Latest Comments by simon greasley

simon greasley 997 Views

Joined: Oct 16, '05; Posts: 7 (0% Liked)

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    Here are some recent things i've been involved in
    http://www.drinkanddrugs.net/drinkan...ews/310706.pdf
    http://www.smmgp.org.uk/html/newslet...15.php#Welcome
    Hope this is of use
    regards
    Simon

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    I'm in the UK, worked acute, elderly, rehab, prisons currently in primary care in a Nurse led substance misuse clinic.

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    Thanks for the info. It's great to hear wha is happening in different countries.

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    Well the American research was done about 40-50 years ago I think, it is nothing new.

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    Interesting you guys talk of detox?, this is a bit strange as most work now are aiming for maintanance treatment.
    This comes from originally american research by nyswander and dole, this said it needed treatment for life.
    We in our practice only look for detox if the patient really wants it or if they are very young.
    We see a repeating pattern of reducing methadone and subutex and then the heroin use starts or increases again. if patients are left on treatment then they don't relapse to me it is same as stopping a hypertensive's treatment.

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    Thanks for replying our set-up is different to yours I work in a small primary care clinic. I do prescribe methadone and Subutex, we don't prescribe clonidine but something similar with less hypotension (Lofexidine).
    I do counselling, the point about people detoxing off methadone, well the american research by Drs Nyswaner and Dole said leave em on it. So at present that is my idea too as soon as you get em off the heroin they relapse quite often.
    Majority of my patients are on Subutex (Buprenorphine)
    So can Nurses in the US prescribe controlled drugs such as methadone?.
    I am not sure what you mean by advanced practioner as we have different terms, the prescrbing course in England is at degree level.
    Be interested to hear what happens over the water.
    regards
    Simon

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    Hi there,
    I am a psychiatric Nurse working in England, I was the first Nurse prescriber to prescribe substitute drugs to heroin addicts in our country. I was wondering if you have Nurse prescribing in your country and how it works there?.



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