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After taking approval from Institutional Ethics and Thesis Committee, a prospective observation study was conducted among Injecting Drug Users at Opioid Substitution Therapy Centre of a Tertiary Government Hospital from July 2016 to June 2017.
At a moment, more than 1,000 people are on substitution therapy.
Preventive measures also need to be considered, including improving access and adherence to wound care and antimicrobial drug regimens, reducing the acidity of heroin preparations, and ensuring accessibility of opioid substitution therapy and sterile injecting equipment.
Kaitlin Hanmer of Brigham & Women's Hospital and Massachusetts General Hospital, Boston, analyzed 76 women who presented to the medical center for care between 2000 and 2015, comparing 22 women in the prescription opioid group and 54 women in the illicit opioid/opioid substitution therapy group.
We need legislation to increase the number of providers able to treat opiate addiction with substitution therapy such as Suboxone, which statistically has a much higher rate of success when accompanied by counseling.
These strategies include needle and syringe programs that provide injection drug users with sterile equipment, and opioid substitution therapy.
Four of the five women with serum ferritin less than 15 mcg/L, and 14 of the 20 with less than 15-60 mcg/L became symptom free when treated with oral iron substitution therapy for 6-12 months, Dr.
Steven Kraus also referred to Optimum Substitution Therapy (OST) that holds relevance to Pakistan with sizable number of injectable drug addicts identified among those at high risk to contract human immuno virus (HIV) that can develop into full blown acquired immuno deficiency syndrome (AIDS).
A therapeutic elimination diet should be commenced, and substitution therapy with the appropriate formula in the case of CMPA, if affordable, should be instituted.
Owing to the rarity of this condition in the young, its profound consequences and lifelong substitution therapy required, it is important to recognize and treat pernicious anemia.
Finally and most importantly is the availability of oral substitution therapy (OST) or buprenorphine for PWIDs in Pakistan.