PS268 Lecture Notes - Lecture 12: Buprenorphine, Varenicline, Disulfiram

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Primary prevention aimed at young people who have not yet tried the substance, or only tried alcohol or tobacco a few times, mostly abstinence based. Secondary prevention aimed at people who have tried the substance or a variety of other substances and more directed at stopping them from developing bad usage habits or trying more dangerous drugs. Tertiary prevention relapse prevention or follow up programs. Value clarification teaching students to recognize and express their own feelings and beliefs. Alternatives alternative nondrug activities such as relaxation exercises or dancing. Social influence model a prevention model adopted from successful smoking programs. Benzodiazepines used to combat physical withdrawal symptoms in detox stage. Increase gaba inhibitory action to lower seizure risk: disulfiram, naltrexone for maintenance phase. Pre-contemplation: no intention to change , not realize behaviour is a problem, need to realize problem exists. Contemplation: consider change, know problem exists. Preparation: commitment to action, tasks to be completed. Action: first steps towards modification, new attitude.

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