• Med. Clin. North Am. · Sep 2014

    Review

    Addiction disorders.

    • Joseph O Merrill and Mark H Duncan.
    • Department of Medicine, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Avenue, Box 359780, Seattle, WA 98104, USA. Electronic address: joem@uw.edu.
    • Med. Clin. North Am. 2014 Sep 1;98(5):1097-122.

    AbstractSubstance use disorders are common in primary care settings, but detection, assessment, and management are seldom undertaken. Substantial evidence supports alcohol screening and brief intervention for risky drinking, and pharmacotherapy is effective for alcohol use disorders. Substance use disorders can complicate the management of chronic noncancer pain, making routine monitoring and assessment for substance use disorders an important aspect of long-term opioid prescribing. Patients with opioid use disorders can be effectively treated with methadone in opioid treatment programs or with buprenorphine in the primary care setting.Copyright © 2014 Elsevier Inc. All rights reserved.

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