Substitution therapy with buprenorphin at the AT out-patient department in České Budějovice
Substituční terapie buprenorfinem v AT ambulanci České Budějovice
V lékařské praxi téměř každé klinické rozhodnutí obsahuje i morální rozměr. Pro psychiatrii platí snad nejvíce ze všech oborů medicíny.
Mnohdy je nutno zvažovat a poměřovat jednu morální hodnotu oproti hodnotě druhé.
V práci o substituční terapii buprenorfinem v AT ambulanci České Budějovice se autorka zaměřuje na kritéria, která bylo nutné si stanovit pro tuto terapii se specifickou klientelou.
Jednotlivá kritéria jsou charakterizována a je zdůvodněna jejich opodstatněnost. Kritéria jsou členěna pro zařazení a event. ukončení – vyřazení ze substituční terapie. Porovnána jsou s kritérii pro západní Evropu, Velkou Británii a USA.
Závěr práce je doložen dvěma kazuistickými sděleními.
Klíčová slova:
substituční terapie – buprenorfin – opiáty – závislost na psychotropních látkách – standardy substituční terapie.
Authors:
D. Dvořáková
Authors‘ workplace:
Psychiatrické oddělení Nemocnice České Budějovice
primář MUDr. J. Tuček
Published in:
Prakt. Lék. 2005; 85(9): 493-498
Category:
Of different specialties
Overview
In medical practice almost every clinical decision also has a moral dimension. Of all branches of medicine that holds by far the most in psychiatry.
Often, one has to consider and weigh one moral value against another.
In the paper the author wishes to focus on the criteria that have to be set for buprenorphin substitution therapy for the specific clientele of the AT out-patient department.
Each criterion is characterized and substantiated, being grouped into those for inclusion, termination, or exclusion from the substitution therapy. The criteria applied at the AT out-patient department are compared with those in western Europe, Great Britain, and the USA.
The conclusion is substantiated with two case reports.
Key words:
substitution therapy – buprenorphin – opiates – addiction to psychotropic substances – standards of substitution therapy
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2005 Issue 9
- Definition and Classification of Chronic Kidney Disease According to KDIGO
- Doc. Jiří Kubeš: The major benefit of proton therapy lies in protecting healthy tissues
- Minimally Invasive Treatment of Pilonidal Sinus: Laser and Negative Pressure Therapy as a Gentle and Effective Modality
- Trazodone as an Effective Medicine in the Therapy of Depression and Insomnia
- Diagnosis of Cow Milk Protein Allergy − Current Methods and Their Diagnostic Value
Most read in this issue
- The importance of identifying dysmorphophobia
- Shoa – Cyklon B – cyanide intoxication
- Malignant hypertension as a serious complication of aortic coarctation diagnosed in advanced age
- Laparoscopic bandaging of the stomach in the struggle against obesity