TY - JOUR KW - Adult KW - Analgesics, Opioid/therapeutic use KW - Australia KW - Buprenorphine/therapeutic use KW - Chronic Disease/drug therapy/psychology KW - Disease Management KW - Female KW - General Practice KW - Humans KW - Methadone/therapeutic use KW - Opiate Substitution Treatment KW - Opioid-Related Disorders/drug therapy/psychology/rehabilitation KW - Patient Care Planning AU - M. Frei A1 - AB - BACKGROUND: Addiction to opioids, or opioid dependence, encompasses the biopsychosocial dysfunction seen in illicit heroin injectors, as well as aberrant behaviours in patients prescribed opioids for chronic nonmalignant pain. OBJECTIVE: To outline the management of opioid dependence using opioid pharmacotherapy as part of a comprehensive chronic illness management strategy. DISCUSSION: The same principles and skills general practitioners employ in chronic illness management underpin the care of patients with opioid dependence. Opioid pharmacotherapy, with the substitution medications methadone and buprenorphine, is an effective management of opioid dependence. Training and regulatory requirements for prescribing opioid pharmacotherapies vary between jurisdictions, but this treatment should be within the scope of most Australian GPs. BT - Australian Family Physician C5 - Opioids & Substance Use; Education & Workforce CP - 8 CY - Australia IS - 8 JF - Australian Family Physician N2 - BACKGROUND: Addiction to opioids, or opioid dependence, encompasses the biopsychosocial dysfunction seen in illicit heroin injectors, as well as aberrant behaviours in patients prescribed opioids for chronic nonmalignant pain. OBJECTIVE: To outline the management of opioid dependence using opioid pharmacotherapy as part of a comprehensive chronic illness management strategy. DISCUSSION: The same principles and skills general practitioners employ in chronic illness management underpin the care of patients with opioid dependence. Opioid pharmacotherapy, with the substitution medications methadone and buprenorphine, is an effective management of opioid dependence. Training and regulatory requirements for prescribing opioid pharmacotherapies vary between jurisdictions, but this treatment should be within the scope of most Australian GPs. PP - Australia PY - 2010 SN - 0300-8495; 0300-8495 SP - 548 EP - 552 EP - T1 - Opioid dependence - management in general practice T2 - Australian Family Physician TI - Opioid dependence - management in general practice U1 - Opioids & Substance Use; Education & Workforce U2 - 20877747 VL - 39 VO - 0300-8495; 0300-8495 Y1 - 2010 ER -