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MH addiction 2
| Question | Answer |
|---|---|
| Alcohol withdrawal. | Lorazepam (Ativan) |
| 2--4 mg every 2--4 hrs PRN | Lorazepam (Ativan) |
| Monitor vital signs and global assessment for effectiveness; may cause dizzy or drowsy | Lorazepam (Ativan) |
| Alcohol withdrawal | Chlordiazepoxide (Librium) |
| 50-100 mg, repeat in 2-4 hours if necessary; not to exceed 300 mg per day | Chlordiazepoxide (Librium) |
| Monitor vital signs and global assessment for effectiveness; may cause dizzy or drowsy | Chlordiazepoxide (Librium) |
| Maintains abstinence from alcohol | Disulfiram (Anatabuse) |
| 500 mg/day for one-two weeks, then 250 mg/day | Disulfiram (Anatabuse) |
| Teach client to read labels to avoid products with alcohol | Disulfiram (Anatabuse) |
| Maintains abstinence from heroin | Methodone (Dolophine) |
| Up to 120 mg/day for maintenance | Methodone (Dolophine) |
| May cause nausea vomiting | Methodone (Dolophine) |
| Maintains abstinence from opiates | Levomethadyl (Orlaam) |
| 60-milligram three times a week for maintenance | Levomethadyl (Orlaam) |
| Do Not take drug consecutive days; take-home doses are not permitted | Levomethadyl (Orlaam) |
| Maintains abstinence from opioids and decreases opiate cravings | Buponorpine/naloxone (Suboxone) |
| 4/1 mg-24/6 mg daily for maintenance | Buponorpine/naloxone (Suboxone) |
| May cause orthostatic hypotension, sedation; avoid CNS depressants | Buponorpine/naloxone (Suboxone) |
| Blocks the effects of opiates; reduces alcohol cravings | Naltrexone (ReVia, Trexan) |
| 350 mg/week, divided into three doses for opiate blocking if that; 50 mg/day for up to 12 weeks for alcohol cravings | Naltrexone (ReVia, Trexan) |
| Client may not respond to narcotics used to treat cough, diarrhea or pain; take with food or milk; may cause headache, restlessness or irritability | Naltrexone (ReVia, Trexan) |
| Suppresses opiate withdrawal symptoms | Clonidine (Catapress) |
| 0.1 mg every six hours PRN | Clonidine (Catapress) |
| Take blood pressure before each dose; with cold if client is hypotensive | Clonidine (Catapress) |
| Suppresses alcohol cravings | Acamprosate (Campral) |
| 666 mg three times daily | Acamprosate (Campral) |
| Monitor for diarrhea, vomiting, flatulence, and pruritus | Acamprosate (Campral) |
| Prevent or treat Wernicke--Korsakoff syndrome in alcoholism | Thiamine (vitamin B1) |
| 100 mg/day | Thiamine (vitamin B1) |
| Teach client about proper nutrition | Thiamine (vitamin B1) |
| Treat nutritional deficiencies | Folic acid (folate) |
| 1--2 mg/day | Folic acid (folate) |
| Teach client about proper nutrition; urine may be dark yellow | Folic acid (folate) |
| Treats nutritional deficiencies | Cyanocobalamin (Vitamin B 12) |
| 25 -- 250 ug/day | Cyanocobalamin (Vitamin B 12) |
| Teach client about proper nutrition | Cyanocobalamin (Vitamin B 12) |