The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management: Erratum
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Erratum Source Type: research

Letter-in-Reply
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Letters to the Editor Source Type: research

Enhancing Training for Primary Care Physicians to Expand Addiction Medicine Services Beyond Specialty Care
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Letters to the Editor Source Type: research

Case Study: Naltrexone for the Treatment of Nitrous Oxide Use
We present here a case of a 41-year-old man with a substance use disorder for nitrous oxide who was reportedly using of up to four hundred 8 g canisters of nitrous oxide per day. Oral naltrexone was initiated at 50 mg daily in an attempt to decrease cravings. The dose was subsequently titrated to 100 mg daily, resulting in a decrease in nitrous oxide use to less than sixty 8 g canisters per week over a 1-month timeframe. Discussion: Previous literature surrounding naltrexone provides both a plausible mechanism of action for craving reduction as well as a precedent for its use across a number of substances. To ou...
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Case Reports Source Type: research

Transition From Methadone to Buprenorphine Using a Short-acting Agonist Bridge in the Inpatient Setting: A Case Study
We describe an inpatient transition from methadone to buprenorphine using a hydromorphone bridge over a 7-day period. This method used commonly available dosages and formulations of buprenorphine. To our knowledge, this is the first time a method has been described that transitions a patient from methadone to buprenorphine using a short-acting opioid agonist bridge and readily available opioid dosages and formulations. This case provides a viable alternative for rapidly transitioning a patient from methadone to buprenorphine that can be used as a template for an alternative method to transitions between these medications. ...
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Case Reports Source Type: research

Rapid Transition From Methadone to Buprenorphine Utilizing a Micro-dosing Protocol in the Outpatient Veteran Affairs Setting
Conclusions: This report provides a patient-centered approach demonstrating feasibility and cost-effectiveness of rapid transition to buprenorphine in the US outpatient psychiatry setting. Barriers to adherence to opioid agonist therapy may be reduced using this protocol. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Case Reports Source Type: research

Non-medical Use of Naphazoline (Naphthyzin): Two Case Reports
The paper describes 2 case reports of non-medical use of Naphazoline (Naphthyzin). Both demonstrate that the peripherally acting alpha-adrenergic agonist Naphazoline obtains some addictive potential. The drug produces a feeling of euphoria, which resembles the perceived effects of psychostimulants. Both patients and people who consume Naphazoline for intoxication report increased tolerance after repeated use which indicates the addictive potential of the substance. To the best of our knowledge, this is the first examination of non-medical Naphazoline use and the first attempt to describe its addictive potential. Clinical p...
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Case Reports Source Type: research

A Case Report of Isopropanol Ingestion During the SARS-CoV-2 Pandemic
Conclusions: Toxic alcohol ingestions are imperative considerations on the differential for the intoxicated patient particularly during resource-limited times. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Case Reports Source Type: research

HIV Treatment Initiation and Retention Among Individuals Initiated on Injectable Opioid Agonist Therapy for Severe Opioid Use Disorder: A Case Series
Conclusions: The individual cases presented suggest that among individuals with severe OUD and HIV infection, iOAT may improve HIV treatment uptake and retention in care. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Case Reports Source Type: research

Prevalence of Covid-19 Infection and Subsequent Cohorting in a Residential Substance Use Treatment Program in Boston, MA
Conclusions: SARS-CoV-2 infection was common among staff and residents within a residential substance use treatment program for women in Boston. Universal SARS-CoV-2 testing in residential substance use programs can be instituted to reduce the risk of further transmission and continue addiction treatment programming when accompanied by adequate space, supplies, and staffing. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Brief Reports Source Type: research

Early Effects of COVID-19 on Programs Providing Medications for Opioid Use Disorder in Jails and Prisons
Conclusions: Jails and prisons with existing OAT programs have curtailed their operations in the context of the COVID-19 pandemic. Given the robust evidence base around OAT for treating opioid use disorder and averting overdose deaths, guidance is needed on maintaining and ramping up medication access as carceral facilities grapple with implementing COVID-19 mitigation. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Brief Reports Source Type: research

Relationship Between Alcohol-related Family Adversity, Alcohol Use Across Adolescence, and Mental States Recognition in Young Adulthood
Conclusions: Findings indicate that history of childhood adversity may actually improve young adult negative and neutral mental states recognition among those demonstrating high levels of risky alcohol use, as substance use may serve as an external self-regulatory tool. Clinical interventions that target enhancing metacognitive competence and emotion regulation could ultimately help to break the cycle of alcohol-related family adversity. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Original Research Source Type: research

Assessing the Predictive Validity of the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) in Alaska Native and American Indian People
Conclusions: Higher scores on the Taking Steps and Recognition subscales of the SOCRATES at baseline among ANAI people predicted lower mean EtG values. This study has important implications for communities and clinicians who need tools to assist ANAI clients in initiating behavior changes related to alcohol use. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Original Research Source Type: research

Recovery From Opioid Use Disorder (OUD) After Monthly Long-acting Buprenorphine Treatment: 12-Month Longitudinal Outcomes From RECOVER, an Observational Study
Conclusions: RECOVER participants reported positive outcomes over the 12-month observational period, including high opioid abstinence and stable or improved humanistic outcomes. These findings provide insights into the long-term impact of pharmacotherapy in OUD recovery. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Original Research Source Type: research

Factors Associated With the Use of Supervised Consumption Facilities Among Women Who Inject Drugs in a Canadian Setting
Conclusions: The current study demonstrates higher intensity patterns of drug use, including daily heroin and crystal methamphetamine injection, injecting in public and binge injection, as well as homelessness to be associated with SCF use among women. Future research should identify barriers to SCF use among women to minimize the risk of overdose and other drug-related harms. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2020 Category: Addiction Tags: Original Research Source Type: research