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R. Douglas Bruce

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date: 17 June 2019

Substance use disorders can increase the risk of HIV infection directly, through the sharing of needles among injection drug users, and indirectly, through facilitation of high-risk sexual contacts. It is therefore not surprising that many HIV-infected patients have one or more substance use disorders. Substance use can impede adherence to HIV treatment regimens, resulting in significant morbidity and mortality, including the development of HIV resistance. Evidenced-based treatments for substance use disorders, consisting of psychosocial support, mental health counseling, and pharmacotherapy for addiction, are necessary to improve health outcomes in this population. This chapter focuses on pharmacotherapy for substance use disorders.

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