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: Physicians' Guide Opioid Agonist Medical Maintenance Treatment
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From:
©Sha
(Original Message)
Sent: 8/28/2005 8:57 PM
Physicians' Guide:
Opioid Agonist Medical Maintenance Treatment
Preface:
Contents
Preface
About This Consensus Panel Document (ix)
Introduction (1)
Overview of Medical Maintenance (1)
The Medical Maintenance Practice (2)
Experience With Medical Maintenance (3)
Advantages to Patients (5)
Key Elements of a Medical Maintenance Practice (5)
Chapter 1 - Opioid Addiction and Agonist Treatment
The Etiology of Opioid Addiction (7)
The Development of Methadone Maintenance Treatment (7)
Opioid Agonist Treatment (OAT) Today (10)
Chapter 2 - The Medical Maintenance Practice: General Therapeutic Considerations
Management of Chronic Disease (13)
General Care of the Patient (13)
Regulatory Process and Medical Maintenance Models
Confidentiality
Chapter 3 - Opioid Agonist Medical Maintenance Practice: The First Visit
Preparation (23)
The Initial Appointment (30)
Post-visit Review (32)
Chapter 4 - Routine Monitoring and Intervention
Monitoring the Patient (33)
Adjusting the Patient's Dose (35)
Drug Testing (38)
Managing the Patient's Medical and Psychiatric Needs (39)
Annual Review (40)
Chapter 5 - Common Clinical Management Strategies
When a Patient Is Unable to Come to the Office (41)
Pain Management (42)
Hospitalization (43)
Pregnancy (50)
Drug-Drug Interactions (51)
Chapter 6 - Managing Threats to Stability
Process for Managing Potential Threats to Stability
Dealing With Questionable Urine Toxicology Results
A Final Word
References
Appendix A: Diagrams of medical maintenance models
A-1-OTP hub model
A-2-Independent agency coordinating hub model
A-3-Physician hub model
Appendix B: Interpretation of urine toxicology results
Exhibits
Exhibits A: Consent form for the release of confidential information
Exhibit B: Confidentiality notice prohibiting redisclosure
Exhibit C: Sample patient information form
Exhibit D: Sample questions for initial patient visit
Exhibit E: Check-off list for routine visits
Exhibit F: Letter to hospital physicians
Exhibit G: Use of narcotic drugs In hospitals [FDA regulations]
Exhibit H: DEA information: Administration of narcotics by programs and Hospitals
Tables
Tables 1-A to 1-D: Drugs that interact with methadone
Table 2: Variations in drug detection periods on screening tests
Note: Pages numbers are included in paraenthesis in order to assist the reader
Link:
http://www.methadone.org/library/obot_physician_guide_2000.html
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