Substance Abuse
The latest information on addiction, alcoholism, opioids, psychotherapy, and more, drawn from across our primary care and specialty care areas. Sign up now for monthly e-mail alerts on new content.
SUMMARY AND COMMENT
When Biology Meets Personal Choices
- November 12, 2009
- Anna Wald, MD, MPH
- Women's Health
Risks for ischemic stroke and myocardial infarction were substantially higher in women with lupus anticoagulant who smoked or used oral contraceptives.
- Reviewing:
- Urbanus RT et al. Lancet Neurol 2009 Nov; 8:998
SUMMARY AND COMMENT
Intranasal Naloxone Is Effective for Opioid Overdose
- October 30, 2009
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Time from patient contact to clinical response was the same with intranasal and intravenous naloxone.
- Reviewing:
- Robertson TM et al. Prehosp Emerg Care 2009 Oct-Dec; 13:512
SUMMARY AND COMMENT
Varenicline Use and Risk for Self-Harm and Suicide
- October 27, 2009
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
Patients who received varenicline, bupropion, or nicotine replacement all had similar risks.
- Reviewing:
- Gunnell D et al. BMJ 2009 Oct 1; 339:b3805
SUMMARY AND COMMENT
Air Pollution and Smoking: Not-So-Distant Cousins
- October 21, 2009
- JoAnne M. Foody, MD
- Cardiology
Even low-level exposure to secondhand smoke and air pollution increases cardiovascular risk.
- Reviewing:
- Pope CA III et al. Circulation 2009 Sep 15; 120:941
SUMMARY AND COMMENT
Gabapentin for Alcohol Withdrawal
- October 19, 2009
- Deborah Cowley, MD
- Psychiatry
A high dose was at least as effective as lorazepam in outpatients with moderate withdrawal symptoms.
- Reviewing:
- Myrick H et al. Alcohol Clin Exp Res 2009 Sep; 33:1582
FEATURE
Clinical Management of Opioid Dependence in HIVFree
- October 5, 2009
- Mark Eisenberg, MD
- HIV/AIDS Clinical Care
Here we present a case vignette highlighting a common clinical problem. Various options for management are then presented, followed by the author's clinical recommendations.
SUMMARY AND COMMENT
Misuse of ADHD Meds: Epidemiologic Data
- October 5, 2009
- Barbara Geller, MD
- Psychiatry
Such misuse is becoming more common and can have severe effects, but clinicians and parents might be able to moderate these trends. CME
- Reviewing:
- Setlik J et al. Pediatrics 2009 Sep; 124:875
SUMMARY AND COMMENT
Binge Drinking in Baby Boomers — and Beyond
- September 28, 2009
- Joel Yager, MD
- Psychiatry
Not just the young indulge in this risky behavior.
- Reviewing:
- Blazer DG and Wu L-T. Am J Psychiatry 2009 Aug 17
SUMMARY AND COMMENT
Combined Flumazenil and Gabapentin for Alcohol Dependence
- September 21, 2009
- Deborah Cowley, MD
- Psychiatry
A promising protocol, but only for those with more-severe alcohol withdrawal symptoms
- Reviewing:
- Anton RF et al. J Clin Psychopharmacol 2009 Aug; 29:334
SUMMARY AND COMMENT
Mental Health Burden of Veterans Returning from Iraq and Afghanistan
- September 21, 2009
- Joel Yager, MD
- Psychiatry
A large-scale study suggests that more than one third of returning veterans receive new psychiatric diagnoses. CME
- Reviewing:
- Seal KH et al. Am J Public Health 2009 Sep; 99:1651
