Guidelines in the treatment of opiate addiction: a review and recommendation
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(Published version)
Date
2014
Authors
Alho, H.
Fischer, G.
Torrens, M.
Maremmani, I.
Ali, R.
Clark, N.
Editors
Advisors
Journal Title
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Volume Title
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Journal article
Citation
Heroin Addiction And Related Clinical Problems, 2014; 16(4):33-39
Statement of Responsibility
Hannu Alho, Gabriele Fischer, Marta Torrens, Icro Maremmani, Robert Ali, and Nicolas Clark
Conference Name
Abstract
Guidelines assist practitioners in the management of opioid dependence, however, important day-to-day issues in the field must be addressed, such as “Which medication to use, how to start, how to dose, when to stop, how to manage complications and comorbidities?”. The workshop aimed to define the approach to managing the gap between guidelines for opioid dependence management and the real life clinical situations. 6 expert speakers in the field of opioid dependence management presented detailed guidelines examination, the evidence for the guidelines, and expert clinical experience highlighting the practical needs for prescribers in opioid dependence management for individualised patient care and comorbidities. Results: Sufficient evidence supports the treatment of opioid dependence, but evidence gaps remain which are likely to be important in guiding specific decisions about individual patient care. Clinical experience is vital to bridge the gaps between Guidelines advice, effective individual patient tailored care in the treatment of opioid dependence. Conclusions: It is important to tailor care to individual patient needs under the consideration of evidence based facts. Initial recommendations for treatment directed by a system based on tolerance to opioids, level of existing psychopathology, and abuse of other substances could bridge the gap between Guidelines and the real life clinical setting.
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Dissertation Note
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Meeting Report
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Open Access at: http://www.heroinaddictionrelatedclinicalproblems.org