By R. Maldonado (auth.), Prof. Dr. W. W. Fleischhacker, Prof. Dr. D. J. Brooks (eds.)

Substance-related problems pose an expanding problem not just to the sphere of psychiatry but additionally to public future health. The swift improvement of our society has additionally replaced the face of substance use and abuse, either quantitatively and qualitatively. during this quantity overseas specialists current stories of the newest study masking many parts starting from neurobiology to mental administration, in addition to assorted medications, from alcohol to ecstasy.

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Benzodiazepine dependence and dependence from other sedatives is a frequent and serious complication in Heroin addicts. Most prevalent is the use of Flunitrazepam. An avoidable reason for using it is an insufficient dosage of Methadone. 40 A. Uchtenhagen Control measures An essential element, especially during the starting phase and crisis periods, eventually during the entire treatment, is the visually controlled intake of Methadone. The daily controlled intake must be combined with the control of a special permit in a Methadone program where the number of patients excludes a reliable identification of each individual person.

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1998). Patients with schizophrenic symptoms need a well structured regime without the confrontations often used in the treatment of substance dependence, and an antipsychotic medication. There are no general rules for the management of opiate dependents with personality disorders; a good therapeutic climate and well trained therapists will be essential. , 1998; Bertschy, 1995). Substitution management in opioid dependence 39 Poly drug dependence Simultaneous dependence from more than one substance of abuse is a major impediment for a successful substitution treatment.

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