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- BookSummary: This TIP reviews three Food and Drug Administration-approved medications for opioid use disorder treatment--methadone, naltrexone, and buprenorphine--and the other strategies and services needed to support people in recovery.
Contents:
Part 1: An introduction to medications for the treatment of opioid use disorder. The approach to OUD care
Overview of medications for OUD
Duration of treatment with OUD medication
Treatment settings
Challenges to expanding access to OUD medication
Resources
Notes
Part 2: Addressing opioid use disorder in general medical settings. Scope of the Problem
Screening
Assessment
Treatment planning or referral
Resources
Appendix
Notes
Part 3: Pharmacotherapy for opioid use disorder. Pharmacotherapy for opioid use disorder
Overview of pharmacotherapy for opioid use disorder. Methadone
Naltrexone
Buprenorphine
Medical management strategies for patients taking OUD medications in office-based settings
Medical management of patients taking OUD medications in hospital settings
PART 4: Partnering addiction treatment counselors with clients and healthcare professionals. Overview and context
Quick guide to medications
Counselor-prescriber communications
Creation of a supportive counseling experience
Other common counseling concerns
Notes
Part 5: Resources related to medications for opioid use disorder. General Resources
Resources for counselors and peer providers
Resources for clients and families
Provider tools and sample forms
Glossary of TIP terminology
NotesDigital Access R2Library 2018 - ArticleFasiolo F, Fersht AR.Eur J Biochem. 1978 Apr;85(1):85-8.It is shown from a combination of rapid quenching and steady-state kinetics that the phenylalanyl-tRNA synthetase from yeast catalyses the formation of phenylalanyl-tRNA by the amino-acyladenylate pathway at pH 7.8 and 25 degrees C. The rate-determining step at saturating reagent concentrations is not the dissociation of the charged tRNA from the enzyme.