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Course # 5182 • Opiate Abuse and Dependence

Overview:

Morphine and heroin were first synthesized and used medicinally in the nineteenth century, and recreational and illicit use followed. Historically, heroin dependence has been difficult to treat successfully, with poor outcome being attributed to patient characteristics, environmental factors, and the powerful reinforcing effects of the drug. Agonist-replacement therapy was introduced 40 years ago and represented a breakthrough in the management of heroin addiction. Advances in treatment have included newer pharmacotherapies, psychosocial therapy, and the growth and accessibility of 12-step programs such as Narcotics Anonymous. This course will provide the most pertinent, up-to-date information regarding the characteristics of the opiate-addicted patient; the mechanism of opiate action and the neurobiology of opiate addiction; the epidemiology, diagnosis and risk factors of opiate abuse and dependence; and pharmacological, psychosocial, 12-step/self-help, and alternative therapies that are effective in treating opiate use disorders. Additionally, the demographics, characteristics, comorbidity and treatment of prescription opiate abuse and dependence (i.e., OxyContin and Vicodin) will be addressed. The actual liability of abuse and dependence of legitimately prescribed prescription opiates will be conveyed.

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Education Category: Community Health
Release Date: 04/01/2009
Expiration Date: 03/31/2012

Audience:

This course is designed for dental care providers who may be involved in identifying or treating opiate dependence.

Course Objective:

The purpose of this course is to assist dental professionals in identifying, treating, and providing appropriate referrals to patients with opiate use disorders. Fear of creating new opiate addicts has influenced prescribing practices for decades, and this course will convey the actual risk of patient addiction to these pain-relieving drugs when used legitimately.

Learning Objectives:

Upon completion of this course, you should be able to:
  1. Define key terms associated with opiate abuse and dependence.
  2. Outline the background and epidemiology of opiate use and abuse, including risk factors for misuse and dependence.
  3. Describe the pharmacology and clinical effects of opioids.
  4. Discuss characteristics of specific opiate drugs and opioid antagonists.
  5. Review the natural history, pathophysiology, and effects of opiate abuse and dependence.
  6. Identify signs and symptoms of opiate overdose and withdrawal.
  7. List the issues associated with the abuse of or dependence on legitimately prescribed opiates.
  8. Discuss the role of crisis intervention and harm reduction in the management of opiate abuse and dependence.
  9. Identify methods of managing the detoxification and withdrawal associated with cessation of opiate abuse or dependence.
  10. Discuss therapies used to maintain extended abstinence from opiates, including agonist replacement and abstinence therapies.
  11. Identify common psychological comorbidities present in opiate-dependent patients and implications for treatment.
  12. Outline the effects of opiate use on fetuses and neonates and appropriate interventions for opiate-dependent pregnant women.
  13. Identify factors associated with favorable/unfavorable treatment outcome.

Faculty:

Mark Rose, BS, MA, is a licensed psychologist and researcher in the field of alcoholism and drug addiction based in Minnesota. He has contributed to the authorship of several papers on addiction, as well as other medical disorders, and serves as an Expert Advisor and Expert Witness to various law firms on matters related to substance abuse. He is on the Board of Directors of the Minneapolis-based International Institute of Anti-Aging Medicine, and a member of several professional organizations.

Division Planner(s):

William E. Frey, DDS, MS, FICD

Faculty Disclosure

Contributing faculty, Mark Rose, BS, MA, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Division Planner Disclosure

The division planner has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

About the Sponsor

The purpose of CME Resource is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.

Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.

Disclosure Statement

It is the policy of CME Resource not to accept commercial support.

Content:

Technical Requirements

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