Methadone maintenance for opioid dependence.
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Biomedical subjects
Publications and source records attributed to W J Annitto.
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This is a case report and literature review concerning the use of buprenorphine for detoxification in a pregnant addict. It presents the clinical management of the complexities of opiate addiction and pregnancy. I suggest a more vigorous study of buprenorphine for opiate withdrawal in motivated pregnant addicts.
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The treatment of cocaine addiction as a subspecialty is in its infancy. We know, however, that the severely out-of-control addicted person needs the structure and support of in-hospital setting. We know they require an intensive evaluation of their biopsychosocial habits. We believe they can be treated utilizing an intensive, caring, multifaceted approach that fosters self-esteem, family support, abstinence, and a strong support system.
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The psychology of hallucinations has been viewed as an "etiopathogenetic" tool for the diagnosis of schizophrenia (Schizophrenia Bulletin, Vol. 5, No. 4, 1979). This phenomenological misrepresentation is criticized as possibly damaging for both the schizophrenic and the drug abuser. The need to accept the often chronic course of schizophrenia as an organic disease is discussed.
The use of anabolic steroids by athletes to increase physical performance has vastly increased over the last 10 years. A case is described which temporally relates the use of these organic compounds with the development of an acute schizophreniform illness. The dearth of literature on this particular "side-effect" is noted, as are the diagnostic implications vis-a-vis anabolic steroids and the anamnestic interview in an athlete who presents with an acute schizophrenic mental status examination. Recommendation is made to consider this "side-effect" in differential diagnosis of schizophrenic episode.
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