Current HIV/AIDS Reports

, Volume 3, Issue 4, pp 195–204

The medical management of opioid dependence in HIV primary care settings

Article

DOI: 10.1007/s11904-006-0016-z

Cite this article as:
Lum, P.J. & Tulsky, J.P. Curr HIV/AIDS Rep (2006) 3: 195. doi:10.1007/s11904-006-0016-z

Abstract

Injecting drug use is a common mode of transmission among persons with HIV/AIDS. Many HIV-infected patients meet diagnostic criteria for opioid dependence, a chronic and relapsing brain disorder. Most HIV providers, however, receive little training in substance use disorders. Opioid agonist therapy (OAT) has a stabilizing effect on opioid-dependent patients and is associated with greater acceptance of antiretroviral (ARV) therapy, higher ARV adherence, and greater engagement in HIVrelated health care. Although methadone maintenance has been the OAT gold standard, methadone is available for the treatment of opioid dependence only in strictly regulated narcotic treatment programs. Buprenorphine, a partial opioid agonist approved for the office-based treatment of opioid dependence in 2002, may result in better health and substance use treatment outcomes for patients with HIV disease.

Copyright information

© Current Science Inc 2006

Authors and Affiliations

  1. 1.Positive Health Program, Department of MedicineUniversity of CaliforniaSan FranciscoUSA