Special Considerations and Clinical Management of HIV in Patients With Substance Use Disorder
Summary
- Illicit drugs most closely associated with HIV infection globally are heroin and cocaine, although methamphetamine use is an evolving problem[Colfax 2010; Degenhardt 2013; Atluri 2016; Degenhardt 2017] Heroin
- Heroin is a short-acting, semisynthetic opioid that may be smoked, inhaled, or injected
- Peak heroin euphoria begins shortly after injection and lasts approximately 1 hour, followed by 1-4 hours of sedation; withdrawal symptoms commence several hours later
- Methamphetamine
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