Update on Substance Abuse (March)

Date of Issue: 03/01/2008 | Volume: 6 | Number: 3

Issue Links:Learning Objectives

Teaser to be posted soon.

In This Issue

Article

Smoking Cessation: Which Options are Best?

Topics: Smoking Cessation Agents

The field of smoking cessation has been abuzz since the FDA approved Chantix (varenicline) in 2006. Pfizer’s studies showed better efficacy for Chantix than bupropion (Wellbutrin/Zyban), and the mechanism of action is fascinating. But several controversial issues have arisen to muddy the waters.

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Article

Practical Advice on Treating Alcohol Problems

Topics: Substance Abuse

The NIAAA (National Institute on Alcohol Abuse and Alcoholism) has recently posted a practical guide for professionals interested in improving their skills in evaluating and treating patients with alcohol problems. Here are some useful tips for treating alcoholism, adapted both from the NIAAA and other sources.

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Article

Behavior Therapy for Substance Abuse

Topics: Substance Abuse

The current issue of the American Journal of Psychiatry carries a meta-analysis of different psychosocial interventions for the treatment of substance abuse (Dutra L et al., Am J Psychiatry 2008 165: 179-187). This review focuses specifically on techniques for treating abusers of cannabis, cocaine, and opiates. What works the best, and what techniques can you bring into your practice.

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Research Update

Does Concerta augmentation of antidepressants work?

Topics: Antidepressants

Psychostimulants are commonly added to antidepressants in order to augment their effects, but most of the clinical trials have been either open or small controlled trials. In what may be the largest trial done to date, these investigators (who received funding from Janssen-Ortho, the maker of Concerta) randomized 145 depressed patients...

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Research Update

Twice the risk of suicide when taking antiepileptics

The U.S. Food and Drug Administration (FDA) warned healthcare professionals that patients taking antiepileptic drugs (AEDs) have twice the risk of suicidal behavior or ideation compared with those taking placebo.

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Expert QA

Medications for Alcohol Dependence

Topics: Substance Abuse

Dr. Willenbring, there are now several medications with evidence for treating alcohol problems. It gets confusing to know which ones to use in which situations.

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