Futuro De Los Programas De Mantenimiento Con Antagonistas en El Tratamiento De La Dependencia De Opiáceos (original) (raw)

Maintenance therapy Depot opioid antagonist. An alternative in the treatment of dependent opiates / Tratamiento de mantenimiento con antagonistas opiáceos depot. Una alternativa en el tratamiento de dependientes de opiáceos

Health and Addictions/Salud y Drogas

Se presentan 156 tratamientos realizados en pacientes con dependencia de opiáceos (criterios CIE-10), con un programa de mantenimiento con antagonistas opiáceos depot (Naltrexona), iniciado tras una pauta de antagonización rápida ambulatoria. Se ha realizado un seguimiento de un año a los pacientes tras el alta. Se concluye, que el programa es seguro para los pacientes; tiene mejor índice de retención que los programas con antagonistas por vía oral, y al menos iguala la de los programas con agonistas, mejorando el cumplimiento (urinoanálisis negativos) de estos últimos. 156 treatments are presented carried out in patient with dependence of opiate (CIE-10), with a maintenance program with antagonist opiate depot (Naltrexon), initiate after a rule of ambulatory quick antagonization. It has been carried out a pursuit from one year to the patients after the high one. You concludes that the program is safe for the patients; it has better retention index that the programs with antagonist ...

Seguimiento de dependientes del alcohol y/o de la cocaína después de su salida de una Comunidad Terapéutica: estudio piloto

Adicciones, 2011

In Spain, the Therapeutic Community (TC) constitutes a common model of treatment in the field of addictions, although there hardly exists any investigation about its efficiency and the persistence of its attainments. Aims: To evaluate the short, half and long term effects of treatment of addiction to alcohol or cocaine in the TC run by "Fundación Salud y Comunidad" (Foundation Health and Community). Design: descriptive pilot study, with a sequential design of cohort. 91 users completed a survey specifically designed to know their evolution at different follow-up periods (1, 3, 5 or 10 years after their exit from the TC): socio-demographic, psychoactive substance use, other variables related to the stay at the TC. Changes between before the TC and the present time regarding variables such as academic, labour, drug consumption, health, family and social adaptation and their criminal behaviour are described. Results: the cohorts showed a relatively common previous socio-demographic pattern having received a similar treatment. The users reported to have diminished the frequent consumption of the main drug, having 48.9% never relapsed even through an occasional consumption of the drug/s. Also they perceived to have improved their health and family relations, as well as their aggressive behaviour and legal problems linked with their consumption of drug/s. Conclusions: after their rehabilitation in a TC, the users report a global decrease of the consumption of drugs and perceive an improvement of their health, family relations, violence and other problems linked to their former drug use.