BMJ Best Practice
最后审核时间: 七月 2019
最近更新时间: 六月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 阿片使用的不良反应
  • 高成瘾严重指数(ASI)得分
  • 阿片致欣快作用降低

其他诊断因素

  • 慢性便秘
  • 体重减轻
  • 恶心/呕吐
  • 镇静

危险因素

  • 男性
  • 低龄
  • 精神障碍既往史
  • 物质滥用既往史

诊断性检查

首要检查

  • 尿液药物筛查
  • 气相色谱-质谱联用技术(GC-MS)
  • 血清电解质
  • 全血细胞计数 (FBC)
全部具体信息

治疗流程

贡献者

Associate Professor

Medical Director

Duke Addictions Program

Department of Psychiatry and Behavioral Sciences

Duke University Medical Center

Durham

NC

利益冲突披露
AAP is a consultant/member of the advisory board for Cubist Pharma, Biodelivery Sciences (BDSI), Kaleo, Forest Research Institute, and Titan Pharma; is on the speaker’s bureau and received honoraria from Otsuka, Alkermes, Sunovion, and BDSI; and is a shareholder in Ironwood Sciences LLC and Patkar Medical Consultants. AAP's institution has received grant support from National Institutes of Health (NIDA, NIAAA), SAMHSA, AstraZeneca, Bristol-Myers Squibb, Cephalon, Daiichi Sankyo, Envivo Pharma, Forest, J & J, Jazz Pharmaceuticals, Lundbeck, Merck, Organon, Pfizer, Sunovion, Shire, and Titan. AAP holds unpaid positions on the Board of Directors of Southlight Inc, the Board of Advisors of People's Medical Care, the Executive Committee of Triangle Indian American Physicians Society, and also as President of Indo American Psychiatric Association.

Medical Director

The Farley Center at Williamsburg Place

Williamsburg

VA

Affiliate Assistant Professor

Department of Psychiatric Medicine

East Carolina University

Greenville

NC

Community Assistant Professor

Department of Family Medicine

Eastern Virginia Medical School

Norfolk

VA

利益冲突披露
JCL is a full-time employee at The Farley Center at Williamsburg Place.

Assistant Professor

Department of Psychiatry

University of Missouri - Kansas City

Medical Director

Outpatient Behavioral Health

Truman Medical Centers

Kansas City

MO

利益冲突披露
DMB declares that he has no competing interests.

Dr Ashwin A. Patkar, Dr Jonathan C. Lee, and Dr Douglas M. Burgess would like to gratefully acknowledge Dr Kamal Bhatia and Dr Srilakshmi Musham, previous contributors to this monograph. KB declares that he has received grant support from National Institutes of Health, Lundbeck Pharmaceuticals, Pfizer, and Titan Pharmaceuticals. SM declares that she has received grant support from Pfizer, Titan Pharmaceuticals, Shire Pharmaceuticals, and the Forest Research Institute.

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Assistant Professor

Department of Emergency Medicine

Johns Hopkins University Hospital

Baltimore

MD

利益冲突披露
AS declares that he has no competing interests.

Professor

Department of Psychiatry and Behavioral Sciences

University of Texas

Health Science Center

Houston

TX

利益冲突披露
FGM declares that he has no competing interests.

Consultant Psychiatrist and Honorary Senior Lecturer

Institute of Psychiatry

King's College London

London

UK

利益冲突披露
CK declares that he has no competing interests.

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