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Psychiatric Meds.

Medications for Substance Abuse

QuestionAnswer
What are the detoxification medications for alcohol? Benzodiazepines: Chlordiazepoxide (Librium Diazepam (Valium) Lorazepam (Ativan) -These all maintain VS within normal limits; decrease risk of seizures; decrease intensity of symptoms
What are the detoxification medications for alcohol continued... Adjunct Medications: Carbamazepine (Tegretol) Clonidine (Catapres) Propranolol (Inderal) -These all decrease seizures; depress the autonomic response; decrease the craving
What are the Abstinence maintenance medications for alcohol? Disulfiram (Antabuse) -Aversion behavioral therapy; avoid any products that contain alcohol; persist for 2 weeks following dicontinuation of disulfiram
What are the Abstinence maintenance medications for alcohol continued... Naltrexone (ReVia) -Suppresses the craving and pleasurable effects of alcohol (also used for opioid withdrawal) Acamprosate (Campral) -Decreases unpleasant effects resulting from abstinence (anxiety, restlessness)-diarrhea may result
What are the medications to support withdrawal/abstinence from opioids? Methadone (Dolophine) Substitution -Withdrawal and long-term maintenance; prevents abstinence syndrome from occuring Clonidine (Catapres) -Assists with withdrawal sxs (diarrhea, nausea, vomiting); causes dry mouth
What are the medications to support withdrawal/abstinence from opioids continued... Buprenorphine (Subutex), Buprenorphine combined with Naloxone (Suboxone) -Used for both detox and maintenance; decrease feelings of craving and may be effective in maintaining compliance.
What are the medications to support withdrawal/abstinence from nicotine? Bupropion (Zyban) -Decreases nicotine craving and symptoms of withdrawal Nicotine Replacement Therapy (Nicotine Gum [Nicorette] and Nicotine Patch [Nicotrol]) -Substitutes for the nicotine in cigarettes or chewing tobacco.
Created by: j_bressette