Alcohol use typically begins in the adolescence and peaks over adulthood. However, its abuse is not as uncommon among elderly though it tends to be under.recognized. Certain age.related physiologic, biologic, psychosocial issues pose unique challenges diagnosis well management of alcohol disorders elderly. Indian studies. .. specifically focusing on substance users. are few. Screening should a crucial component during clinical encounters with populations across variety settings. Depending...

Although substance misuse among children in India has been documented for over a decade, volatile (VSM) is comparatively recent phenomenon there. This paper reviews available Indian studies about VSM street and documents the extent of misuse, experienced benefits harms, risk factors. Reported perceived include enhanced physical strength, decreased shyness, sleep induction, feeling good, numbing psychological pain. Identified factors domestic violence, dictatorial father, presence...

Aim/background: Tramadol is a synthetic opiate and centrally acting weak µ-opioid receptor agonist. The potential advantages of tramadol include ease administration, low abuse potential, being nonscheduled. This study compared buprenorphine for controlling withdrawal symptoms in patients with opioid dependence syndrome. Methods: Consenting male subjects between 20 45 years age who fulfilled the ICD-10-DCR criteria syndrome were randomly assigned double-blind, double-dummy placebo-controlled...

Substance related disorders have become matters of global concern because its negative impact on individual health, familial, social and professional life. This study aims to assess prevalence alcohol other substance use among students junior doctors at teaching institute. descriptive conducted medical students, following convenient sampling method. Results revealed the rates 'ever used', 'last year used' month were 63.5%, 56.5% 42.5% respectively. The most preferred was (90.9%) only 32.2%...

This is a cross-sectional, hospital based study conducted in De-Addiction centre under department of psychiatry, AIIMS, New Delhi, India. Patients and their spouses fulfilling inclusion criteria were enrolled the after taking informed consent. A diagnosis Opioid Dependence Syndrome (ODS) was made on ICD-10 assessment severity ODS determined by Addiction Severity Index (Hindi version). Subsequently family burden, perceived assessed using Family Burden Interview Schedule (FBIS). Most subjects...

Introduction: Harmful/hazardous alcohol use is common among individuals receiving opioid substitution therapy (OST). The World Health Organisation (WHO) recommends of Alcohol, Smoking and Substance Involvement Screening Test (ASSIST)-linked Brief Interventions (BI) for managing harmful use. However, the feasibility effectiveness BI in addressing buprenorphine-maintained OST recipients has not been studied, which was objective present study. Methods: Using a prospective study design, were...

Background: There is limited literature available on the diagnosis and treatment of dual disorders in non-western settings. Objectives: The present study aims to describe profile patients diagnosed at a clinic over period 12 years. Patients Methods: This retrospective analyzed case records registered national drug dependence centre (NDDTC) Ghaziabad. Information relating demographics sample, substance use disorders, psychiatric were extracted from records. association between specific...

People suffering from substance dependence suffer various sexual dysfunctions and are at risk for indulging in high-risk behaviors thus vulnerable to acquire infections such as HIV/AIDS other sexually transmitted infections.The aim of the study was evaluate correlation between dysfunction behavior opioid-dependent men receiving buprenorphine naltrexone maintenance therapy.Semi-structured questionnaire, brief male functioning inventory HIV-risk taking scale administered a sample 60 active...

The study aimed to assess the efficacy of providing brief intervention (BI) for women tobacco users in a community-based setting.In this open-labeled randomized study, representative sample (n = 100) from community East Delhi were screened using Alcohol, Smoking and Substance Involvement Screening Test. Eligible BI or simple advice (SA) arms. At baseline, they assessed use characteristics severity nicotine dependence Fagerstrom's test dependence. Intervention form single session SA quit was...

Inadequate training of medical practitioners is a key factor responsible for inappropriate use opioid analgesics.We assessed the current knowledge, attitude, prescribing practices, and barriers perceived by Indian in three tertiary care hospitals toward analgesics.Web-based survey registered practitioner employed at chosen health institutions New Delhi.Descriptive analysis responses was carried out. Comparative done using Chi-square test, independent samples t-test, Pearson correlation...

Background and aims: Tramadol is an opioid agonist which can be potentially used for maintenance treatment of patients with use disorders. This chart review presents the characteristics individuals ICD 10 diagnosis dependence who were maintained on tramadol a period at least 6 months.Methods: Records seeking from outpatient clinic National Drug Dependence Treatment Centre, Ghaziabad, India screened. One hundred consecutive received more than months included.Results: The sample comprised...

In the most recent edition of Diagnostic and Statistical Manual (DSM) that is DSM-5 many modifications have been made in substance use disorder section. These include changes terminology; sections categories; diagnostic criteria; threshold for diagnosis; severity; specifier. Additionally, there certain additions omissions from earlier version. Critical evaluation to section on disorders related psychoactive substances India context has not published so far. The current paper presents a...

Nonprescribed use of drugs is a clinical and public health challenge fueled by diversion controlled opioids like buprenorphine. In this study, we report the nonprescription buprenorphine buprenorphine-naloxone for first time in India.A cross-sectional observational study utilizing semistructured interviews.A tertiary care addictive disorder treatment center India, which provides inpatient outpatient medically oriented that includes agonist (buprenorphine) or detoxification antagonist...

ABSTRACT Background: Although tramadol has been used in the management of acute withdrawal patients with opioid dependence, its use for maintenance treatment as a harm reduction approach not assessed systematically. This case series describes dependence who were treated long-term maintenance. Methods: Patients received at National Drug Dependence Treatment Centre All India Institute Medical Sciences, New Delhi, included study. least 6 months and had follow-up adherence more than 80% series....

Recovery capital helps in the assessment of personal strengths and challenges that exist an individual with substance use which may have impact on recovery process. This study aims at finding out factors help such individuals to sustain their how these differ across two groups people suffering from Alcohol Dependence Syndrome Opioid Syndrome.A cross-sectional observational was designed where sociodemographic clinical variables, ARC (Assessment Capital) Scale Severity SDS (Severity...

Sir, Datura stramonium is known for its psychoactive and anticholinergic properties.[12] The World Drug Report 2013 states a high lifetime prevalence rate of use (2.6%) among adolescents.[3] We report case 36-year-old male, from northern rural India, who presented with history eating seeds the past 1 year. On consuming, he would experience euphoria, excitement, increased energy that last 3–4 h. Once his intake had to 50–70 seeds, pleasant visual distortions. He reported craving denied any...