%0 Journal Article %J Topics in HIV medicine : a publication of the International AIDS Society, USA %D 2004 %T Substance use of disorders in HIV-infected patients: impact and new treatment strategies. %A Fiellin, David A %K Alcohol-Related Disorders %K Anti-HIV Agents %K Cocaine-Related Disorders %K Female %K Follow-Up Studies %K HIV Infections %K Humans %K Incidence %K Male %K Narcotic Antagonists %K Opioid-Related Disorders %K Patient Compliance %K Risk Assessment %K Severity of Illness Index %K Substance-Related Disorders %K Treatment Outcome %N 3 %P 77-82 %R 10.1111/j.1521-0391.2011.00207.x %V 12 %X Substance use of disorders--including alcohol, cocaine, and opiod dependencies--are common in HIV-infected patients. Untreated substance use disorders result in poor HIV disease treatment outcomes; however, several new treatment strategies have emerged in recent years. Combined medication and counseling therapies are effective for alcohol and opioid dependencies, and counseling treatments are effective for cocaine dependence. Office-based treatment with buprenorphine offers the opportunity for coordinated treatment of HIV disease and opioid dependence. This article summarizes a presentation by David A. Fiellin, MD, in March 2004 at the International AIDS Society-USA New York course. %8 2004 Jul-Aug