Search results for Drug AND alcohol dependency

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Substance misuse - Prescribing for alcohol misusers

Measuring extent of liver damage and assessing likely drug interactions is key....harmful and dependent drinking. Two organs are significantly affected when alcohol is consumed ... There are no definite scientifically proven limits to what constitutes safe alcohol consumption ... of drinking is by using the AUDIT questionnaire (Alcohol Use Disorder Identification Test)1 or one of its ...

Drug misuse - The risks of intravenous drug use

In the first of this new series looking at the management of patients who misuse drugs, Dr Meg...Agency Drug Misuse and Dependence: UK Guidelines on Clinical Management. October 2007. 4. Ghodse H ... , mainly heroin and crack cocaine. 1,2 Intravenous drug (IVD) use is clearly endemic in our society ... are dependency, damage to veins, infection and overdose. Dependency The ICD10 definition of the dependence ...

The Basics - Community-acquired pneumonia

Clinical features depend on patient factors and the infecting organism, explains Dr Harry Brown...., such as COPD or bronchiectasis Preceding upper respiratory tract infection Excess alcohol consumption ... urgent admission. For patients with CAP, the first-line drugs are usually amoxicillin, or doxycycline ...

Red flag symptoms - Palpitations

The patient's pulse, medical or drug history may point to a diagnosis....when seen. Drug history may offer a clue to past medical history, or the drugs may cause arryhthmias ... antidepressants, to name a few. Smoking, caffeine and alcohol could contribute. Enquire about the duration ... be useful, depending on other factors elicited in the history. A 12-lead ECG may reveal the diagnosis ...

Substance misuse - The impact of using cannabis

Opinion is divided over whether this commonly used drug causes harm. Dr George Ryan explains....to be a gateway drug leading to the use of opiates and cocaine. In fact, tobacco and alcohol are more ... effects on mental health, and whether or not its use can lead to dependence. In January 2009, the Home ... . The main drivers for its reclassification were concerns about the effects of the drug (especially 'skunk ...

Substance misuse - Minimising the risks of injecting

Dr Meg Thomas sets out health promotion strategies to help patients who are drug users....by combinations of sedatives such as alcohol, benzo-diazepines, methadone and heroin. These drugs can work ... . National Treatment Agency for Substance Misuse. Drug Misuse and Dependence: UK Guidelines on Clinical ... Intravenous drug (IVD) users have a mortality rate up to 24 times that of the general population ...

Diagnosis and management of epilepsy

for history of excess alcohol; drug history, especially non-prescription drugs; fever (in a young child ... patients a cause is more likely to be found. Alcohol or drug withdrawal, cerebral metastases from occult ... The decision to start treatment is dependent upon the risk of further seizures. Generally, patients with tonic ...

Investigating abnormal liver tests

members. The action required will depend on the clinical situation. In asymptomatic patients, the first ... about all drug use, including medications that they might have borrowed from family or friends, vitamins and herbal remedies, previous blood transfusions, transfusions and sexual history. A full alcohol history ...

CKS: Post-traumatic stress disorder

anxiety disorder, drug or alcohol abuse, inappropriate anger, inability to work, relationship problems ... , generalised anxiety disorder and panic disorder, and drug or alcohol abuse) and if present, establish the main ... emergency referral, assess the severity of PTSD symptoms and depending on the degree of distress she ...

Case study - Jaundice is cause for concern

. The kind of hepatic injury caused depends on the specific drug. Carbimazole and its active metabolite ... that he had not drunk any alcohol in the past six months. He attended the surgery very infrequently and was last seen more than two years ago. He had a history of alcoholic liver disease and had bleeding ...

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