Pharmacotherapy for Complex Substance Use Disorders

A Practical Guide

Edited by Thanh Thuy Truong, M.D., Benjamin Li, M.D., Daryl Shorter, M.D., Nidal Moukaddam, M.D., Ph.D., and Thomas R. Kosten, M.D.

2024
386 Pages

ISBN 978-1-61537-495-3
Item #37495

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Description
Contents
Contributors
About the Authors

In 2020, the National Survey on Drug Use and Health estimated that 40.3 million Americans met the criteria for a substance use disorder (SUD) in the past year. Yet few FDA-approved treatments exist for SUDs—and no explicit treatment guidelines. When it comes to multi-SUDs in particular, the dearth of literature is notable.

This is where Pharmacotherapy for Complex Substance Use Disorders: A Practical Guide comes in. Fifteen addiction psychiatrists have contributed to this volume, bringing their clinical experience to bear for readers that include mental health and primary care clinicians.

Introductory chapters provide a necessary framework, offering an overview of SUDs; general guidelines for taking a history, making a medical and a psychiatric evaluation, and forming a diagnosis; and a discussion of the neurobiology of addiction.

In the subsequent chapters, the volume delves into maintenance pharmacological treatment for co-occurring substances that include

Alcohol
Opioids
Psychostimulants
Novel psychoactive substances

Uniquely, this guide also discusses psychopharmacological approaches to working with special patient populations—adolescents, LGBTQ+ individuals, and pregnant people among them.

Filled with tables for ease of reference both when diagnosing and treating patients, and bolstered by evidence-based, actionable information, Pharmacotherapy for Complex Substance Use Disorders: A Practical Guide sets itself apart as an indispensable resource for all providers aiding individuals on their journeys of recovery.

Author Contribution
Preface
Chapter 1. Overview of Substance Use Disorders
Chapter 2. General Approach to Patients with Multi-substance Use Disorders
Chapter 3. The Neurobiology of Addiction and Principles of Pharmacology
Chapter 4. Laboratory Testing
Chapter 5. Alcohol and Co-Occurring Substance Use
Chapter 6. Stimulants and Co-Occurring Substance Use
Chapter 7. Opiods and Co-Occuring Substance
Chapter 8. Trinity Combinations
Chapter 9. Novel Psychoactive Substances
Chapter 10. Co-Occuring and Substance Use Disorders
Chapter 11. HIV and Substance Use Disorders
Chapter 12. Substance Use Disorders in Pregnancy
Chapter 13. Adolescents With Substance Use Disorders
Chapter 14. Substance Use Disorders in the LGBTQ Population
Chapter 15. Pain and Sbstance Abuse Disorders
Conclusion

Thanh Thuy Truong, M.D., is Assistant Professor in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, Houston, Texas.

Benjamin T. Li, M.D., is Associate Professor in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, Houston, Texas.

Daryl Shorter, M.D., is Medical Director of Addiction Services at The Menninger Clinic, and Associate Professor in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine in Houston, Texas.

Nidal Moukaddam, M.D., Ph.D., is Associate Professor in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine in Houston, Texas.

Thomas R. Kosten, M.D., is Jay H. Waggoner Endowed Chair, Director of the Division of Alcohol and Addiction Psychiatry, and Professor of Psychiatry, Neuroscience, Pharmacology, and Immunology and Rheumatology at the Baylor College of Medicine in Houston, Texas.