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Addiction: In the Know

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Addiction: In the Know
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Opioid Use Disorder Treatment

Which medications are used in conjunction with psychosocial treatment to address opioid use disorder? 
 
a. Methadone 
c. Buprenorphine
d. Long-acting injectable naltrexone
d. All of the above

Answer

d. When paired with counseling, methadone, buprenorphine, and long-acting injectable naltrexone can all be used to support an individual in treatment and recovery.  Learn more about medications approved for the treatment of opioid use disorder.

Pregnancy & Opioid Use Disorder

When a woman struggles with addiction to opioids and learns she is pregnant, which medication may be used as part of her treatment for addiction?
 
a. Methadone
b. Buprenorphine
c. A and B
d. None of the above  

Answer

c. These are medications recommended by the Substance Abuse and Mental Health Services Administration (SAMHSA)  and the American College of Obstetrics and Gynecologists (ACOG) that when paired with counseling, as appropriate, help pregnant women with opioid use disorder.

Administering Naloxone

Naloxone is a medication used to reverse an opioid overdose. Who can administer naloxone?
 
a. Trained health care practitioners
b. Trained first responders
c. Trained family and community members
d. All of the above 

Answer

d. All of the above. Anyone can be trained to administer naloxone. A life-saving law took effect on April 1, 2006, making it legal in New York State for non-medical persons to administer Naloxone to another individual to prevent an opioid/heroin overdose from becoming fatal.

Prescription Opioids

Which of these is a potentially addictive prescription opioid?
 
a. Morphine
b. Hydrocodone
c. Fentanyl
d. Codeine
e. All of the above 

 

Answer

e. All of the above: Morphine, Hydrocodone, Fentanyl, Codeine. There are many types of controlled substance prescription medications used to treat a variety of conditions. Prescribed opioids are commonly used to treat pain.  However, even when used as directed, there are risks including physical dependence, tolerance, misuse and abuse, addiction, relapse of addiction symptoms, overdose and death. 

Alcohol Use

In 2017, there were 3,264 drug overdose deaths in New York. How many people died due to excessive alcohol use during the same year? 

 

a. 400
b. 2,000
c. 4,000
d. 40,000

Answer

c. 4,000 (according to the Centers for Disease Control and Prevention). Talk to your primary care provider about the amount you drink and if you may be at risk.   

Alcohol Use Disorder Treatment

Which of the following medications are approved to treat alcohol use disorder:
 
a. Naltrexone
b. Acamprosate
c. Disulfram
d. Long-acting naltrexone injection
e. All of the above 

Answer

e. All of the above. Naltrexone, Acamprosate, Disulfram, Long-acting naltrexone injection can support treatment and recovery when paired with counseling and support.

Babies

True or False
Babies born to mothers with drug addiction also have a substance addiction. 

 

Answers

False. Babies born to mothers who have problems with drugs are not born with addiction, but babies can be born with drugs in their system. This can cause them a great deal of discomfort. Once the supply of drugs (delivered through the mother’s umbilical cord) goes away, babies can experience painful withdrawal symptoms and other health problems.  In newborns exposed to opioids, this type of withdrawal is called neonatal abstinence syndrome (NAS). NAS can be caused by exposure to many different opioids. It’s especially challenging for babies born to mothers who have untreated opioid use disorder, including prescription pain relievers or heroin.  Appropriate SUD treatment for the mother during pregnancy can assist in making NAS milder, and any NAS experienced by a newborn can be managed in a hospital.

 

Fentanyl

TRUE or FALSE
Just being in the same room as fentanyl can cause an overdose.

Answer

False. In its guide for emergency responders, the American College of Medical Toxicology (ACMT) and American Academy of Clinical Toxicology (AACT) say that for opioid toxicity to occur, “the drug must enter the blood and brain from the environment.” For this to happen, the drug would need to be absorbed by a mucous membrane (such as the nasal passages), inhaled, ingested or delivered by a syringe. 

Wearing gloves and a mask if you have it helps protect a first responder from fentanyl, but hand washing and avoiding touching your face are also effective.

Treatment Availability

Do you know how many NYS certified addiction treatment and support programs are available in NYS?
 
a. 100
b. 250
c.  500
d.  Over 900

Answer

D. Over 900. NYS Certified treatment programs are available across NYS. 

Abstinence

True or False: Abstinence is the only goal of OASAS treatment.

Answer

False. In OASAS certified programs, the goal of treatment is determined by the individual in collaboration with their counselors. If abstinence is the individual’s goal, then it is a goal for treatment.

 

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