Portnow J M, Strassman H D
Int J Addict. 1985 Apr;20(4):605-11. doi: 10.3109/10826088509044939.
Iatrogenic, or medically induced, drug addiction is a problem affecting both patients and physicians. We describe the function of a new center devoted solely to managing iatrogenic addiction. The center accepts patients on physician referral only. The addiction usually arises as a complication of a medical disorder that is accompanied by pain and requires comprehensive and multidisciplinary evaluation and treatment. Detoxification from the offending medication, provision of chronic analgesia, and maintenance are managed with methadone. All appropriate modalities of treatment including psychotherapy, physical therapy, and relaxation techniques are employed.
医源性或药物引起的成瘾是一个影响患者和医生的问题。我们描述了一个专门管理医源性成瘾的新中心的功能。该中心仅接受医生转诊的患者。成瘾通常是作为一种伴有疼痛且需要综合多学科评估和治疗的医学疾病的并发症出现的。停用致病药物、提供慢性镇痛和维持治疗均用美沙酮进行管理。采用包括心理治疗、物理治疗和放松技巧在内的所有适当治疗方式。
