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    Knowledge Workbook II  Addiction Medication Unit June 2003 www.oasas.state.ny.us/AdMed/    ii Knowledge Workbook II OASAS Addiction Medicine Unit Steven Kipnis, MD, FACP, FASAM Joy Davidoff, MPA (Retired) Thanks to other OASAS Offices that have assisted in the preparation of these presentations. Table of Contents Introduction.........................................................................................................................................1  A. Addiction Medications .......................................................................................................................4 B. Club Drugs .........................................................................................................................................17 C. Stimulants...........................................................................................................................................24 D. Co-occurring Disorders .....................................................................................................................35 E. Other Drugs .......................................................................................................................................62  Introduction The New York State Office of Alcoholism and Substance Abuse Services (OASAS) established the  Addiction Medicine Unit to provide an organizational capacity within the agency to build a relationship with the provider community around integrating addiction medicines into behavioral treatment protocols and to work with physicians, their associations and our sister agencies around medical issues as they pertain to healthcare for patients with substance use disorders. Through the journey of developing this new organizational capacity, we have found that teaching counselors about addiction medications and the neuroscience of addiction is the best tool for helping professionals understand the promise of these new medications, as well as their limitations. Some providers struggle with a confused philosophical approach to addiction treatment and the use of medication. With advancements in the study of neuroscience and addictions, and the development of new addiction medicines, the ability of providers to address the addictive compulsions, including craving, withdrawal and obsessive thoughts is significantly increased. There is clear evidence that addiction medicines should be incorporated into mainstream addiction treatment. To do so, however, requires reliable information learned from clinical trials and the integration of these medical protocols with behavioral treatment. Most importantly, both treatment providers and patients need to learn that these are medications, not drugs that are being recommended and can improve treatment outcomes for some patients. To help educate the counselors and physicians who work with persons with substance use disorders, the  Addiction Medicine Unit has produced a series of educational tools. This is the second in our Knowledge Workbook series, Knowledge Workbook II, to be developed to advance the knowledge of Credentialed  Alcoholism and Substance Abuse Counselor (CASAC)/Credentialed Prevention Professional (CPP)/Credentialed Prevention Specialists (CPS). 3     A. ADDICTION MEDICATIONS 4
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