Medical Comorbidities with Opioid Dependence
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Medical complications can result from the opioid itself, as well as from the way it is administered. The main medical complications among the opioid-dependent population are related to injecting heroin.
You should routinely test these high-risk individuals for blood-borne and infectious diseases including the following:
- Hepatitis B and C
You should also consider running these tests:
- CBC to detect occult infection
- Genital examination for chlamydia, gonococcal disease, and human papilloma virus
- Skin examination for cellulitis (Kleber et al, 2006)
Kleber H, Weiss R, Anton R, et al. Practice guideline for the treatment of patients with substance use disorders, 3rd edition. American Psychiatric Association. 2010. Available at: http://www.guideline.gov/content.aspx?id=24158 Accessed on: 2015-06-30.
This publication discusses the medical co-management of hepatitis infection and opioid abuse.
Center for Substance Abuse Treatment (CSAT)
Physician stage in practice:
Discussing the psychosocial aspects of treatment in patients receiving Buprenorphine/Naloxone
Physician Clinical Support System (PCSS-MAT)
This chapter of TIP 43 is aimed to help treatment providers identify co-occurring medical problems in patients who are addicted to opioids.
Substance Abuse and Mental Health Association (SAMHSA)