Makindo Medical Notes"One small step for man, one large step for Makindo" |
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MEDICAL DISCLAIMER: The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis, or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd. |
Substance misuse refers to the harmful or hazardous use of psychoactive substances, including alcohol, illicit drugs, and prescription medications. It can lead to addiction (substance use disorder), physical dependence, and various health, social, and legal issues. Early diagnosis and appropriate management are key to addressing substance misuse effectively.
Substance | Signs and Symptoms of Misuse | Diagnosis | Management |
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Alcohol | Slurred speech, impaired judgment, liver disease, withdrawal symptoms (e.g., tremors, delirium tremens) | Liver function tests, AUDIT questionnaire, blood alcohol concentration | Counseling, detoxification, medications (e.g., disulfiram, naltrexone), support groups |
Opioids | Drowsiness, pinpoint pupils, respiratory depression, withdrawal (e.g., sweating, anxiety) | Urine drug screen, clinical history | Detoxification, methadone/buprenorphine maintenance, naloxone for overdose, counseling |
Cannabis | Impaired memory, anxiety, increased appetite, dry mouth | Clinical history, urine drug screen | Counseling, cognitive-behavioral therapy (CBT), support groups |
Cocaine | Euphoria, paranoia, dilated pupils, chest pain, nosebleeds (if snorted) | Urine drug screen, electrocardiogram (ECG) for heart complications | Counseling, CBT, treatment for cardiovascular complications |
Benzodiazepines | Confusion, drowsiness, ataxia, respiratory depression | Urine drug screen, clinical history | Gradual dose reduction, counseling, management of withdrawal symptoms |