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Acute infections in intravenous drug users

Infections near injection sites can become severe and cause necrotizing fasciitis, also known as a “flesh-eating disease,” or cellulitis. Over time, the physical signs of IV drug use can become very apparent. While this typically results in a longer high, it is also less intense and delayed for some people. Oral drug use requires waiting for the substance to be digested and absorbed in the is marijuana addictive national institute on drug abuse nida intestines before the effects can be felt in the brain. Speak with your healthcare provider to determine which option may be more beneficial for you or your loved one. These can consist of 30-day inpatient treatment programs or a longer-term rehab program that can last several months.

  • Nearly 30 years of research shows that comprehensive syringe services programs (SSPs) are safe, effective, and cost-saving, do not increase illegal drug use or crime, and play an important role in reducing the transmission of viral hepatitis, HIV and other infections.
  • However, one of the most severe health dangers of IV drug use is that it significantly increases the risk of overdosing and death.
  • However, right- and left-sided infections occur with equal incidence in IDUs.15Staphylococcus aureus accounts for up to three-quarters of cases, followed by streptococci and, less commonly, Gram-negative bacilli and fungi.16 Septic emboli are common in IE caused by S aureus and can involve the lungs (right-sided IE) and the kidney, brain and bone (left-sided IE).16,17
  • When fungi are present on the skin or a needle, a fungal infection can develop from IV drug use.

Hepatitis C

IV is commonly used to provide nourishment to people who cannot orally ingest food or water. IV therapy delivers liquids directly into a patient’s vein and is usually done only in medically supervised settings. Intravenous therapy, or IV therapy, is a common form of intravenous medication administration. This is different from intramuscular injections, which are delivered directly into the muscle.

Hepatitis C (HCV) Infections

However, there are other risks related to hepatitis C, so it is best to avoid getting it in the first place by practicing safe sex and avoiding already-used medical equipment. Now,modern medical researchhas provided medications in pill form that can offer a complete cure for hepatitis C in many people. This overview covers the risks of IV drug use and how to find help for IV drug addiction. The use of needles and the act of injecting substances into your body also creates a variety of risks, including infections, diseases and injuries. These drugs are already risky when consumed, smoked or snorted. Even in hospital settings, where IV drugs are routinely prescribed and used, these medications require additional monitoring and cannot normally be given outside of the hospital.

Addiction Treatment Options for IV Drug Users

Instead, the individual is putting themselves at a much higher risk of a fatal overdose with the higher doses. This means a person may take a higher dose of IV drugs in an attempt to regain the same level of “high” as before, but the drug won’t actually provide the high due to the drug’s ceiling effect. When drugs are obtained illegally, you never know what they might contain. First, IV drugs can be laced with potent substances such as fentanyl or even animal tranquilizers. I’ve taken care of patients who have been in their 20s and have lost feet and hands because of complications from IV drug use.

HCV infection is10 times more contagiousthan HIV, making it a greater concern for people who may be exposed to it. This includes makeshift tools, such as a rolled-up dollar bill used to snort drugs. Following the initial infection, there is a period without symptoms. Symptoms of HIV include flu-like symptoms that occur as the virus causes its initial infection. IV drugs enter the bloodstream more quickly, having a more immediate and severe effect. There are many healthcare professionals working in recovery centers who can help you overcome your addiction.

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Antibiotic therapy for uncomplicated cellulitis should cover S aureus and strep-tococci and MRSA should be covered if there is evidence of previous infection or colonisation. The prevalence of human immunodeficieny virus (HIV) in IDUs in the UK is about 1% – lower than in many other European countries.2 Based on the assumption that all IDUs, particularly those presenting with evidence of immunosuppression or hepatitis, should be screened for blood-borne viruses, we do not discuss these conditions further in this paper. We believe in treating each person on a physical, emotional and social level to help them make positive lifelong changes. Our team takes a compassionate approach to treatments and is there to help patients along their sobriety journeys. Gateway Foundation takes a holistic approach to substance misuse and drug dependencies.

As HIV progresses, it may cause irritated, flakey skin, shingles, oral thrush and significant weight loss. Those with HIV may not develop symptoms immediately or assume they may just have a cold or flu. Initially, HIV causes symptoms similar to the flu, including body aches, chills and fever. Septic arthritis is a painful infection that can cause extreme discomfort and limit the mobility of the infected joint and surrounding area. Septic arthritis is a joint infection that typically occurs when an infection travels through the bloodstream to a joint.

PHYSICAL CHALLENGES FACED BY PATIENTS

Misusing IV drugs can negatively affect your health in many ways and increase your risk of developing various infections. The use of intravenous opioids is linked to a higher risk to the individual developing a substance abuse problem than people who misuse drugs in other ways. The number of people infected with HIV remains low, but it remains an important health risk in areas where intravenous drug use is common.

Mental Health and Loneliness

Untreated endocarditis is a dangerous condition and results in death without proper medical attention. Endocarditis is an infection that develops in the heart’s inner lining or valves. Hepatitis C can be either acute or chronic, meaning the symptoms are either short- or long-term. The hepatitis virus can cause hepatitis A, hepatitis B and hepatitis C, the most serious of the hepatitis viruses. Hepatitis causes inflammation in the liver, which can have serious side effects. Hepatitis C can be difficult to diagnose early for some patients, as it can take from six months to 10 years or more for symptoms to become apparent.

IV Drug Use Complications

Necrotizing fasciitis can occur at an injection site and appear as red, irritated or inflamed skin that is often tender and painful. While necrotizing fasciitis is rare, it is a serious and life-threatening complication from intravenous drug use. The most common fungi that may cause a fungal infection include Aspergillus and Candida. If you have symptoms of septic thrombophlebitis, you should seek immediate medical attention.

This is designed to allow the body to get through the withdrawal phase without complications. Detoxing is often a necessary part of the treatment and recovery process. This can cause deep vein thrombosis (DVT), septicemia, arterial bleeding, neuropathic pain, and other complications.

  • Endocarditis is an infection that develops in the heart’s inner lining or valves.
  • Continual intravenous drug use can cause sudden and significant weight loss.
  • Prompt treatment is needed as this condition can develop and spread quickly.
  • There may also be opportunities for primary care to be involved in hepatitis C treatment through new commissioning routes.4
  • It is also common to dissolve various pills, powders, and salts into a liquid solution consumed as a part of IV drug use.

You also need to make sure that your medical practitioners know what kind of medication you’ve taken to reverse their effects. As a result of the rapid action of the high and the severity of the effects, abusers also find it difficult to assess how much of the drug they are injecting into their bloodstream. I am taking the drug many times in a single dose results in a dangerous level of brain and body overdose. Injected medications can be injected intravenously, intramuscularly, or subcutaneously. Ophelia-affiliated physician group practices are independently owned and operated by licensed physicians who provide services utilizing the Ophelia telehealth platform.

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Although requests for analgesia are often interpreted by healthcare staff as drug-seeking behaviour, withdrawal symptoms and pain must be adequately treated. Good management requires a frank and non-judgemental approach, and clear behavioural boundaries should be outlined, including explanations of the consequences of abusing staff, demanding medications other than those prescribed and obstructing the continuity of care.29 Opiates and other drugs that could be misused, including intravenous cyclizine,30 should be prescribed by a single sufficiently experienced prescriber. In IDUs presenting with skin and soft-tissue infections (SSTIs), assessment of the site and severity of infection is key. In IDUs with skin and soft-tissue infections, thorough assessment of the site and severity is key Intravenous drug users (IDUs) are vulnerable to a wide range of potentially life-threatening infections, including rare infections such as wound botulism and cutaneous anthrax Professional medical addiction treatments can empower those misusing substances to embark on a journey of recovery and lifelong sobriety.

Infections not directly related to injecting, such as pneumonia, are also more common than the general population and likely to be caused by poor living conditions and poor nutrition. Injecting manure and other materials used in heroin production produces predictable soft-tissue infections and abscesses, as well as the occasional exotic infection such as botulism, necrotising fasciitis, or tetanus. He is a freelance medical writer specializing in creating content to improve public awareness of health topics. The best treatment centers offer comprehensive care and treatment models to minimize the chances of relapse or avert the severity. It varies based on several factors, including genetics, environment, the number of drugs consumed, past substance abuse, physical dependency, and psychological dependency.

The withdrawal symptoms during detox can sometimes be treated with medications. In addition to Suboxone, Subutex also contains the opioid antagonist naloxone, which activates opioid receptors and prevents the body from responding to other opioids, while Suboxone is only buprenorphine alone. A partial opioid agonist, buprenorphine, stimulates opioid receptors and more active opioids without producing a high. Although methadone is not a narcotic, it carries the potential for abuse and dependency since it is also one of the most commonly abused narcotics.

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