Substance use of disorders in HIV-infected patients: impact and new treatment strategies

Top HIV Med. 2004 Jul-Aug;12(3):77-82.

Abstract

Substance use of disorders--including alcohol, cocaine, and opiod dependencies--are common in HIV-infected patients. Untreated substance use disorders result in poor HIV disease treatment outcomes; however, several new treatment strategies have emerged in recent years. Combined medication and counseling therapies are effective for alcohol and opioid dependencies, and counseling treatments are effective for cocaine dependence. Office-based treatment with buprenorphine offers the opportunity for coordinated treatment of HIV disease and opioid dependence. This article summarizes a presentation by David A. Fiellin, MD, in March 2004 at the International AIDS Society-USA New York course.

Publication types

  • Review

MeSH terms

  • Alcohol-Related Disorders
  • Anti-HIV Agents / therapeutic use
  • Cocaine-Related Disorders / diagnosis
  • Cocaine-Related Disorders / drug therapy
  • Cocaine-Related Disorders / epidemiology
  • Female
  • Follow-Up Studies
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy*
  • HIV Infections / epidemiology*
  • Humans
  • Incidence
  • Male
  • Narcotic Antagonists / therapeutic use
  • Opioid-Related Disorders / diagnosis
  • Opioid-Related Disorders / drug therapy
  • Opioid-Related Disorders / epidemiology
  • Patient Compliance
  • Risk Assessment
  • Severity of Illness Index
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / drug therapy*
  • Substance-Related Disorders / epidemiology*
  • Treatment Outcome

Substances

  • Anti-HIV Agents
  • Narcotic Antagonists