drug abuse (first (1st) consultation in primary care)
Last reviewed 01/2018
During the first consultation with a heroin addict it is important to:
- obtain an adequate drug history
- type of drug, injected or taken by other route
- length of drug abuse
- effects of withdrawal
- how does the patient support his habit
- measures to limit harm
- does the patient practise 'safe sex'
- does the patient share needles/use 'shared' needles
- does the patient use a needle exchange scheme/ counselling agency
- what is the family support available to the patient
- agree a contract with the patient
- if being treated in primary care agree what is expected from the patient, what treatment is offered by the practice, the keeping of appointments etc.
- if the patient is referred for treatment then agreement is still required about future contacts with the practice
- register with regional drug misuse database/ notification of addicts
- referral if specialized treatment and counselling not available from within the practice
methadone in management of opioid (opiate) abuse