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Care of the Patient Who Misuses Drugs

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Family Medicine

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Abstract

Patients who misuse drugs are commonly seen by family physicians in the clinic, emergency room, and hospital. This chapter discusses commonly misused “street” drugs, with the emphasis on the most frequent medical complications, presenting complaints, symptoms, and treatment. The last portion of the chapter discusses guidelines for the care of patients in drug addiction recovery programs. Almost all patients who misuse illicit drugs also misuse alcohol and tobacco, and those medical complications are discussed elsewhere in this book (see Chapters 8, 59, 83).

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References

  1. Schulz JE. Illicit drugs of abuse. Prim Care 1993;20:221–30.

    PubMed  CAS  Google Scholar 

  2. Goldfrank LR, Hoffman RS. The cardiovascular effects of cocaine. Ann Emerg Med 1991;20:165–75.

    Article  PubMed  CAS  Google Scholar 

  3. Boehrer JD, Moliterno DJ, Willard JE, Hillis LD, Lange RA. Influence of labetolol on cocaine-induced coronary vasoconstriction in humans. Am J Med 1993;94:608–10.

    Article  PubMed  CAS  Google Scholar 

  4. Hollander JE, Hoffman RS, Gennis P, et al. Prospective multicenter evaluation of cocaine-associated chest pain. Acad Emerg Med 1994;1:330–9.

    Article  PubMed  CAS  Google Scholar 

  5. McNagny SD, Parker RM. High prevalence of recent cocaine use and the unreliability of patient self-report in an innercity walk-in clinic. JAMA 1992;267:1106–8.

    Article  PubMed  CAS  Google Scholar 

  6. Trabulsy ME. Cocaine washed out syndrome in a patient with acute myocardial infarction. Am J Emerg Med 1995; 13:538–9.

    Article  PubMed  CAS  Google Scholar 

  7. Rubin RB, Neugarten J. Cocaine-induced rhabdomyolysis masquerading as myocardial ischemia. Am J Med 1989; 86:551–3.

    Article  PubMed  CAS  Google Scholar 

  8. Brogan WC, Lange RA, Kim AS, Moliterno DJ, Hillis LD. Alleviation of cocaine-induced coronary vasoconstriction by nitroglycerin. J Am Coll Cardiol 1991;18:581–6.

    Article  PubMed  Google Scholar 

  9. Hollander JE, Burstein JL, Hoffman RS, Shih RD, Wilson LD. Cocaine-associated myocardial infarction. Chest 1995;107: 1237–41.

    Article  PubMed  CAS  Google Scholar 

  10. Hogya PT, Wolfson AB. Chronic cocaine abuse associated with dilated cardiomyopathy. Am J Emerg Med 1991;8: 203–4.

    Article  Google Scholar 

  11. Stevens DC, Campbell JP, Carter JE, Waston WA. Acid-base abnormalities associated with cocaine toxicity in emergency department patients. Clin Toxicol 1994;32:31–39.

    Article  CAS  Google Scholar 

  12. Om A, Ellahham S, DiSciascio G. Management of cocaine-induced cardiovascular complications. Am Heart J 1993;125: 469–75.

    Article  PubMed  CAS  Google Scholar 

  13. Maouhaffel AH, Madu EC, Satmary WA, Fraker TD. Cardiovascular complications of cocaine. Chest 1995;107:1426–34.

    Article  Google Scholar 

  14. Olson KR, Kearney TE, Dyer JE, Benowitz NL, Blanc PD. Seizures associated with poisoning and drug overdose. Am J Emerg Med 1993;11:565–8.

    Article  PubMed  CAS  Google Scholar 

  15. Mott SH, Packer RJ, Soldin SJ. Neurologic manifestations of cocaine exposure in childhood. Pediatrics 1994;93:557–60.

    PubMed  CAS  Google Scholar 

  16. Chasnoff IJ, Bussey ME, Savich R, Stack CM. Perinatal cerebral infarction and maternal cocaine use. J Pediatr 1986;108: 456–9.

    Article  PubMed  CAS  Google Scholar 

  17. Cohen HR, Green JR, Crombleholm WR. Peripartum cocaine use: estimating risk of adverse pregnancy outcome. Int J Gynecol Obstet 1991;35:51–4.

    Article  CAS  Google Scholar 

  18. Frassica JJ, Orav EJ, Walsh EP, Lipshultz SE. Arrhythmias in children prenatally exposed to cocaine. Arch Pediatr Adolesc Med 1994;148:1163–9.

    Article  PubMed  CAS  Google Scholar 

  19. Satel SL, Edell WS. Cocaine-induced paranoia and psychosis proneness. Am J Psychiatry 1991;148:1798–811.

    Google Scholar 

  20. Haim DY, Lippmann ML, Goldberg SK, Walkenstein MD. The pulmonary complications of crack cocaine. Chest 1995; 107:233–49.

    Article  PubMed  CAS  Google Scholar 

  21. Roth D, Alarcon FJ, Fernandez JA, Preston RA, Bourgoignie JJ. Acute rhabdomyolysis associated with cocaine intoxication. N Engl J Med 1988;319:673–7.

    Article  PubMed  CAS  Google Scholar 

  22. Swart GL, Hargarten SW. Pharmacological therapies for drug and alcohol addictions in emergency settings. In: Miller NS, Gold MS, editors. Pharmacological therapies for drug and alcohol addictions. New York: Marcel Dekker, 1994:341–72.

    Google Scholar 

  23. Smith DA, Leake L, Loflin JR, Yealy DM. Is admission after intravenous heroin overdose necessary? Ann Emerg Med 1992;21:1326–30.

    Article  PubMed  CAS  Google Scholar 

  24. Levy M, Spino M. Neonatal withdrawal syndrome: associated drugs and pharmacological management. Pharmacotherapy 1993;13:202–11.

    PubMed  CAS  Google Scholar 

  25. Derlet RW, Hatoum HT, Waters IW, Lord RV. Amphetamine toxicity: experience with 127 cases. J Emerg Med 1989;7: 157–61.

    Article  PubMed  CAS  Google Scholar 

  26. Packe GE, Garton MJ, Jennings K. Acute myocardial infarction caused by intravenous amphetamine abuse. Br Heart J 1990;4:23–4.

    Article  Google Scholar 

  27. Aron CK. Sympathomimetics. Emerg Med Clin North Am 1990;8:513–26.

    Google Scholar 

  28. Mathias R. Student’s use of marijuana, other illicit drugs, and cigarettes continued to rise in 1995. NIDA Notes 1996; Jan/Feb.

    Google Scholar 

  29. Gold MS. Marijuana. In: Miller NS, editor. Principles of addiction medicine. Chevy Chase: ASAM, 1994:2.8:1–6.

    Google Scholar 

  30. Kulig K. LSD. Emerg Med Clin North Am 1990;8:551–8.

    CAS  Google Scholar 

  31. Miller NS, Gold MS. Organic solvent and aerosol abuse. Am Fam Physician 1991;44:183–9.

    PubMed  CAS  Google Scholar 

  32. Product information. Research Triangle, NC: Glaxo Wellcome,1995.

    Google Scholar 

  33. Kitchen VS, Skinner C, Ariygohi K, et al. Safety and activity of saquinavir in HIV infection. Lancet 1995;345:952–5.

    Article  PubMed  CAS  Google Scholar 

  34. MacConnell TJ, Stanners AJ. Torsades de pointes complicating treatment with terfenadine. BMJ 1991;302:1469.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Jerome E. Schulz
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Editor information

Editors and Affiliations

  1. Department of Family Medicine, Oregon Health Sciences University, Portland, OR, 97201, USA

    Robert B. Taylor M.D. (Professor and Chairman) (Professor and Chairman)

  2. Department of Family Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45267, USA

    Alan K. David M.D. (The Fred Lazarus, Jr., Professor and Director) (The Fred Lazarus, Jr., Professor and Director)

  3. Department of Family Medicine, St. John’s Mercy Medical Center, St. Louis, MO, 63141, USA

    Thomas A. Johnson Jr. M.D. (Chairman) (Chairman)

  4. Department of Family Medicine, University of Mississippi School of Medicine, Jackson, MS, 39216, USA

    D. Melessa Phillips M.D. (Professor and Chairman) (Professor and Chairman)

  5. Department of Family Medicine, University of California—Irvine College of Medicine, Orange, CA, 92697, USA

    Joseph E. Scherger M.D., M.P.H. (Associate Dean for Primary Care and Chair) (Associate Dean for Primary Care and Chair)

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© 1998 Springer Science+Business Media New York

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Schulz, J.E. (1998). Care of the Patient Who Misuses Drugs. In: Taylor, R.B., David, A.K., Johnson, T.A., Phillips, D.M., Scherger, J.E. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2947-4_60

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  • DOI: https://doi.org/10.1007/978-1-4757-2947-4_60

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-2949-8

  • Online ISBN: 978-1-4757-2947-4

  • eBook Packages: Springer Book Archive

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