MH701 EXAM 3 STUDY GUIDE 2026
VERIFIED QUESTIONS AND ANSWERS
OUTLINE PACK
◉ Why add naloxone to buprenorphine?
Answer: Naloxone is poorly absorbed via the sublingual route.
Present only to misuse of the medication by crushing and injecting
the combined product.
Because of this safety feature, this is preferred.
◉ How fast to taper buprenorphine?
Answer: Fast tapers are associated with high rates of relapse. Taper
slow, if at all. Considered long-term maintenance treatment.
◉ Naltrexone works how?
Answer: Blocks the mu receptors so they can not be stimulated.
◉ Mu receptors are located:
Answer: In the brain and CNS, also intestines, hence while people get
constipated on opioids.
◉ Mu receptors gets its name from:
,Answer: Mu is the Greek letter M and these receptors received their
name due to studies involving the mechanism of morphine.
◉ Mu receptors are responsible for:
Answer: pain relief and pleasure response to opioids.
◉ Naltrexone comes as:
Answer: Naltrexone tablets, Revia tablets & Vivitrol injection.
◉ How often do you have to take Naltrexone?
Answer: Daily or sometimes 3 x week. The patient must be an active
participant.
◉ Vivitrol injection is taken ow often?
Answer: Injection given once monthly. If the patient seeks to abuse
drugs, it will be fruitless as the Mu receptors are blocked.
Cravings for alcohol are also reduced with this.
◉ Which drugs are commonly used for Alcohol use disorder?
Answer: Disulfiram (Antabuse)
Acamprosate
Naltrexone
,◉ What kind of therapy is Disulfiram?
Answer: Aversion therapy.
If alcohol is consumed while taking, the patient ill have unpleasant
side effects. This leads to negative conditioning.
◉ Disulfiram is used to treat?
Answer: Chronic alcoholism. Most effective in people who have
already gone through detoxification or are in the iitial stage of
abstinence.
◉ How often to take Disulfiram and how long after alcohol?
Answer: 1. Once a day tablet form.
2. Should never be taken while intoxicated and should not be taken
for at least 12 hours after drinking alcohol.
◉ Dangerous side effect of Disulfiram?
Answer: alcohol toxicity is patient does not abstain from alcohol.
◉ Unpleasant side effects of Disulfiram?
Answer: Nausea, headache, vomiting, chest pains, difficulty
breathing. Can occur as soon as 10 minute after drinking even a
small amount o alcohol and can last for an hour or more.
, ◉ Acamprosate (Campral) works by:
Answer: Decreases cravings.
Sometimes referred to as artificial alcohol. Good for people who
have already stopped drinking and want ot avoid drinking.
◉ Use of Acamprosate usually begins when?
Answer: on 5th day of abstinence and reaches full effectiveness in 5-
8 days.
◉ How often is Acamprosate taken?
Answer: 3 times a day.
◉ SE of Acamprosate:
Answer: diarrhea, upset stomach, appetite loss, anxiety, dizziness
and difficulty sleeping.
◉ Acamprosate is a good choice for those who?
Answer: have recently abstained from alcohol. No labs needed.
◉ What labs would you get before starting Disulfiram?
Answer: LFT's at baseline and follow up.
VERIFIED QUESTIONS AND ANSWERS
OUTLINE PACK
◉ Why add naloxone to buprenorphine?
Answer: Naloxone is poorly absorbed via the sublingual route.
Present only to misuse of the medication by crushing and injecting
the combined product.
Because of this safety feature, this is preferred.
◉ How fast to taper buprenorphine?
Answer: Fast tapers are associated with high rates of relapse. Taper
slow, if at all. Considered long-term maintenance treatment.
◉ Naltrexone works how?
Answer: Blocks the mu receptors so they can not be stimulated.
◉ Mu receptors are located:
Answer: In the brain and CNS, also intestines, hence while people get
constipated on opioids.
◉ Mu receptors gets its name from:
,Answer: Mu is the Greek letter M and these receptors received their
name due to studies involving the mechanism of morphine.
◉ Mu receptors are responsible for:
Answer: pain relief and pleasure response to opioids.
◉ Naltrexone comes as:
Answer: Naltrexone tablets, Revia tablets & Vivitrol injection.
◉ How often do you have to take Naltrexone?
Answer: Daily or sometimes 3 x week. The patient must be an active
participant.
◉ Vivitrol injection is taken ow often?
Answer: Injection given once monthly. If the patient seeks to abuse
drugs, it will be fruitless as the Mu receptors are blocked.
Cravings for alcohol are also reduced with this.
◉ Which drugs are commonly used for Alcohol use disorder?
Answer: Disulfiram (Antabuse)
Acamprosate
Naltrexone
,◉ What kind of therapy is Disulfiram?
Answer: Aversion therapy.
If alcohol is consumed while taking, the patient ill have unpleasant
side effects. This leads to negative conditioning.
◉ Disulfiram is used to treat?
Answer: Chronic alcoholism. Most effective in people who have
already gone through detoxification or are in the iitial stage of
abstinence.
◉ How often to take Disulfiram and how long after alcohol?
Answer: 1. Once a day tablet form.
2. Should never be taken while intoxicated and should not be taken
for at least 12 hours after drinking alcohol.
◉ Dangerous side effect of Disulfiram?
Answer: alcohol toxicity is patient does not abstain from alcohol.
◉ Unpleasant side effects of Disulfiram?
Answer: Nausea, headache, vomiting, chest pains, difficulty
breathing. Can occur as soon as 10 minute after drinking even a
small amount o alcohol and can last for an hour or more.
, ◉ Acamprosate (Campral) works by:
Answer: Decreases cravings.
Sometimes referred to as artificial alcohol. Good for people who
have already stopped drinking and want ot avoid drinking.
◉ Use of Acamprosate usually begins when?
Answer: on 5th day of abstinence and reaches full effectiveness in 5-
8 days.
◉ How often is Acamprosate taken?
Answer: 3 times a day.
◉ SE of Acamprosate:
Answer: diarrhea, upset stomach, appetite loss, anxiety, dizziness
and difficulty sleeping.
◉ Acamprosate is a good choice for those who?
Answer: have recently abstained from alcohol. No labs needed.
◉ What labs would you get before starting Disulfiram?
Answer: LFT's at baseline and follow up.
