NE
Forum Guru
Topics: 53
Posts: 504
|
42-year-old man who has been your patient for the last 20 years comes to your office seeking help for drug addiction. For the last 5 years he has been in Narcotics Anonymous (NA) and in a local methadone maintenance program for treatment of heroin addiction. He receives a full range of social and psychological services, arranged through NA. He had one relapse early in his treatment, but has been stable since then. Because you see him for short visits on a near-monthly basis, you know that he is highly motivated and rarely misses a meeting. However, he is concerned because the methadone program from which he receives his medications is closing due to state budget constraints. The nearest methadone clinic will be over 100 miles away. While they will give him a 5- to 7-day supply of medications, he will still have to travel at least once a week, and he does not drive. He wants to know if you can help him once the clinic closes. Which of the following is a medication that might benefit this patient and that can be prescribed through a private physician's office?
A. Buprenorphine
B. Clonidine
C. Levo-alpha-acetylmethadole
D. Methadone
E. Naltrexone
|
| annapareddy
Forum Newbie
Topics: 1
Posts: 22
|
answer is A buprenorphine a partial agonist at mu receptors
___________________
I dont remember how we happened to meet each other.I dont remember who got along with whom first. All I can remember is all of us together...always
|
| usmle12
Forum Senior
Topics: 19
Posts: 194
|
ANY ONE WITH EXPLAANTIONS N ANSWER
|
| annapareddy
Forum Newbie
Topics: 1
Posts: 22
|
buprenorphine is an alternative to methadone
its licenced to be prescribed by primary care physicians iin the treatment of opiate dependence. the main advantage is that because of its partial agonist properties when people try and use heroin along with buprenorphine it acts as an antagonist and precipitates mild withdrawls.
the efficacy isequivalent to methadone and is less liable to cause respiratory depression in overdose hope this helps
___________________
I dont remember how we happened to meet each other.I dont remember who got along with whom first. All I can remember is all of us together...always
|
| NE
Forum Guru
Topics: 53
Posts: 504
|
This was a kind of "legislation" q- general practitioners could prescribe just buprenorphine ( annapareddy explained the reasons) IF they have a special license. Actually they can prescribe methadone too but just 3 doses ( kind of "emergency" until the patient goes to the clinic).
|
|
| |
| | | | | |
