Review TOMMY concepts

[IMG SURVIVOR]

Pharm…
A 30-year-old male named Joe PizzaHut presents to the emergency department complaining of a 4-month history of fatigue, depression, insomnia, and weight loss. He states he also has had difficulty with feelings of guilt over his IV heroin use. On a mini-mental status examination, he has some mild cognitive defects, scoring 22 of 30. What med is due most urgently?
1-SSRIs
2-Tricyclics
3-Methadone
4-First order U/A

[md90]

Pharm…
A 30-year-old male named Joe PizzaHut presents to the emergency department complaining of a 4-month history of fatigue, depression, insomnia, and weight loss. He states he also has had difficulty with feelings of guilt over his IV heroin use. On a mini-mental status examination, he has some mild cognitive defects, scoring 22 of 30. What med is due most urgently?
1-SSRIs
2-Tricyclics
3-Methadone
4-First order U/A

should be given Methadone... used in those that are dependent on heroin and morphine; this drug does cause withdrawal symptoms but much milder than what they would get from heroin and morphine withdrawal, and does not last as long..

[angielb13]

it is not clear if he stopped using heroin or he still does, because if he still does then change it with methadone ....if not.....think of something for depression