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Medical Care for Patients with Substance Use Disorders 

Medical Care for Patients with Substance Use Disorders
Chapter:
Medical Care for Patients with Substance Use Disorders
Author(s):

Darius A. Rastegar

and Michael I. Fingerhood

DOI:
10.1093/med/9780190214647.003.0014
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date: 08 April 2020

Primary care clinicians commonly encounter patients with substance use disorders and can provide effective treatment for their problems. Many of the medical complications associated with drug use are due to the use of needles and include human immunodeficiency virus (HIV), hepatitis B and C, skin and soft tissue infections, and endocarditis. Patients on opioid agonist treatment may develop a number of problems including cognitive impairment, hypogonadism, prolonged QT syndrome, and constipation. Other issues related to care of patients with substance use disorders include drug interactions, pain management, and care of these patients during hospitalization. Some general recommendations are provided in the chapter.

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