and water. The color of meconium is usually greenish-black, and its consistency can range from a thick paste to a liquid. Meconium staining of the amniotic fluid can occur when the fetus has passed meconium while still in the uterus, which may indicate fetal distress and requires careful medical attention during delivery.

Naloxone is a medication used to reverse the effects of opioids, both illicit and prescription. It works by blocking the action of opioids on the brain and restoring breathing in cases where opioids have caused depressed respirations. Common brand names for naloxone include Narcan and Evzio.

Naloxone is an opioid antagonist, meaning that it binds to opioid receptors in the body without activating them, effectively blocking the effects of opioids already present at these sites. It has no effect in people who have not taken opioids and does not reverse the effects of other sedatives or substances.

Naloxone can be administered via intranasal, intramuscular, intravenous, or subcutaneous routes. The onset of action varies depending on the route of administration but generally ranges from 1 to 5 minutes when given intravenously and up to 10-15 minutes with other methods.

The duration of naloxone's effects is usually shorter than that of most opioids, so multiple doses or a continuous infusion may be necessary in severe cases to maintain reversal of opioid toxicity. Naloxone has been used successfully in emergency situations to treat opioid overdoses and has saved many lives.

It is important to note that naloxone does not reverse the effects of other substances or address the underlying causes of addiction, so it should be used as part of a comprehensive treatment plan for individuals struggling with opioid use disorders.

A Therapeutic Community (TC) is a type of residential treatment model for various psychological, behavioral, and/or addiction disorders. It is based on the concept of a democratically managed community where residents and staff work together to create a healing environment. The primary goal is to help individuals learn new social and emotional skills, improve self-awareness, develop self-efficacy, and reintegrate into society as productive members.

TCs typically have several key components:

1. A hierarchical system of roles and responsibilities that evolves over time, allowing residents to gain privileges and responsibilities as they progress in their recovery.
2. A strong emphasis on mutual self-help, where residents support each other in their recovery process through group meetings, discussions, and activities.
3. A focus on the development of prosocial attitudes and behaviors, including communication skills, problem-solving, conflict resolution, and personal responsibility.
4. The use of community meetings, where members discuss and make decisions about rules, policies, and the overall functioning of the community.
5. A structured daily routine that includes both therapeutic activities (e.g., group therapy, individual counseling, psychoeducational workshops) and daily chores to promote a sense of belonging and responsibility.
6. A long-term commitment to treatment, with stays typically ranging from 6 months to 2 years, allowing residents to build meaningful relationships and fully engage in the therapeutic process.

TCs have been shown to be effective in treating various disorders, including substance use disorders, personality disorders, and mental health issues. The communal living environment and the emphasis on personal responsibility and self-help contribute to a sense of empowerment and self-efficacy that can lead to lasting changes in behavior and improved quality of life.

Directly Observed Therapy (DOT) is a treatment strategy in which a healthcare professional directly observes the patient taking each dose of their medication, typically used in the context of tuberculosis (TB) treatment. The goal of DOT is to ensure adherence to the prescribed treatment regimen and improve treatment outcomes by reducing the likelihood of missed doses or irregular medication-taking behaviors that can contribute to drug resistance and disease relapse.

In a DOT setting, the healthcare provider, which could be a nurse, community health worker, or other designated individual, directly observes the patient swallowing the medication. This can occur in various settings, such as a clinic, hospital, or even the patient's home, depending on the program and resources available. The frequency of observations may vary based on the specific treatment plan and clinical context.

DOT has been shown to improve treatment completion rates and reduce the risk of TB transmission and drug resistance. It is an essential component of the World Health Organization's (WHO) recommended strategy for TB control and care.

A drug interaction is the effect of combining two or more drugs, or a drug and another substance (such as food or alcohol), which can alter the effectiveness or side effects of one or both of the substances. These interactions can be categorized as follows:

1. Pharmacodynamic interactions: These occur when two or more drugs act on the same target organ or receptor, leading to an additive, synergistic, or antagonistic effect. For example, taking a sedative and an antihistamine together can result in increased drowsiness due to their combined depressant effects on the central nervous system.
2. Pharmacokinetic interactions: These occur when one drug affects the absorption, distribution, metabolism, or excretion of another drug. For example, taking certain antibiotics with grapefruit juice can increase the concentration of the antibiotic in the bloodstream, leading to potential toxicity.
3. Food-drug interactions: Some drugs may interact with specific foods, affecting their absorption, metabolism, or excretion. An example is the interaction between warfarin (a blood thinner) and green leafy vegetables, which can increase the risk of bleeding due to enhanced vitamin K absorption from the vegetables.
4. Drug-herb interactions: Some herbal supplements may interact with medications, leading to altered drug levels or increased side effects. For instance, St. John's Wort can decrease the effectiveness of certain antidepressants and oral contraceptives by inducing their metabolism.
5. Drug-alcohol interactions: Alcohol can interact with various medications, causing additive sedative effects, impaired judgment, or increased risk of liver damage. For example, combining alcohol with benzodiazepines or opioids can lead to dangerous levels of sedation and respiratory depression.

It is essential for healthcare providers and patients to be aware of potential drug interactions to minimize adverse effects and optimize treatment outcomes.

I apologize for any confusion, but "prisoners" is not a medical term. It generally refers to individuals who are deprived of their personal freedom and are being held in a prison or jail as a result of being convicted of a crime or while awaiting trial. If you have any questions related to medical terminology, I would be happy to help!

A dose-response relationship in the context of drugs refers to the changes in the effects or symptoms that occur as the dose of a drug is increased or decreased. Generally, as the dose of a drug is increased, the severity or intensity of its effects also increases. Conversely, as the dose is decreased, the effects of the drug become less severe or may disappear altogether.

The dose-response relationship is an important concept in pharmacology and toxicology because it helps to establish the safe and effective dosage range for a drug. By understanding how changes in the dose of a drug affect its therapeutic and adverse effects, healthcare providers can optimize treatment plans for their patients while minimizing the risk of harm.

The dose-response relationship is typically depicted as a curve that shows the relationship between the dose of a drug and its effect. The shape of the curve may vary depending on the drug and the specific effect being measured. Some drugs may have a steep dose-response curve, meaning that small changes in the dose can result in large differences in the effect. Other drugs may have a more gradual dose-response curve, where larger changes in the dose are needed to produce significant effects.

In addition to helping establish safe and effective dosages, the dose-response relationship is also used to evaluate the potential therapeutic benefits and risks of new drugs during clinical trials. By systematically testing different doses of a drug in controlled studies, researchers can identify the optimal dosage range for the drug and assess its safety and efficacy.

Codeine is a opiate analgesic, commonly used for its pain-relieving and cough suppressant properties. It is typically prescribed for mild to moderately severe pain, and is also found in some over-the-counter cold and cough medications. Codeine works by binding to opioid receptors in the brain and spinal cord, which helps to reduce the perception of pain. Like other opiates, codeine can produce side effects such as drowsiness, constipation, and respiratory depression, and it carries a risk of dependence and addiction with long-term use. It is important to follow your healthcare provider's instructions carefully when taking codeine, and to inform them of any other medications you are taking, as well as any medical conditions you may have.

Naltrexone is a medication that is primarily used to manage alcohol dependence and opioid dependence. It works by blocking the effects of opioids and alcohol on the brain, reducing the euphoric feelings and cravings associated with their use. Naltrexone comes in the form of a tablet that is taken orally, and it has no potential for abuse or dependence.

Medically, naltrexone is classified as an opioid antagonist, which means that it binds to opioid receptors in the brain without activating them, thereby blocking the effects of opioids such as heroin, morphine, and oxycodone. It also reduces the rewarding effects of alcohol by blocking the release of endorphins, which are natural chemicals in the brain that produce feelings of pleasure.

Naltrexone is often used as part of a comprehensive treatment program for addiction, along with counseling, behavioral therapy, and support groups. It can help individuals maintain abstinence from opioids or alcohol by reducing cravings and preventing relapse. Naltrexone is generally safe and well-tolerated, but it may cause side effects such as nausea, headache, dizziness, and fatigue in some people.

It's important to note that naltrexone should only be used under the supervision of a healthcare provider, and it is not recommended for individuals who are currently taking opioids or who have recently stopped using them, as it can cause withdrawal symptoms. Additionally, naltrexone may interact with other medications, so it's important to inform your healthcare provider of all medications you are taking before starting naltrexone therapy.

... and its two main metabolites Methadone EDDP EDMP The most common route of administration at a methadone clinic is in ... Although deaths from methadone are on the rise, methadone-associated deaths are not being caused primarily by methadone ... "The History of Methadone and Methadone Prescribing.". In Tober G, Strang E (eds.). In: Methadone Matters. Evolving Community ... Methadone has been widely used for pregnant women addicted to opioids. Methadone is used as an analgesic in chronic pain, often ...
... is a methadone precursor scheduled by UN Single Convention on Narcotic Drugs. It is a Schedule II ...
Higher doses of methadone may cause respiratory depression and/or euphoria in some patients. Methadone maintenance reduces the ... Methadone maintenance treatment (MMT) utilizes methadone to treat dependence on heroin or other opioids, and is administered on ... Opponents note that methadone prescription replaces dependence on one opioid with another, that methadone maintenance does not ... U.S. National Library of Medicine - Methadone Definition Directory of U.S. Methadone Maintenance Facilities (All articles with ...
... s can provide methadone for on-site administration. Additionally, some methadone clinics provide the following ... The number of eligible prisoners using methadone through a methadone program is estimated at only 7%. While methadone clinics ... Additionally, methadone clinics must register with the Drug Enforcement Administration before methadone can be dispensed. While ... which presents problems for addicts seeking methadone treatment who live far from a clinic. All methadone clinics must register ...
Methadone comes in a different forms: tablet, oral solution, or an injection. One of methadone's benefits is that it can last ... short-acting), and the risk of methadone toxicity. Methadone is a full-opioid agonist used for both opioid overuse treatment ... Lung and breathing complications are possible long-term side effects of methadone use. Methadone, as an opiate, has the ... "Methadone". www.samhsa.gov. Retrieved 10 November 2022. Tran, Tran H.; Griffin, Brooke L.; Stone, Rebecca H.; Vest, Kathleen M ...
November 2005). "The effects of racemic D,L-methadone and L-methadone in substituted patients--a randomized controlled study". ... to racemic methadone, owing to concern about the cardiotoxic and QT-prolonging action of racemic methadone being exclusively ... methadone) and dextromethadone (S-(+)-methadone). Levomethadone is the generic name of the drug and its INNTooltip ... Gorman AL, Elliott KJ, Inturrisi CE (February 1997). "The d- and l-isomers of methadone bind to the non-competitive site on the ...
Methadone Maintenance Treatment. Lindesmith Center 1997. Rpt. in Methadone Is an Effective Treatment for Heroin Addiction. ... Many patients are unable to access morphine, methadone or an equivalent opioid. Global medical morphine consumption would rise ... barbiturates and street methadone were shown to be more harmful than the legal drug alcohol. A 2002 DAWN report, for the USA ...
Some analgesics such as methadone and ketobemidone and perhaps piritramide have intrinsic NMDA action. High-alcohol liquor, two ... Lugo RA, Satterfield KL, Kern SE (2005). "Pharmacokinetics of methadone". Journal of Pain & Palliative Care Pharmacotherapy. 19 ...
Methadone may diminish the therapeutic effect of Abacavir. Abacavir may decrease the serum concentration of Methadone. Orlistat ... Dolophine(methadone) [prescribing information]. Columbus, OH: Roxane Laboratories, Inc.; March 2015. Gervasoni C, Cattaneo D, ...
"Michael C. Hall & Jennifer Carpenter Nominated for Scream 2009 , Methadone for Dexter Fans". Dexteraddict.com. 2009-09-02. ...
It soon went from counselling abusers to treatment, including treatment of VD, and then to providing methadone to heroin ... Toombs, Laurie (8 September 1979). "Middle Township Methadone Clinic Proposed". Press of Atlantic City. "Women as Priests: In ...
The use of methadone for the treatment of opioid addiction dates back to the 1960s. Methadone treatments usually last for ... Methadone has a slower onset than illicit opioids and it produces less effects than illicit opioids. Side effects of methadone ... it is more effective for unsupervised treatment than methadone. Opioid users can take fewer doses per week than methadone. Side ... A dose of methadone often minimizes the effects of withdrawal for approximately 24 hours and the lowest optimal dose is 60 mg. ...
Glutethimide Wolff PO (1949). "On pethidine and methadone derivatives". Bulletin of the World Health Organization. 2 (2): 193- ...
... including Senate Bill 82 concerning the regulation of methadone clinics; Senate Bill 96, which created a grant program for the ... ". "Regulation of Methadone Treatment Facilities , Colorado General Assembly". "Reserve Peace Officer Academy Grant Program , ...
Strain E., Stitzer M. (eds.) Methadone Treatment for Opioid Dependence. (1999). United Kingdom: Johns Hopkins University Press ...
"Scunthorpe community 'awash with methadone'". BBC News. 25 January 2011. Retrieved 10 February 2011. Measham F, Moore K, ... An Irish study of people on a methadone treatment program for heroin addicts found 29 of 209 patients tested positive for ... teenagers had not taken any mephedrone and had died as a result of consuming alcohol and the synthetic opioid agonist methadone ...
Defalque, RJ; Wright, AJ (2007). "The early history of methadone. Myths and facts" (PDF). Bulletin of Anesthesia History. 25 (3 ... He synthesized the first fully synthetic opioid analgesic, methadone, together with Max Bockmühl. Ehrhart studied chemistry at ... September 1941 Wolff, PO (1949). "On pethidine and methadone derivatives". Bulletin of the World Health Organization. 2 (2): ... marketed methadone as a strong painkiller under the brand name Polamidone. H. Alpermann, G. Ehrhart: Arzneimittel: Entwicklung ...
Methadone Anvisa (2023-03-31). "RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob ... Winter CA, Flataker L (November 1952). "Antitussive action of d-isomethadone and d-methadone in dogs". Proceedings of the ... is a synthetic opioid analgesic and antitussive related to methadone that was used formerly as a pharmaceutical drug but is now ...
A 2017 Cochrane review of methadone found very low quality evidence, three studies of limited quality, of its efficacy and ... McNicol ED, Ferguson MC, Schumann R (May 2017). Cochrane Pain, Palliative and Supportive Care Group (ed.). "Methadone for ... methadone, fentanyl, hydromorphone, tramadol and oxycodone) are also often used to treat neuropathic pain. As is revealed in ...
Non-methadone synthetics is a category dominated by illegally acquired fentanyl, and has been excluded. US yearly overdose ... Buprenorphine and methadone can help decrease drug cravings. Combining pharmacologic treatments with behavioral therapy, such ... Mattick RP, Breen C, Kimber J, Davoli M (February 2014). "Buprenorphine maintenance versus placebo or methadone maintenance for ... Examples of medication-assisted treatments are buprenorphine (with or without naloxone), naltrexone, and methadone. Peer ...
Chang, Rich (8 July 2007). "Feature: Justice ministry considering methadone bill". Taipei Times. Retrieved 13 July 2018. " ...
Methadone has a higher bioavailability and half life compared to morphine. It is metabolized to an inactive product by N- ... Anderson, Ilene B; Kearney, Thomas E (January 2000). "Use of methadone". Western Journal of Medicine. 172 (1): 43-46. doi: ... Lugo, Ralph A.; Satterfield, Kristin L.; Kern, Steven E. (2005). "Pharmacokinetics of methadone". Journal of Pain & Palliative ... Grissinger, Matthew (August 2011). "Keeping Patients Safe From Methadone Overdoses". Pharmacy and Therapeutics. 36 (8): 462-466 ...
The diagnosis is suspected methadone withdrawal. There are no leads a week after the murder. A reconstruction of the murder is ...
Haigney M. "Cardiotoxicity of methadone" (PDF). Director of Cardiology. Retrieved 21 February 2013. https://wakix.com "WAKIX ... and antimalarial drugs hydroxychloroquine chloroquine quinine Antibiotics macrolides fluoroquinolones Other drugs methadone ...
Caflisch C, Figner B, Eich D (February 2003). "Biperiden for excessive sweating from methadone". Am J Psychiatry. 160 (2): 386- ... It relieves muscle rigidity, reduces abnormal sweating related with clozapine and methadone use and salivation, improves ... and for reduced sweating in methadone users. It seems to exert better effects in the postencephalitic and idiopathic than in ...
McNicol ED, Ferguson MC, Schumann R (May 2017). "Methadone for neuropathic pain in adults". The Cochrane Database of Systematic ... methadone, oxycodone, and morphine have not been well-studied for postherpetic neuralgia treatment. Acetaminophen and ...
QTc interval screening in methadone treatment. Annals of Internal Medicine. 2009;150:387-395. doi: 10.7326/0003-4819-150-6- ...
Despite rumors of methadone use involved in the death of Smith's son, Perper only found methadone in her bile, indicating it ... "Did Methadone Contribute To Anna's Death?". CBS News. Archived from the original on February 22, 2007. "Anna's Death Fridge - ... After Smith's death, TMZ reported that Smith had been given a prescription for methadone under a false name while she was in ... An autopsy found that he died from a combination of drugs, including methadone and antidepressants. A Bahamian jury determined ...
"Evaluation of the Methadone-Alcohol Interaction. I. Alterations of Plasma Concentration Kinetics". Journal of Analytical ...
Hewitt, Anthony (2004). "Book Review: Methadone, mandrake and mothballs". Addiction Research & Theory. 12 (4): 405-406. doi: ...

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