Substance and Non Substance Related Addiction Disorders: Diagnosis and Treatment

Pharmacologic Treatment for Psychiatric Disorders Associated with Substance Use Disorders: An Overview

Author(s): Teri Gabel

Pp: 37-57 (21)

DOI: 10.2174/9781681083438117010008

* (Excluding Mailing and Handling)

Abstract

Management of substance use disorders is challenging, there are no medications that directly treat the use disorders, substitution therapy in opioid use disorders and potential anti-craving medications for alcohol use disorder are the closest available. Successful management of withdrawal syndromes and craving can improve the chances of sobriety. The presence of underlying medical and psychiatric disorders can derail attempts at long term sobriety if not managed. This chapter provides information on medications commonly used in the management of withdrawal symptoms and co-morbid psychiatric disorders, such as depression and anxiety, in the dually diagnosed patient. Tables of medications from the following classes are included: benzodiazepines and other antianxiety agents, antidepressants, mood stabilizers, anticonvulsants and antipsychotic medications. Key points in the patient specific selection, dosing and monitoring of these medications and management of their side effects are identified. Insomnia can derail sobriety and needs to be addressed. Information on sleep hygiene and medications for insomnia are also presented. Information on the individualization of treatment is also discussed. It is important to note that many of the medications presented in this chapter are being used for both US FDA labeled and off-label indications.


Keywords: Anticonvulsants, Antidepressants, Antipsychotic, Anxiety, Benzodiazepines, Depression, Insomnia, Mood stabilizers, Psychotic symptoms.

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      • 11. app/Models/ContentAccess.php:647
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      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1518
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Trial Access" as access_base_text, CASE j.type WHEN 111 THEN true ELSE false END as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_trail` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 51137665 and j.to_ip >=51137665 )) and ((j.from_date <= 1739835111 and j.to_date >= 1739835111 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 9897) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Subscribed" as access_base_text, false as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_corporate` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 51137665 and j.to_ip >=51137665 )) and ((j.from_date <= 1739835111 and j.to_date >= 1739835111 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 9897) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Token Based Access" as access_base_text, false as terms_popup, "R" as content_download_type, j.uc_id as restricted_user_access_key, "v" as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_token` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 51137665 and j.to_ip >=51137665 )) and ((j.from_date <= 1739835111 and j.to_date >= 1739835111 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 9897)
      510μsalphaeurekaselec_live_10_06_2022UserAccess.php#1266
      Backtrace
      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1549
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • select b.banner_link, b.banner_name, b.banner_script, b.banner_remarks, b.banner_file_name, b.banner_placement, bd.content_type, bd.content_id from `tbl_banner` as `b` inner join `tbl_banner_detail` as `bd` on `bd`.`banner_id` = `b`.`banner_id` inner join `users` as `u` on `u`.`id` = `b`.`updated_by` where `b`.`banner_ebook` = 1 and `bd`.`content_type` = 'B' and `bd`.`content_id` = 1945 and `b`.`banner_from_date` <= 1739835111 and `b`.`banner_to_date` >= 1739835111 and `b`.`banner_status` = 'A' order by `b`.`banner_id` desc
      1.06msalphaeurekaselec_live_10_06_2022Banner.php#95
      Bindings
      • 0: 1
      • 1: B
      • 2: 1945
      • 3: 1739835111
      • 4: 1739835111
      • 5: A
      Backtrace
      • 13. app/Models/Banner.php:95
      • 14. app/Http/helpers.php:404
      • 17. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 18. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    • select count(*) as aggregate from `uc_cart_products` where cart_id='679407a074cc605d1ace3cdcf3b3510e'
      250μsalphaeurekaselec_live_10_06_2022Cart.php#271
      Backtrace
      • 15. app/Models/Cart.php:271
      • 16. view::layouts._header:260
      • 18. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 20. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    App\Models\Keywords
    9Keywords.php#?
    App\Models\Chapter
    1Chapter.php#?
    App\Models\Ebook
    1Ebook.php#?
        _token
        eeI9S2fSSwR2AUZOfvCR7GrLL5hsrgdgpJzhEjiE
        uc_cart_id
        679407a074cc605d1ace3cdcf3b3510e
        _previous
        array:1 [ "url" => "https://alpha.eurekaselect.com/chapter/9897" ]
        _flash
        array:2 [ "old" => [] "new" => [] ]
        PHPDEBUGBAR_STACK_DATA
        []
        path_info
        /chapter/9897
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
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        request_cookies
        0 of 0
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        response_headers
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        array:5 [ "_token" => "eeI9S2fSSwR2AUZOfvCR7GrLL5hsrgdgpJzhEjiE" "uc_cart_id" => "679407a074cc605d1ace3cdcf3b3510e" "_previous" => array:1 [ "url" => "https://alpha.eurekaselect.com/chapter/9897" ] "_flash" => array:2 [ "old" => [] "new" => [] ] "PHPDEBUGBAR_STACK_DATA" => [] ]
        ClearShow all
        Date ↕MethodURLData
        #12025-02-17 23:31:51GET/chapter/98971121911