接受美沙酮治疗的阿片类药物依赖患者。医生应如何管理治疗。
Opiate-dependent patients receiving methadone. How physicians should manage therapy.
作者信息
Kahan M, Sutton N
机构信息
St. Joseph's Health Centre, Toronto.
出版信息
Can Fam Physician. 1996 Sep;42:1769-78.
Abstract
Methadone treatment can reduce illicit drug use, needle sharing, and the social costs and health risks of heroin addiction. It is superior to no treatment, detoxification, or treatment programs lasting less than 3 months. For most patients, the optimal methadone dose is 50 to 120 mg daily. Supervised, random urine drug specimens should be collected at least twice weekly. Long-term counseling is essential and should include information on the risks of needle sharing and on screening for HIV and hepatitis B and C.
摘要
美沙酮治疗可以减少非法药物使用、共用针头以及海洛因成瘾带来的社会成本和健康风险。它优于不治疗、脱毒治疗或持续时间少于3个月的治疗项目。对于大多数患者来说，美沙酮的最佳剂量是每日50至120毫克。应至少每周两次采集受监督的随机尿液药物样本。长期咨询至关重要，应包括关于共用针头风险以及艾滋病毒和乙型及丙型肝炎筛查的信息。
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本文引用的文献
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Patterns of 1-day and 4-month motor functioning in infants of women on methadone.服用美沙酮的女性所生婴儿1日龄和4月龄时的运动功能模式
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Differential motor and state functioning in newborns of women on methadone.母亲服用美沙酮的新生儿的运动和状态功能差异
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Polydrug- and methadone-addicted newborns: a continuum of impairment?多药成瘾和美沙酮成瘾的新生儿：存在一系列损害吗？
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