Tracy Soh (Turning Point) on some issues re poly-drug use. (more…)
October 27, 2009
September 24, 2009
September 6, 2009
Aug 31
Angela Ireland from Family Drug Help.
Victor Bilous, Manager Alcohol & Drug Family Servies, Centacare Catholic Family Services.
NDGP has part-timer to work with GPs on dual-diagnosis (Nicola)
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July 28, 2009
Abstinence based recovery programs, Jul 27th 2009
Two speakers – (more…)
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July 10, 2009
June 30th, training session, Turning Point
A two-hour symposium* presented by Mal Doreian, speakers Suzi Nielsen and Matt Frei, on prescription medication use/abuse by users of illicit drugs. (more…)
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May 31, 2009
090427
alcohol
case – RK
stable environment, but intra-family trauma +++ as child and teenager
Fa dies, Mo suicide -> PTSD
-> alcohol, binges, relapses, detoxes, campral etc, Bridgehaven, hepatitis clinic
NECASA, diazepam daily dispense, zoloft, dePaul house, zyprexa -> edema, seroquel,
my impressions – sis is constant reminder of the abuse as child, anniversary dates of parents deaths also
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090330
Planning session
requirements – planning + 8 hours + review (? 22/2/10)
list of topics
dates – last Mon
time – 7.15-9.15
legislation
testing
dispensing
reducing
diversion
MBS
financial cousnelling
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090525
SS presented case of low back pain
- discussion re use of bzd, non-drug, counselling, non-opiate analgesia
KA mapped out regulations applying to drugs of dependence
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May 28, 2009
ANEX 28/5/09
Today, May 28th, at ANEX half-day conference at St.Vincent’s with about 100 others.
Topic was XANAX, four speakers, all good, some overlap.
Suzi Nielsen (pharmacist, Turning Point)
. last two years of data (07-08) alpraz was most common BZD injected by IDU, previously diazepam.
. a rare side-effect is paradoxical aggression, and it may not be remembered or even recognised
. side-effects most common with pre-existing BPD, EtOH, high doses or IV, any brain injury
. features – short T1/2, inc w/d symptoms, larger quantities, more toxic in o/d (more ICU, more flumazenil)
. see DHS drugservice report on misuse
. evidence of disproportionate harm (cf equivalent others) – seizures, crime, traffic offenses
. small study of use in OST – mental impairment esp recall **dec O2 saturation only with concurrent methadone**
Malcolm Dobbin
. PBS (authority) script $5.30, off-line Kalma 2mgx50 $15 at Chemist Warehouse
. 2mg is the “brick” format, $5 ea
. anterograde amnesia, fugue (stealing), Rambo
. policy steps needed to control temazepam liquid caps – extensive back & forth between committees, pharma resistant to any change, Temaz was in top 10, solution was to get it off PBS bec tablet form availible which killed sales and by time it was made S8 the problem was solved
. then the focus shifted to Unisom Gelcaps
Fran Bramwell (GP at Health Works, Footscray and Living Room,CBD)
. bricks 3 for $10 at Footscray
. binds to GABA-a receptor (inhibition) 80-100% bioavailable, peak 1-2hr,
. legal implications of impairment ?
. harm reduction tips for cocktail users – know potency of heroin, carry only small quantities of pills (amnesic), don’t mix with EtOH, never use alone, if group use one should abstain
Damon Brogan (VIVAIDS)
. doctor shopping in Vic -> drug dependence register (doctor shopper database) and may interfere with later legit needs for analgesia
5/6/09 – pdfs here
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