Hepatitis

The rate of hepatitis C virus (HCV) among injection drug users is extremely high. There is some evidence that buprenorphine may elevate serum aminotransferase levels among people with HCV. Thus, you should maintain these patients on the lowest effective dose of buprenorphine and monitor them closely for liver-related problems.

Related Resources: 
Description: 
This publication discusses the medical co-management of hepatitis infection and opioid abuse.
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Center for Substance Abuse Treatment (CSAT)
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Description: 
Discussing the psychosocial aspects of treatment in patients receiving Buprenorphine/Naloxone
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Physician Clinical Support System (PCSS-MAT)
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Description: 
This chapter of TIP 43 is aimed to help treatment providers identify co-occurring medical problems in patients who are addicted to opioids.
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Substance Abuse and Mental Health Association (SAMHSA)
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Physician stage in practice: 
Description: 
This web page provides brief recommendations for monitoring patients undergoing buprenorphine treatment using liver function tests, and the proper actions to take if a patient develops hepatitis.
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PCSS Guidance
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Description: 
A wealth of information from the CDC about the types of hepatitis viruses, including HBV and HCV.
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Centers for Disease Control and Prevention (CDC)
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Review of Systems

Description: 
Conducting a Review of Systems

When completing a Review of Systems, look for the following complications that are common among opioid abusers.

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Description: 
This set of guidelines aids physicians in providing detoxification and substance abuse treatment, specifically examining co-occurring medical and psychiatric conditions.
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
field_vote: 
Description: 
Discussing the psychosocial aspects of treatment in patients receiving Buprenorphine/Naloxone
Source: 
Physician Clinical Support System (PCSS-MAT)
field_vote: 
Description: 
This publication discusses the medical co-management of hepatitis infection and opioid abuse.
Source: 
Center for Substance Abuse Treatment (CSAT)
field_vote: 
Resource Type: 
Description: 
This chapter of TIP 43 is aimed to help treatment providers identify co-occurring medical problems in patients who are addicted to opioids.
Source: 
Substance Abuse and Mental Health Association (SAMHSA)
field_vote: 
Physician stage in practice: 

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