美沙酮在疯狂:一个案例系列和回顾美沙酮管理在医院设置。

IF 1.4 Q4 CLINICAL NEUROLOGY
Cormac F Mullins, Sarah Walsh, Joseph Fitzgerald
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引用次数: 0

摘要

慢性美沙酮治疗阿片类药物使用障碍的患者管理在医院环境中提出了独特的药理学和社会心理挑战。本案例系列讨论了复杂性,如美沙酮的可变药代动力学,口服美沙酮的替代品和转化率。此外,它概述了美沙酮治疗的社会心理因素的细微差别,并在不损害患者尊严的情况下解决成瘾相关行为。该综述呼吁采用不间断阿片类药物激动剂治疗的个性化护理计划,以满足基线阿片类药物需求和主动疼痛管理计划。加强临床医生教育和更好的现实世界数据来指导美沙酮管理对于改善这一弱势患者群体的结果非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Methadone in the madness: a case series and review of methadone management in hospital settings.

The management of patients on chronic methadone therapy for opioid use disorder presents unique pharmacological and psychosocial challenges in hospital settings. This case series discusses complexities such as methadone's variable pharmacokinetics, alternatives to oral methadone and conversion ratios. Additionally, it outlines the nuances around the psychosocial considerations of methadone therapy and addressing addiction-related behaviors without compromising patient dignity. The review calls for individualized care plans with uninterrupted opioid agonist therapy to meet the baseline opioid requirements and pro-active pain management plans. Enhanced clinician education and better real-world data to guide methadone management is important to improve outcomes for this vulnerable patient cohort.

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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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