A patient with drug addiction in primary care – Related resources
- Buprenorphine is more effective than clonidine or lofexidine and of similar effectiveness to methadone for the management of opioid withdrawal A.
- Carbamazepine seems to have no effect for cocaine dependence, although there is no evidence from controlled trials C.
- The use of antidepressants for cocaine abuse appears not to be beneficial B.
- Dopamine antagonists appear not to be effective for cocaine dependence B.
- There seems to be no significantly beneficial drug for the treatment of amphetamine dependence and withdrawal, although the evidence is insufficient. C.
- Progressive withdrawal (over 10 weeks) appears to be more effective than abrupt withdrawal in the management of benzodiazepine mono-dependence B.
- Contracts may have some potential in improving adherence to treatment, prevention and health promotion activities C.
Other evidence summaries
- Family-couples therapy is superior to non-family modalities in the treatment of drug abuse
- Educating young people may have only a very modest effect on drug using behaviour. Motivational interviewing and some family interventions may have some benefit B.
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