PSYC 3403 Lecture Notes - Lecture 12: Naloxone, Hydromorphone, Methadone

• School: Carleton University
• Department: Psychology
• Course: PSYC 3403
• Professor: Tarry Ahuja

Document Summary

Atlantic canada council on addictions - opioid replacement therapy: switching clients from. Methadone maintenance treatment - best practices: 1,000 - 4,000 iv opioids users per million, 60,000 90,000 estimated illicit opiate users in canada. Morphine (ms contin ) and hydromorphone (dilaudid ), oxycodone (oxycontin ) Client iv opioids (age 13: 37 yr old female, drugs. Benzodiazepines (25 yrs of age: grade 12 and some community college, divorced, mother and daughter as dependents, pictou detox and top 2002; 3 admissions, metro detox 2003. Springhill detox and treatment orientation programs (top) 1996; 7 admissions. Daily methadone pick ups: phase 2 (6 weeks) Community phase: pick up methadone at community pharmacy, methadone prescriber monthly. Suboxone (cid:862)co(cid:373)bo(cid:863) bupre(cid:374)orphi(cid:374)e subli(cid:374)gual for(cid:373: bup 2mg/naloxone 0. 5mg or bup 8mg/naloxone 2mg. Target dose is 8-16 mg per day: buprenorphine/naloxone sublingual tablet. Naloxone does not precipitate opioid withdrawal in the opioid dependent individual: buprenorphine / naloxone sublingual tablet, crushed and injected.