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Titolo:
THE OPIATE-DEPENDENT PATIENT - INCREASE O F USERS
Autore:
FREYE E;
Indirizzi:
HAMENER STR 37 D-40882 RATINGEN GERMANY UNIV DUSSELDORF,ABT GEFASSCHIRURG & NIERENTRANSPLANTAT D-4000 DUSSELDORF GERMANY
Titolo Testata:
Anasthesiologie und Intensivmedizin
fascicolo: 2, volume: 39, anno: 1998,
pagine: 73 - 86
SICI:
0170-5334(1998)39:2<73:TOP-IO>2.0.ZU;2-P
Fonte:
ISI
Lingua:
GER
Soggetto:
ABUSE; PARKINSONISM; NALTREXONE; METHADONE;
Keywords:
OPIOID; SUBSTANCE ABUSE; SUBSTANCE DEPENDENCE; SUBSTANCE WITHDRAWAL SYNDROME;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
51
Recensione:
Indirizzi per estratti:
Citazione:
E. Freye, "THE OPIATE-DEPENDENT PATIENT - INCREASE O F USERS", Anasthesiologie und Intensivmedizin, 39(2), 1998, pp. 73-86

Abstract

Heroin can still be considered the illegal drug number one among illicit opioid addicts, Data from the first quarter of 1995 and 1996 reports that cocaine use has stabilized or slightly decreased across the nation while heroin comparatively is still much higher, especially amongyoung low and middle-income adults, teens and particularly middle-class suburbanites, Ethnographers indicate that cocaine use is not as popular among adolescents and young adults as it once was, it is not seenas fashionable and the preference of heroin over cocaine is thought to be because the drug makes the user calm, Thus an increasing number of sources are reporting ''double-breasted'' dealing or ''one plus one'' sales, in which cocaine and heroin are sold by the same person, Thisdeviation from the traditional single drug market has already had noticable effects on heroin quality, Individuals who have not previously dealt with heroin may not know enough about the drug to cut and package it properly, Inexperienced dealers often cut the heroin inconsistently and purity may range from 2% to 30%, In addition, new heroin dealers may adulterate the heroin with a large variety of pharmacologically active and non active compounds which often result in a variable toxicity of the drug, Also, designer drugs of the fentanyl series and that of pethidine are appearing more frequently on the market, compounds which are characterized by a high purity and a high toxicity when compared to their mother compound, Such practices result in an increased number of opioid overdoses and users appearing at emergency rooms for problems related to the substance with which heroin is mixed have to be treated accordingly, While the final aim in the treatment of drug addicts is abstinence from the drug, various techniques are available to free a user from the opioid, Among these the ''ultra-rapid detoxification technique'' in anaesthesia has raised interest as many addicts are willing to give up their drug career but are incapable of coping with the abstinence syndrome, Similar to maintenance programmes with methadone, however, detoxification does not guarantee no relapse unless a psychosocial stablization is initiated in highly motivated individual accompanied by a maintenance programme with the opioid antagonist naltrexone.

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Documento generato il 02/04/20 alle ore 18:18:33