食用 Kratom - 三位患者的故事。

IF 2.1 4区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of psychoactive drugs Pub Date : 2024-11-04 DOI:10.1080/02791072.2024.2424278
Samantha A Gnanasegaram, Lauren Sexton, Corneliu N Stanciu
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引用次数: 0

摘要

在美国,使用 kratom 的流行率不断上升,这导致医疗保健专业人员接触到越来越多的 kratom 消费者和 Kratom 使用障碍(KUD)患者。本系列病例强调了根据个人服用 kratom 的动机采取不同治疗方法的必要性。文中介绍了三个病例:一个病例涉及从为补充能量而使用克瑞托姆发展到以阿片类药物为驱动力的使用,并在随后的戒毒和过渡到纳曲酮治疗过程中面临挑战,因此必须使用丁丙诺啡低剂量诱导疗法进行维持治疗;另一个病例详细介绍了使用美沙酮和症状驱动型氯硝西泮进行成功的住院戒毒,随后使用纳曲酮进行成功的维持治疗;最后一个病例涉及无成瘾性疾病史的患者为自我管理疼痛和焦虑而使用克瑞托姆,但未达到 KUD 标准。这些病例凸显了对服用克来托姆和产生依赖的患者进行管理的复杂性,强调了考虑使用动机、精神并发症和对干预措施的反应等各种因素的个体化治疗方法的必要性。
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Kratom Consumption - The Tales of Three Patients.

The rising prevalence of kratom use in the United States has led to increased encounters with individuals who consume kratom and those who develop Kratom Use Disorder (KUD) among healthcare professionals. This case series highlights the need for diverse treatment approaches tailored to the individual motivations for kratom consumption. Three cases are presented: one involving the progression from kratom use for energy to opioid-driven use with subsequent challenges in detoxification and transition to naltrexone necessitating buprenorphine low-dose induction for maintenance; another detailing successful inpatient detoxification using methadone and symptom-driven clonidine, followed by successful maintenance treatment with naltrexone; and a final case involving kratom consumption for pain and anxiety self-management by an individual without a history of addictive disorders, without meeting KUD criteria. These cases underscore the complexity of managing individuals who consume kratom as well as those who develop dependence, emphasizing the need for individualized treatment approaches considering various factors such as motivation for use, psychiatric comorbidities, and response to interventions.

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来源期刊
CiteScore
5.30
自引率
7.10%
发文量
62
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