User:Mr. Ibrahem/Cocaine use disorder

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Mr. Ibrahem/Cocaine use disorder
Other namesCocaine dependence, cocaine addiction, cocaine misuse, cocaine abuse
Video explanation
SpecialtyPsychiatry
SymptomsTaking more than was intended, ongoing desire to use, use resulting in work or school issues, not stopping despite health problems[1]
ComplicationsHeart disease, HIV/AIDS, hepatitis C, muscle breakdown, homelessness[2][3]
Risk factorsAdult ADHD, schizophrenia, antisocial personality disorder, other substance use disorders, unstable home environment[1][4]
Diagnostic methodUrine drug screen[1]
TreatmentContingency management programs, cognitive behavioral therapy[2]
Frequency0.4% of adults[5]

Cocaine use disorder (CUD) is cocaine use in a manner that results in significant impairment.[1] This may involve taking more than was intended, ongoing desire to use, use resulting in work or school issues, and not stopping despite health problems from such use.[1] Other symptoms may include those of cocaine intoxication, cocaine withdrawal, psychosis, and weight lose.[3] Complications may include heart disease, HIV/AIDS, hepatitis C, muscle breakdown, and homelessness.[2][3] Use is associated with anxiety disorders and depression.[3]

Risk factors included adult ADHD, with 10% being affected, schizophrenia, antisocial personality disorder, other substance use disorders, and an unstable home environment.[1][4] The severity can be divided into mild, moderate, and severe.[3] Diagnosis may be supported by a urine drug screen, which may remains positive 3 days after a single use and 12 days after heavy use.[1]

The evidence for specific treatments is limited.[2] Efforts may include contingency management programs, which provides vouchers for avoiding use, and cognitive behavioral therapy.[2][6] No medications have been approved for this use.[6] Evidence for providing other stimulants is insufficient as of 2020.[2]

About 19 million people used cocaine in 2018 (0.4% of adults).[5] Use is most common in Australia, North America and Europe.[5] About a million people in the United States have cocaine use disorder.[6] In Uruguay 43% of people who used cocaine were considered to have cocaine use disorder.[5] Young adults are most commonly affected.[1][3] In the United States, in 2019, nearly 16,000 overdose deaths involved cocaine.[7]

References[edit]

  1. ^ a b c d e f g h Diagnostic and Statistical Manual of Mental Disorders (Fifth ed.). American Psychiatric Association. 2013. pp. 561. doi:10.1176/appi.books.9780890425596.156852. ISBN 978-0-89042-555-8. {{cite book}}: Cite has empty unknown parameter: |1= (help)
  2. ^ a b c d e f Ronsley, Claire; Nolan, Seonaid; Knight, Rod; Hayashi, Kanna; Klimas, Jano; Walley, Alex; Wood, Evan; Fairbairn, Nadia (18 June 2020). "Treatment of stimulant use disorder: A systematic review of reviews". PLOS ONE. 15 (6): e0234809. doi:10.1371/journal.pone.0234809.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  3. ^ a b c d e f Ryan, SA (December 2019). "Cocaine Use in Adolescents and Young Adults". Pediatric clinics of North America. 66 (6): 1135–1147. doi:10.1016/j.pcl.2019.08.014. PMID 31679603.
  4. ^ a b Oliva, F; Mangiapane, C; Nibbio, G; Berchialla, P; Colombi, N; Vigna-Taglianti, FD (9 November 2020). "Prevalence of cocaine use and cocaine use disorder among adult patients with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis". Journal of psychiatric research. doi:10.1016/j.jpsychires.2020.11.021. PMID 33199055.
  5. ^ a b c d WORLD DRUG REPORT 2020 (SET OF 6 BOOKLETS) (PDF). [S.l.]: UNITED NATIONS. 2020. pp. 25–30. ISBN 978-92-1-148345-1. Archived (PDF) from the original on 29 January 2021. Retrieved 20 February 2021.
  6. ^ a b c Kampman, KM (October 2019). "The treatment of cocaine use disorder". Science advances. 5 (10): eaax1532. doi:10.1126/sciadv.aax1532. PMID 31663022.
  7. ^ "Overdose Death Rates". National Institute on Drug Abuse. 29 January 2021. Archived from the original on 25 January 2018. Retrieved 26 February 2021.