Tobacco Cessation and Substance Abuse Treatment in Womenℓ́ℓs Healthcare : a Clinical Guide

This book is a comprehensive guide to the screening, management, and treatment of female patients with addictions. There are a range of clinical issues specific to women with substance use disorders and substance abuse during pregnancy is known to have deleterious effects on neonates. This book focuses on the effective care of the addicted patient and discusses novel outpatient therapy, therapeutic substitution, abstinence therapy, and the importance of counseling in the delivery of care. Topics include the physiology of nicotine, opiates, EtOH, and other substances of abuse; the role of receptors and neurotransmitters in addiction; the effects of tobacco and substance abuse on women’ s health; and tobacco cessation methods. Featuring practical approaches to gender-responsive treatment, __Tobacco Cessation and Substance Abuse in Women’s Healthcare__ is a valuable resource for obstetricians, gynecologists, family medicine practitioners, and residents hoping to expand their knowledge of tobacco cessation and substance abuse in women’s health. Contents 6 Contributors 8 Chapter 1: Introduction: Abuse of Tobacco and Substances 9 Introduction and Background 9 Tobacco 14 Alcohol 16 Amphetamines 18 Benzodiazepines 19 Marijuana 20 Cocaine 21 Comorbidities 23 Conclusions 24 References 24 Chapter 2: Physiology of Nicotine 33 Introduction 33 Background 33 Pharmacology 34 Physical and Chemical Properties 36 Research 37 References 38 Chapter 3: Physiology of EtOH, Opiate, Hypnotics, and Stimulants Receptors 41 Pharmacokinetics 41 Distribution 43 Pharmacogenetics 47 Pharmacodynamics 49 Receptors 50 Mechanisms of Action 53 Alcohol 56 Nonalcohol Sedative Hypnotics 61 Opioids 65 Cocaine, Amphetamines, stimulants 71 Cocaine 71 Ephedra 72 Khat 72 Synthetic Stimulants 72 Pharmacokinetics 73 Mechanism of Action of Stimulants 74 References 78 Chapter 4: Women’s Specific Issues in Addiction 83 Chapter 4 85 References Chapter 4 89 Chapter 5: Health Effects 91 Tobacco 91 Marijuana 93 Hallucinogens 95 Disassociatives 96 Alcohol 96 Nonalcohol Sedative Hypnotics 97 Opioids 98 Cocaine, Amphetamines, and Other Stimulants 99 Inhalants 103 Prevention 104 References 106 Chapter 6: Pregnancy Effects 108 Tobacco 110 Opioids 112 Cocaine, Amphetamines, and Stimulants 114 Alcohol 116 Sedatives 118 Inhalants/Solvents 119 Marijuana 119 Comorbidities 120 References 121 Chapter 7: Tobacco Cessation 129 Background 129 Demographics and Prevalence 130 Screening 131 Cessation 132 Policy Focus 133 Pharmacotherapy 135 References 137 Chapter 8: Therapeutic Substitution: The West Virginia Success Story 140 Introduction 140 Assessment and Diagnosis of Opioid Dependence 142 Adolescents and Opioid Use Disorders 146 Pregnancy and Opioid Use Disorder 148 West Virginia 150 Outpatient Therapeutic Substitution 152 Results of Outpatient Therapeutic Substitution in West Virginia 154 Postoperative and Postpartum Care in Opioid Patients 155 References 157 Index 161 This book is a comprehensive guide to the screening, management, and treatment of female patients with addictions. There are a range of clinical issues specific to women with substance use disorders and substance abuse during pregnancy is known to have deleterious effects on neonates. This book focuses on the effective care of the addicted patient and discusses novel outpatient therapy, therapeutic substitution, abstinence therapy, and the importance of counseling in the delivery of care. Topics include the physiology of nicotine, opiates, EtOH, and other substances of abuse; the role of receptors and neurotransmitters in addiction; the effects of tobacco and substance abuse on womenĺl s health; and tobacco cessation methods. Featuring practical approaches to gender-responsive treatment, Tobacco Cessation and Substance Abuse in Womenĺls Healthcare is a valuable resource for obstetricians, gynecologists, family medicine practitioners, and residents hoping to expand their knowledge of tobacco cessation and substance abuse in womenĺls health Front Matter....Pages i-vii Introduction: Abuse of Tobacco and Substances....Pages 1-24 Physiology of Nicotine....Pages 25-32 Physiology of EtOH, Opiate, Hypnotics, and Stimulants Receptors....Pages 33-74 Women’s Specific Issues in Addiction....Pages 75-82 Health Effects....Pages 83-99 Pregnancy Effects....Pages 101-121 Tobacco Cessation....Pages 123-133 Therapeutic Substitution: The West Virginia Success Story....Pages 135-155 Back Matter....Pages 157-161