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10.1080/10826084.2020.1791184

http://scihub22266oqcxt.onion/10.1080/10826084.2020.1791184
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32657207!8687452!32657207
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suck abstract from ncbi


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pmid32657207      Subst+Use+Misuse 2020 ; 55 (11): 1900-1901
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  • Opioid Use Disorder and COVID-19: Biological Plausibility for Worsened Outcomes #MMPMID32657207
  • Schimmel J; Manini AF
  • Subst Use Misuse 2020[]; 55 (11): 1900-1901 PMID32657207show ga
  • Alarms have been raised that COVID-19 may disproportionately affect certain populations with substance use disorders, particularly Opioid Use Disorder (OUD), however warnings have largely focused on social risks such as reduced availability of services. Objectives: This commentary highlights three plausible biological mechanisms for potentially worsened outcomes in patients with OUD who contract COVID-19. Results: Opioid-related respiratory depression may amplify risks of hypoxemia from COVID-19 viral pneumonia. Complex opioid immune modulation may impact host response to COVID-19, though the effect direction and clinical significance are unclear. Drug-drug interactions may affect individuals with OUD who are co-administered medications for OUD and medications for COVID-19, particularly due to cardiac adverse effects. Conclusions/Importance: There are plausible biological mechanisms for potentially worsened outcomes in patients with OUD who contract COVID-19; these mechanisms require further study, and should be considered in individuals with OUD.
  • |Adaptive Immunity/immunology[MESH]
  • |Analgesics, Opioid/*adverse effects/therapeutic use[MESH]
  • |Arrhythmias, Cardiac/*chemically induced[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications/drug therapy/immunology/physiopathology[MESH]
  • |Drug Interactions[MESH]
  • |Humans[MESH]
  • |Immunity, Innate/immunology[MESH]
  • |Immunocompromised Host/*immunology[MESH]
  • |Methadone/adverse effects[MESH]
  • |Opioid-Related Disorders/*complications/drug therapy/immunology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/drug therapy/immunology/physiopathology[MESH]
  • |Prognosis[MESH]
  • |Respiratory Insufficiency/*chemically induced/physiopathology[MESH]


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