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afya
Opioids2
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''Features'' Rhinorrhoea Needle track marks pinpoint pupils drowsiness watering eyes yawning ''Complications'' viral infection (HIV, Hep B/C) if sharing needles bacterial infection 2ndary to injection (endocardititis, necrotising fascitis, septic arthritis, septicaemia) venous thromboembolism overdose - resp depression and death psych - craving social - crime, prostitution, homelessness emergency Mx overdose - IV/IM Naloxone - short acting rapid onset harm reduction needle exchange test for Hep B/C HIV ''Mx'' usually managed by specialist clinic (may involve GPWSI) maintenance or detox - NICE suggest Methadone or Buprenorphine compliance monitoured via urine detox is 4/52 inpt or 12/52 in community
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