Objectives 2 Analyse the Role of pharmacist in drug dependence Use of Pharmacotherapies in drug dependence List the advantages of pharmacotherapies
Role of community pharmacist in drug dependence
Preventive care Needle and Syringe exchange program: Initiated in 1980s Limit blood borne viral infection Procedure: Supply of sterile set Checking injecting sites
Preventive care Pharmaceutical Dispensing services: Concept of Shared-care scheme Supervised consumption
Use of pharmacotherapies in drug dependence Substitute therapy: Methadone Non-substitute therapy: to control the withdrawal symptoms: Lofexidine Symptomatic treatment of drug withdrawal : Loperamide
Advantages of Methadone Long half-life (24-48 hours) Improved physical/psychological health Reduced illicit drug consumption Reduced drug-related crime
Drugs used for opioid substitution therapy medication Initial dose Maintenance dose Duration of treatment Methadone 20–30 mg daily Oral liquid ≥ 60mg Minimum of one year Buprenorphine 2–4 mg daily Sublingual tablet 8–16 mg daily Min one year followed by other Abstinence oriented treatment