TY - JOUR KW - Anti-HIV Agents/therapeutic use KW - Health Status KW - HIV Infections/complications/drug therapy/epidemiology KW - Humans KW - Narcotic Antagonists/therapeutic use KW - Patient Compliance KW - Primary Health Care KW - Severity of Illness Index KW - Substance-Related Disorders/complications/drug therapy/epidemiology KW - Treatment Outcome AU - R. D. Bruce A1 - AB - Primary care physicians treating HIV-infected patients should not be afraid or reluctant to engage in medication-assisted treatment for substance dependence. Effective medications are available for many types of substance addictions, including buprenorphine for opioid dependence, disulfiram for cocaine dependence, bupropion for methamphetamine dependence, and naltrexone for alcohol dependence. Physician use of medications coupled with encouragement to adhere to all aspects of treatment including counseling and other psychosocial interventions can produce substantial rewards in terms of keeping patients involved in their HIV care and improving overall patient health and functioning. This article summarizes a presentation made by R. Douglas Bruce, MD, MA, MSc, at the 12th Annual Clinical Conference for the Ryan White HIV/AIDS Program held in October 2009 in Dallas, Texas. The original presentation is available as a Webcast at www.iasusa.org. BT - Topics in HIV medicine : a publication of the International AIDS Society, USA C5 - Opioids & Substance Use CP - 1 CY - United States IS - 1 JF - Topics in HIV medicine : a publication of the International AIDS Society, USA N2 - Primary care physicians treating HIV-infected patients should not be afraid or reluctant to engage in medication-assisted treatment for substance dependence. Effective medications are available for many types of substance addictions, including buprenorphine for opioid dependence, disulfiram for cocaine dependence, bupropion for methamphetamine dependence, and naltrexone for alcohol dependence. Physician use of medications coupled with encouragement to adhere to all aspects of treatment including counseling and other psychosocial interventions can produce substantial rewards in terms of keeping patients involved in their HIV care and improving overall patient health and functioning. This article summarizes a presentation made by R. Douglas Bruce, MD, MA, MSc, at the 12th Annual Clinical Conference for the Ryan White HIV/AIDS Program held in October 2009 in Dallas, Texas. The original presentation is available as a Webcast at www.iasusa.org. PP - United States PY - 2010 SN - 2161-5845; 1542-8826 SP - 8 EP - 12 EP - T1 - Medical interventions for addictions in the primary care setting T2 - Topics in HIV medicine : a publication of the International AIDS Society, USA TI - Medical interventions for addictions in the primary care setting U1 - Opioids & Substance Use U2 - 20305310 VL - 18 VO - 2161-5845; 1542-8826 Y1 - 2010 ER -