Download Addiction Mechanisms, Phenomenology and Treatment by R. Maldonado (auth.), Prof. Dr. W. W. Fleischhacker, Prof. PDF

By R. Maldonado (auth.), Prof. Dr. W. W. Fleischhacker, Prof. Dr. D. J. Brooks (eds.)

Substance-related problems pose an expanding problem not just to the sector of psychiatry but additionally to public overall healthiness. The speedy improvement of our society has additionally replaced the face of substance use and abuse, either quantitatively and qualitatively. during this quantity overseas specialists current studies of the most recent study masking many components starting from neurobiology to mental administration, in addition to diverse medicines, from alcohol to ecstasy.

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Product Details
Publisher: Martinus Nijhoff Publishers (January 1, 1973)
Language: English
ISBN-10: 94-247-1302-1
Printed booklet Dimensions: nine. 2 x 6. 1 x zero. 6 inches

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Extra resources for Addiction Mechanisms, Phenomenology and Treatment

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Social integration and engaging in social relations with friends and partners is made difficult if you are not allowed to move to a holiday resort or to another country. The wish to go for a holiday therefore is often coming up during substitution treatment. The treating physician must decide whether it is acceptable to hand out substitution drugs in the amounts needed for a vacation, on the basis of the individual circumstances (stabilisation of dosage and living circumstances, reliability of patient, duration of vacation).

Assessment is made independently, not by the prescribing physician, but the responsible agency as a rule consults him for his observations and prognosis. The individual assessment of the patient's driving ability does not use uniform criteria. As a rule, a minimal duration of 6 to 12 months on substitution with stable dosage is required. Other requirements are an adequate status in somatic and psychological health, a stable housing condition, absence of delinquent and otherwise irresponsible behavior, and abstinence from illegal and non-prescribed substances (documented through urine analysis).

Initial doses correspond to the extent of opiate tolerance in a given patient. They are to be handled cautiously in order to avoid overdose. If tolerance is not clearly evident, doses should not exceed 30mg/day, in cases of evident tolerance 60mg/day split in two partial doses should not be exceeded. Increasing of doses is following observations on withdrawal symptoms. It is advisable to see the patient once or twice a day in order to prevent unpredictable complications. Only exceptionally it is necessary to hospitalise a patient for determining the adequate dosage.

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