Search results for Drug AND alcohol dependency

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Problem Drinkers - Treating alcohol-related morbidity

GPs can access advice about managing patients with alcohol misuse problems. By Fiona Barr...to improve their awareness and management of alcohol-dependent patients, many of whom will have complex ... -based alcohol counsellor funded by the local drug and alcohol action team. She refers patients to the counsellor ... Caring for patients who have alcohol-related problems is likely to be an increasing part of GPs ...

The Basics - Sleep problems

. Drug withdrawal (consider alcohol misuse and hypnotics). Some antidepressants, for example, SSRIs ... to secondary insomnia. Suspected alcohol and/or drug misuse can be difficult to pick up due to patient factors ... disorders are common in patients who misuse alcohol and drugs and it is important to screen for these ...

Emergency Medicine - Management of the poisoned patient

or legal 'street' drugs, toxic plants, agricultural chemicals, venomous snakes and industrial solvents ... interpretation of reduced absorption. Alcohol consumption at the time of poisoning may make the history unreliable but it is important to note whether it has occurred and, if so, how much alcohol was consumed ...

The Basics - GP management of gynaecomastia

recreational drugs, especially alcohol (as a risk factor for cirrhosis) and anabolic steroids. Consider ... /ectopic tumour Elevated prolactin Pituitary tumour; drug-related cause 2 ... of breast tissue with no causative drugs would raise the suspicion of a hormone-secreting tumour ...

Clinical Review - Osteoporosis

and the increased risk of falls is a major factor. Smoking, excessive alcohol use, malabsorption, inflammatory ... matched adult mean. Increasingly fracture risk assessment algorithms are replacing the dependence ... . Patients must inform their dentist of current bisphosphonate use. These risks are time dependent ...

Clinical Review - Heart failure

may be endocrine (thyroid disorders, diabetes, adrenal disorders), toxins (alcohol, recreational drugs ... to treatment. The NICE guidelines offer a succinct diagnostic algorithm for diagnosis of HF, depending ... modifications include smoking cessation and restriction of salt intake ( 2-3g per day), fluid and alcohol ...

Clinical Review: Cardiomyopathy

suppresses atrial and ventricular arrhythmias. Patients with drug-refractory symptoms, resting outflow ... myectomy (primary treatment option) or alcohol septal ablation to reduce LV outflow gradient. Therapy DCM is managed using drugs, cardiac resynchronisation therapy and cardiac transplantation in patients ...

Clinical Review - Ménière's disease

, head trauma or URTI, or by using aspirin, smoking or drinking alcohol. They may be further exacerbated ... , some patients are usually asymptomatic. Clinical examination varies depending on the phase ... and to specifically treat the conditions that cause these vestibular symptoms (see table right). Drugs used ...

Clinical review of managing psoriasis in primary care

exacerbate psoriasis; these include alcohol, smoking, certain drugs, skin injury, obesity, psychological ... the diagnosis has been made, aetiological factors which can be modified, such as alcohol intake, should ... depends on patient preference and also on body site. Gels and liquids tend to be preferable ...

Clinical Review - Cushing's syndrome

of CS is the exogenous administration of glucocorticoids, and a detailed drug history is very important ... common types are ACTH-dependent CS (80-85%), CD (80%) (for example, the ACTH-secreting pituitary adenomas ... pseudo-cushingoid syndromes (namely depression, alcoholism, anorexia nervosa, generalised resistance ...

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