No activity today, make something!
afya Opioids2

Move this tiddler

To:
Drop binaries into your tank here.

20160425222531 Ben  
<<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