GoodFellow

Substance use disorder (SUD)

Date Published

Tuesday, 11 September 2018

Duration

24:28

Category

Smoking, alcohol, and drug misuse

Dr Sam McBride talks about the safe prescribing of medicines that have the potential to cause substance use disorder (SUD). Sam is a consultant psychiatrist and addiction specialist at Capital Coast Health Addiction Services. He is the Director of Advanced Training for Addiction Psychiatry and a faculty representative in Addiction Psychiatry at the Royal Australian and New Zealand College of Psychiatrists.

Topics

The substances that have the potential for addiction.
What is it about these drugs that make them have an addictive potential?
When is it appropriate to prescribe these medications?
How do we prescribe these drugs safely?
When does use become misuse?
Red flags

Take home messages

Think before prescribing these medicines.
Are there safer alternatives?
Shortest duration at the lowest dose.
Regular review.
Consider getting pain team or addiction services involved early for advice.

Resources

Identifying and managing addiction to opioids bpacnz (2014)
When to consider strong opioids for patients with acute pain bpacnz (2018)
The Principles of managing acute pain in primary care bpacnz (2018)
Opioid Analgesics Patient Info (2016)
Benzodiazepines and Z Drugs Patient Info (2017)
Gourlay, DL. Universal precautions in pain medicine: a rational approach to the treatment of chronic pain Pain med (2005).

Patient Resources

Presenter

Sam McBride

Consultant psychiatrist and addiction specialist

To contact Sam Click here.

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