Opioid-Related Disorders

Opioid abuse manifests in various ways in patients in medical settings. Psychiatrists are frequently consulted regarding opioid therapy for patients who are prescribed methadone, are thought or known to be dependent on prescription or illicit narcotics, engage in drug-seeking behavior, exhibit personality problems that interfere with medical care, or have overdosed. Suspicion is heightened by exaggerated pain complaints, by visits to multiple providers for multiple pain complaints requiring a narcotic prescription (e.g., migraine, back pain, dental pain, fibromyalgia, and endometriosis), and by claims to be “allergic” to every analgesic except for particular opioids (e.g., hydro-codone or oxycodone). Opioid-dependent patients often provoke angry reactions from staff, which can result in discharging a patient prematurely or underprescribing pain medications. Chronic pain patients who develop tolerance to opioids and experience opiate withdrawal on cessation of use are often misla-beled addicts (see “Pain”). Tolerance and withdrawal alone are not sufficient for the diagnosis of either substance abuse or dependence. For example, cancer patients with painful bone metastatic lesions may need high doses of narcotics and Read more […]

Fentanyl

Common generic and trade names Fentanyl Actiq Duragesic TTS Fentanilo Fabra Leptanal Duragesic Fentanest Inoval * Fentanyl citrate Beatryl Fentanyl Pharmalink Oralet Duragesic Fentanyl Curamed Pentanyl Fentanest Fentaz * Phentanyl Fentanil Fluanisone Sentonyl Fentanilo Northia Haldid Sintonyl Fentanyl Alpharma Haloanisone Sublimaze Fentanyl B.Braun Hefanil Sublimazine Fentanyl Citrate Injection Hypnorm * Talamonal Fentanyl Citrate Antigen Innovar * Thalamonal * Fentanyl Dakota Pharm Inoval * Thalamonial Fentanyl Hexal Ivonal Thamonal Fentanyl Janssen Leptanal Trofentyl Fentanyl Oralet Leptophen Fentanyl Parke Davis Leskin Read more […]

Opium: Chemical | Organic composition

Opium: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Opium effects. Reactions with other drugs.

Meperidine: Usage trends

Meperidine: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Meperidine effects. Reactions with other drugs.

Fentanyl: Fact or fiction

Fentanyl: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Fentanyl effects. Reactions with other drugs.

Fentanyl: In the news

Fentanyl: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Fentanyl effects. Reactions with other drugs.

Fentanyl: Legal consequences

Fentanyl: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Fentanyl effects. Reactions with other drugs.

Fentanyl: Personal and social consequences

Fentanyl: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Fentanyl effects. Reactions with other drugs.

Fentanyl: Treatment and rehabilitation

Fentanyl: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Fentanyl effects. Reactions with other drugs.

Fentanyl: Reactions with other drugs or substances

Fentanyl: Composition, Therapeutic use, Usage trends. Treatment and rehabilitation. Fentanyl effects. Reactions with other drugs.