{"id":479,"date":"2017-03-26T14:34:01","date_gmt":"2017-03-26T14:34:01","guid":{"rendered":"http:\/\/papergp.com\/index.php\/drug-and-alcohol-misuse\/opiate-addiction\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"opiate-addiction","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/mental-health\/other\/opiate-addiction\/","title":{"rendered":"Opiate addiction"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; vomiting, muscle aches, chest pain, SOB<\/li>\n<li>Others &#8211; injected, mood, self harm, hallucinations<\/li>\n<li>Examine &#8211; BP, pulse, injection sites<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Urine drug screen<\/li>\n<li>Bloods &#8211; HIV, HBV, HCV<\/li>\n<li>ECG<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>Opiate use over a long time can reduce the amount of natural painkillers (endorphins) that your body produces leading to dependency and withdrawal<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>IV drug use &#8211; HBV immunisation, needle exchange, don&#8217;t share needles<\/li>\n<li>Local drug services &#8211; support, detoxification (methadone\/buprenorphine)<\/li>\n<li>CBT<\/li>\n<li>Social needs &#8211; housing, benefits, DVLA<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net<\/li>\n<\/ul>\n<p>NB:<\/p>\n<ul>\n<li>Opiate withdrawal &#8211; abdo pain, vomiting, diarrhoea, dilated pupil, sweats, runny nose<\/li>\n<li>Although uncomfortable, cannot die from withdrawal (unlike alcohol withdrawal)<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; vomiting, muscle aches, chest pain, SOB Others &#8211; injected, mood, self harm, hallucinations Examine &#8211; BP, pulse, injection sites &nbsp; Clinical management Investigations Urine drug screen Bloods &#8211; HIV, HBV, HCV ECG Explanation Opiate use over a long time can reduce the amount of natural painkillers (endorphins) that your body &hellip; <a href=\"https:\/\/papergp.com\/index.php\/mental-health\/other\/opiate-addiction\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Opiate addiction<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2421,"menu_order":133,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-479","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/479","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=479"}],"version-history":[{"count":4,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/479\/revisions"}],"predecessor-version":[{"id":1594,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/479\/revisions\/1594"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2421"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}