SMJ articles in the category "substance abuse"

Original Article

CME Article: Patients on Involuntary Hold Status in the Emergency Department

Objectives: Patients requiring involuntary holds are frequently seen in the emergency department (ED). Much of what is known comes from studies of patients at urban academic centers. Our aim was to describe the demographic and clinical characteristics of patients who were evaluated while on involuntary status at a suburban ED.Methods:…

Posted in: emergency department 21 substance abuse 9

Original Article

Chronic Opioid Users Are More Difficult to Sedate than Alcoholics and Controls

Objectives: Diagnostic and therapeutic colonoscopy is performed using conscious sedation. Excessive alcohol users, chronic benzodiazepine and opioid users, and polysubstance users are commonly cited as difficult to sedate. Few studies have compared and analyzed medication dosages to achieve sedation in these groups. Methods: The endoscopic database was searched for patients…

Posted in: colonoscopy 24 conscious sedation 4 substance abuse 9

Review Article

CME Article: Abuse of Medications That Theoretically Are Without Abuse Potential

The potential for abuse of medications that are controlled substances is well known. Abuse of certain noncontrolled prescription drugs and over-the-counter medications also may occur. To some degree, any medication that exerts psychoactive effects may be abused if taken in high enough doses or by means that result in high…

Posted in: substance abuse 9

Original Article

Sex-Specific Substance Abuse Treatment for Female Healthcare Professionals: Implications

Objectives Gender plays a significant role in the development and treatment of substance abuse disorders. Sex-specific treatment for girls and women has recurrently proven more effective, with better outcomes than traditional treatment. Research on impaired healthcare professionals (HCPs) has largely focused on men, garnering little attention for women and sex…

Posted in: sex differences 3 substance abuse 9

Review

Carisoprodol: Update on Abuse Potential and Legal Status

Carisoprodol is a centrally acting skeletal muscle relaxant of which meprobamate, a controlled substance, is the primary active metabolite. The abuse of carisoprodol has increased dramatically in the last several years. A withdrawal syndrome occurs in some patients who abruptly cease carisoprodol intake. The symptoms of this syndrome are similar…

Posted in: substance abuse 9

Case Report

Priapism and Risperidone

Abstract:A patient taking oral risperidone while using cocaine and alcohol presented with priapism shortly after long-acting, injectable risperidone was prescribed. Another case of priapism was diagnosed in a sickle cell disease patient who was on oral risperidone. A penectomy due to necrosis was required in the first case, while the…

Posted in: sickle cell disease 28 substance abuse 9

Original Article

Public Perceptions of Substance Abuse and How Problems Are Resolved: Implications for Medical and Public Health Services

Background: Increasing utilization and appeal of substance abuse services requires understanding public perceptions of substance abuse and problem resolution. Method: A statewide survey (N = 439) assessed public views of the prevalence of problems, service utilization, and outcomes using random digit dialing sampling. Results: Compared with population data, the sample…

Posted in: substance abuse 9 survey 8

Case Report

Additional Evidence of the Abuse Potential of Quetiapine

Quetiapine is an atypical antipsychotic agent approved by the FDA for the treatment of schizophrenia, acute mania, and bipolar depression. Recently, reports of medication abuse, particularly intranasal and IV abuse, have been described. Three cases of oral misuse of quetiapine are presented and clinical implications are discussed. Clinicians should exercise…

Posted in: psychosis 8 quetiapine 3 substance abuse 9

Review Article

Substance Abuse: Medical And Slang Terminology

Substance abuse is among one of the major problems plaguing our society. It has come to the attention of several health-care professionals that a communication gap exists between themselves and substance abusers. Most of the time the substance abusers are only familiar with the slang terms of abused substances, a…

Posted in: addiction 5 Drugs 6 substance abuse 9
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