Substance misuse

Browse substance misuse news, education and analysis by substance misuse subsections - drug or alcohol dependency and poisoning.

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Case study: Asthma exacerbation with heroin use

Advice on treating athletes and sportspeople

Alcohol misuse: clinical review

Substance misuse: Cocaine use and its effects

Drug and alcohol dependency

Alcohol: NICE guidance overhauled (Photo: JH Lancy)

GPs can prescribe anti-alcohol drug for first time, says NICE

GPs should prescribe the drug nalmefene to help high-risk drinkers reduce their alcohol...

Alcohol: GPs urged to look out for heavy drinkers (Photo: JH Lancy)

Prioritise opportunistic screening of patients for heavy drinking, GPs told

GPs should screen patients for risky alcohol behaviour at every opportunity as a...

Methadone's role in addiction

The role of methadone in addiction therapy A controversial treatment for heroin addiction....


A psychiatric assessment will be necessary after deliberate overdose (Photograph: Jason Heath Lancy)

Emergency Medicine - Management of the poisoned patient

Try to establish exactly what has been taken and when, write Dr Andrew Goddard and...

Prolonged use of MDMA raises neurotoxicity, leading to possible memory deficiency and depression

Substance Misuse - The risks of using MDMA

Dr Meg Thomas discusses the interventions and advice that GPs can offer ecstasy users.

Ascites may need to be controlled with diuretics in endstage disease

Substance misuse - Prescribing for alcohol misusers

Measuring extent of liver damage and assessing likely drug interactions is key.