By John B. Saunders et al.
Substance use and similar addictive issues cost among the pinnacle 4 chance elements contributing to the worldwide burden of ailment and shape an more and more vital a part of scientific and healthcare perform. Substance use issues could cause, mimic, underlie or complicate lots of universal clinical and psychiatric problems. creating a right analysis of the substance use ailment can facilitate scientific prognosis, keep away from pointless assessments, shorten medical institution remain and make the clinician and patient's lifestyles more uncomplicated and safer.
Part of the winning Oxford expert Handbooks sequence, the second one variation of Addiction Medicine is a concise and sensible advisor for college students, practitioners of drugs and different healthiness professions who come into touch with individuals with substance use issues. supplying updated useful evaluate, prognosis, therapy and administration thoughts, this variation expands at the first version via up-to-date content material and international insurance of dependancy medicine.
Edited through a world workforce of skilled psychiatrists really expert in addictions, Addiction drugs, moment edition includes every thing you want to understand to aid within the evaluate, prognosis and scientific administration of sufferers with substance use and similar addictive disorders.
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Extra info for Addiction medicine
2010). Drug Policy and the Public Good. Oxford: Oxford University Press. Stockwell T, Gruenewald P, Toumbourou J, et al. (2005). Preventing Harmful Substance Use: The Evidence Base for Policy and Practice. Chichester: John Wiley and Sons. 29 Chapter 3 Pharmacology and pathophysiology Pharmacology 32 Pharmacology of individual substances 35 The neurobiology of substance use disorders 48 The genetics of substance use disorders 52 31 32 Chapter 3 Pharmacology and pathophysiology Pharmacology Many thousands of psychoactive substances exist and many have abuse and dependence potential.
Iatrogenic dependence is relatively common, and deliberate misuse is regularly reported, with associated overdoses, injuries, and crime. In the developed world, benzodiazepines usually require a prescription for supply, whereas in some developing countries they are available over the counter in pharmacies. The rise of Internet drug sales has also led to increased avenues for access to non-prescribed benzodiazepines. The data on prevalence of self-reported benzodiazepine use worldwide is limited, and monitoring is challenging given the wide range of anxiolytic and sedative hypnotic medications available.
These include broad environmental factors such as the following: • Cultural characteristics, especially in relation to social sanctions to drink alcohol, smoke cigarettes, engage in psychoactive substance use, and gambling. • Characteristics of the subculture, be it a sports group, youth group, and musical interests. g. licensed outlets for purchase of alcohol, tobacconist shops or supermarkets, nightclubs, and the extent of the illicit drug market. • Economic availability of psychoactive substances such as the cost of a substance in relation to disposable income, and the extent of taxation.
Addiction medicine by John B. Saunders et al.