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Appropriate Use of Drug Testing in Clinical Addiction Medicine

Details: drugs that are most likely to impact clinical outcomes.’’ Cost Considerations This document is designed to convey statements about drug testing as part of appropriate clinical care. It is not an analysis of the cost benefits of drug testing using various technologies or under various circumstances. However,

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The ASAM National Practice Guideline for the Use of

Details: drugs, including benzodiazepines or benzodiazepine receptor agonists). It may also be unsuitable for persons who are regularly using alcohol or other sedatives but do not have addiction or a specific substance use disorder related to that class of drugs.

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Repurposing Medications to Treat Addiction

Details: Kappa receptor antagonists. While dopamine plays an important role in addiction, we also know that the kappa receptor system in the brain modulates stress and anxiety in addiction, which we discussed in a previous article. Animal studies show that activating this receptor increases drug and alcohol seeking behavior, whereas blocking this

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ASAM Definition of Addiction

Details: What is addiction? Addiction is a treatable, chronic medical disease involving complex interactions among brain circuits, genetics, the environment, and an individual’s life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences. Prevention efforts and treatment approaches for addiction are generally as

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The ASAM Clinical Practice Guideline on Alcohol

Details: tinues to use alcohol, nicotine, and/or other drugs despite significant related problems. Diagnostic criteria are given in the DSM-5. Substance use disorder is the new nomenclature for what was included as substance dependence and substance abuse in the DSM-4. …

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American Society of Addiction Medicine

Details: alcohol or other drugs, or when one engages non-pathologically in potentially addictive behaviors such as gambling or eating, one may experience a “high”, felt as a “positive” emotional state associated with increased dopamine and opioid peptide activity in reward circuits. After such an experience, there is a neurochemical rebound, in

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Intimate Partner Violence and Co-Occurring Substance Abuse

Details: Greater than 20% of male perpetrators report using alcohol and/or illicit drugs prior to the most recent and severe acts of violence. Victims of IPV also report the offender had been consuming alcohol and/or using illicit drugs. Many studies find excessive alcohol use to be strongly associated with perpetrating partner violence, though there is

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What is Recovery

Details: Reprinted with permission from Alcohol Research Documentation, Inc., publisher of the Journal of Studies on Alcohol and Drugs. The author is a Senior Scientist at the Alcohol Research Group in Emeryville, CA that is part of the Oakland-based Public Health Institute. She also is an Associate Adjunct Professor in the School of Public Health at

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Patient Resources

Details: Opioid Addiction Treatment: A Guide for Patients, Families and Friends. This patient guide includes information on assessment, treatment overview (including treatment plans, patient participation, and counseling), and all the medications available to treatment opioid use and overdose.

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Journal of Addiction Medicine

Details: Published six times per year, the Journal of Addiction Medicine is the official journal of the American Society of Addiction Medicine. It is currently ranked tenth in the Substance Abuse category of the 2012 Journal Citation Reports' Science Edition.

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Reimbursement for Medications for Addiction Treatment Toolkit

Details: drugs, their metabolites, and/or drug quantities. Definitive toxicology testing is a quantitative and highly accurate manner of resolving the presence or absence of specific drugs. For definitive toxicology testing, some payers will require the use of CPT codes, while Medicare or a …

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Understanding Medication in Addiction Treatment for Drug

Details: use drugs, help people feel normal, shorten the length of any relapses, and help people better focus on recovery. • OUD is a lifelong condition that often requires ongoing medication in the same way that diabetes or high blood pressure does. While some people are able to gradually taper off, many require long-term or even lifelong treatment.

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Ethical Use of Drug Testing in the Practice of Addiction

Details: The use of drug screening panels that test for multiple classes of drugs or multiple compounds within a drug class is a pragmatic approach that can be helpful especially in primary care practices. Drug testing panels may be pragmatic for new patients in addiction treatment programs, but follow-up testing should be individualized to the patient

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Facing Addiction in America: The Surgeon General’s Report

Details: Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs and Health. is the first ever Surgeon General’s report on substance use and addiction. The report aims to shift the way our society thinks about addiction away from a perception that it is a moral failing to an understanding of addiction as a chronic brain disease.

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Opioids: Brand names, generic names & street names

Details: Opioids: Brand names, generic names & street names Brand Names (Generic Names) Abstral (fentanyl) Actiq (fentanyl) Avinza (morphine sulfate extended-release capsules) Butrans (buprenorphine transdermal system) Demerol (meperidine [also known as isonipecaine or pethidine]) Dilaudid (hydromorphone [also known as dihydromorphinone])

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American Society of Addiction Medicine

Details: alcohol, nicotine, other drugs, or their metabolites, is a common feature of many addiction treatment services. The chemical compounds that act on reward pathways in the brain can be taken into the body by various routes. Because of their water-solubility and lipid-solubility, alcohol and other drugs are rapidly distributed to virtually every

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Words Matter Terms to Use and Avoid When Talking About

Details: other drugs, and that clinicians refer to severity specifiers (e.g., mild, moderate, severe) to indicate the severity of the impairment. This language also supports documentation of accurate clinical assessment and development of effective treatment plans. 7. When talking about treatment plans with people with SUD and their loved ones,

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Overdose Prevention Sites

Details: Overdose prevention sites (OPS), also known as supervised injection facilities (SIFs) or safe consumption sites (SCS), are places where people may consume previously obtained drugs in a hygienic, monitored environment without fear of arrest. The term OPS focuses on the overall purpose of these sites, and the shift to refer to them as OPS rather

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ASAM eLearning: Other Classes of Drugs: Pharmacology and

Details: Other Classes of Drugs: Pharmacology and Epidemiology Recorded: Thursday, July 22, 2021 - Saturday, July 24, 2021 On-Demand Session Overview. This 45-minute, on-demand session from the ASAM 2021 Review Course covers a diverse group of substances including hallucinogens, dissociatives, inhalants, and steroids as well as the physiological effects, epidemiology, and treatment options.

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ASAM eLearning: Course 6

Details: The effects of these different drugs and behavioral patterns will be described, as well as information on sources of these drugs, and legal status will be detailed. The clinical presentations, urgent medical and psychiatric management, recognition of toxicity, and acute medical management will be provided.

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Public Policy Statement on the Ethical Use of Drug Testing

Details: specificity that is able to identify specific drugs, their metabolites, and/or drug quantities. Definitive testing is likely to take place in a laboratory and each individual test can be expensive. Gas or liquid chromatography combined with mass spectrometry is the gold standard method in definitive drug testing.

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Major NIH Study Will Examine the Effects of Drugs on the

Details: Major NIH Study Will Examine the Effects of Drugs on the Developing Brain. by Susan R.B. Weiss, PhD, for NIDA | April 10, 2015. The landscape of substance use among the nation’s youth is changing. Increasing public acceptance and shifting policies around marijuana are making that drug more accessible in some states.

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ASAM eLearning: Session 8: Other Classes of Drugs

Details: Session 8: Other Classes of Drugs. You will learn about a diverse group of substances including hallucinogens, dissociatives, inhalants, and steroids. The physiological effects and epidemiology will be presented, along with notable examples of each class. Features of specific substance use disorders as well as treatment options will also be

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SCREENING FOR DRUG USE IN GENERAL MEDICAL SETTINGS

Details: 2. 3. This guide is designed to assist clinicians serving adult patients in . screening for drug use. The NIDA Quick Screen was adapted from the single-question screen for

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Forging a Law Enforcement and Substance Abuse Treatment

Details: the person chooses to use drugs but people don’t choose to get cancer or diabetes. They believe the “disease” view absolves the user from being responsible for their condition. The term “disease” is defined in the dictionary as: “A condition … that impairs normal functioning.”

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Special Interest Groups

Details: Special Interest Groups are concerned with the needs of a subset of patients; to address a particular aspect of substance use and addiction; or to address a medical condition or co-morbidity of addiction.

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ASAM eLearning: Hallucinogens/Dissociatives

Details: 0.00. This 45-minute, on-demand session from the ASAM 2021 Review Course covers a diverse group of substances including hallucinogens, dissociatives, inhalants, and steroids as well as the physiological effects, epidemiology, and treatment options. Register. Non-Member - $39.

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American Society of Addiction Medicine

Details: Drugs in Children and Adolescents. According to the latest data from the National Survey on Drug Use and Health (NSDUH), ten percent of youths aged 12 to 17 currently use illicit drugs, including non-medical use of psychotherapeutics.i Furthermore, the rate of illicit drug use among children and adolescents in this age range is on the rise.

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ASAM eLearning: 2021 ACMT/ASAM Addiction Toxicology Case

Details: 2021 ACMT/ASAM Addiction Toxicology Case Conferences Live & On-Demand Webinars Overview. This free series of live and on-demand webinars occurs on the first Friday of the month and discusses addiction/toxicology cases in an interactive fashion featuring experts from addiction medicine, addiction psychiatry, and medical toxicology.

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Balancing Benefits and Risks: Opioid Analgesics

Details: Opioid pain relievers are the most widely misused and abused controlled prescription drugs and are involved in most unintentional poisoning deaths (1). Such deaths have quadrupled since 1999, and by 2007 outnumbered those involving heroin and cocaine (2). In 2011, nearly 17,000 drug-poisoning deaths in the U.S. involved these medications (3).

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Newsletter of The American Society of Addiction Medicine

Details: Physician Education on Addictive Potential of Rx, OTC Drugs In resolutions submitted for consideration at the American Medical Association's In­ terim Meeting in December, ASAM has urged AMA to adopt policies relating to to­ bacco makers' liability under the proposed settlement now under review by the White House. Other proposed policies concern

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ASAM eLearning: Component 12: ASAM Drug Testing White

Details: A key focus of the session will be on a description of the rapidly evolving drug testing technology and how it relates to the even more rapidly evolving patterns of drug use including the spread of prescription drug abuse and the emergence of designer drugs, drugs designed to evade drug laws and drug tests.

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ASAM eLearning: Designer Drugs Update 2019: Phenibut

Details: 1.) Identify emerging designer drugs, including phenibut, synthetic opioids, and others. 2.) Recognize clinical clues to intoxication with emerging designer drugs, and ways to differentiate from other drug use. 3.) Discuss treatment of medical and psychiatric complications resulting from use of designer drugs.

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Caring for Patients During the COVID-19 Pandemic

Details: Caring for Patients During the COVID-19 Pandemic . ASAM COVID-19 Task Force Recommendations . A guide for addiction treatment providers and programs working to treat patients with substance use

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ASAM eLearning: Session 7: Other Classes of Drugs (.75 CME)

Details: Speaker (s) Contents (3) The Following Topics are addressed in this session: Hallucinogens (LSD, Mescaline, Psilocybin, and Other Hallucinogens) Dissociatives (Phencyclidine, Ketamine, Dextromethorphan and Other Dissociatives) Inhalants (Nitrous Oxide, Hydrocarbons and Other Inhalants) Anabolic Steroids. Management of Other Drug Intoxication

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ASAM eLearning: Evaluating Drug Dependence: Regulatory

Details: Evaluating drug withdrawal effects is an integral component of dependence potential, which informs the overall safety, appropriate dosing, and scheduling of a drug. Understanding withdrawal phenomenon is critical in the care and management of patients who are physically dependent on …

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ASAM eLearning: Part 2: The ASAM 16-Hour Medications for

Details: The ASAM 16-Hour Medications for Opioid Use Disorder Course Part 2: 16-Hour On-Demand Course Overview. This 16-hour on-demand course provides required education* for NPs, PAs, CNMs, CRNAs, and CNSs to qualify for the waiver to prescribe buprenorphine in an office-based setting, and covers essential information for providers to identify, assess, diagnose, and manage patients with opioid use

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ASAM eLearning: The Impacts of COVID-19 on Mental Health

Details: Earn 1 AMA PRA Category 1 Credit(s)™ while learning about the impacts of COVID-19 on mental health, substance use, and overdose concerns of people who use drugs in rural communities.Erin Stack, MS, Gillian Leichtling, BA, Jessica E. Larsen, BA, Mary Gray, PhD, Justine Pope, MPH, Judith M. Leahy, MPH, Lillian Gelberg, MD, MSPH, Andrew Seaman, MD, Philip Todd Korthuis, MD, MPH

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ASAM eLearning: Screening & Assessment

Details: © 2021 American Society of Addiction Medicine. All rights reserved. 11400 Rockville Pike, Suite 200, Rockville, MD 20852 Phone: 301.656.3920 | Fax: 301.656.3815

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ASAM eLearning: Session 7: Stimulants

Details: This session will describe the methods of use, pharmacological effects, and molecular mechanisms of action for abused stimulant drugs, including cocaine, methamphetamine and newer "bath salts" cathinones. Clinical approaches for treating adverse effects and stimulant use disorders will be discussed. Michael H. Baumann, PhD is a Staff Scientist

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ASAM eLearning: Psychoactive Substances Update: Kratom

Details: New psychoactive drugs can be challenging to identify and treat, especially serious medical and psychiatric complications. This is important, as new designer drugs have resulted in multiple deaths and significant health consequences. This session will inform attendees about emerging psychoactive drugs, including kratom, synthetic cannabinoids

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ASAM eLearning: Session 8: Other Classes of Drugs (.75 CME)

Details: Session 8: Other Classes of Drugs (.75 CME) (.75 CME) In this recording from the 2019 Review Course, you will learn about a diverse group of substances including hallucinogens, dissociatives, inhalants and steroids. The physiological effects and epidemiology will be presented, along with notable examples of …

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Alcoholic women abuse VA study recommends separate …

Details: obtained drugs of abuse legally, with over half of the women securing prescriptions for tranquilizers or barbiturates at the same time they were drinking at an· alco­ holic level. The high incidence of depres­ sion (18%) and of suicide attempts ( 40%) are evidence of the dangers involved in the simultaneous abuse of drugs and alco­ hol.

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What is an Addiction Medicine Specialist

Details: According to the American Board of Preventive Medicine (ABPM), Addiction Medicine is concerned with the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction, of those with substance-related health conditions, and of people who show unhealthy use of substances including nicotine, alcohol, prescription medications and other licit and illicit drugs.

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ASAM eLearning: Hepatitis C Screening, Education, and

Details: The public health burden of Hepatitis C virus (HCV) among people who use drugs (PWUD) is enormous. Worldwide, about 10 million PWUD have been infected with HCV; however, under 10% of HCV-infected PWUD have initiated treatment for HCV.

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ASAM eLearning: Session 7: Stimulants (.75 CME)

Details: Session 7: Stimulants (.75 CME) (.75 CME) In this recording from the 2019 Review Course, you will learn about methods of use, pharmacological effects, and molecular mechanisms of action for abused stimulant drugs, including cocaine, methamphetamine and newer "bath salts" cathinones. Clinical approaches for treating adverse effects and stimulant

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ASAM eLearning: Use and Interpretation of Buprenorphine

Details: Urine drug testing during medication-assisted treatment with buprenorphine involves not only assessment for illicit and non-prescribed substances but also involves confirmation of …

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ASAM eLearning: FAME Session 11: Drug Use in Pregnancy

Details: Discuss the short and long-term effects of alcohol and other drugs of abuse on pregnancy. Understand why treatment with buprenorphine and methadone is indicated during pregnancy Realize the importance of the postpartum period

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Clinical Opiate Withdrawal Scale,

Details: Clinical Opiate Withdrawal Scale (COWS) Flow-sheet for measuring symptoms for opiate withdrawals over a period of time. For each item, write in the number …

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