Abstract

INTEGRATED MANAGEMENT OF SUBSTANCE USE DISORDER

*Jancy K. S. and Jithesh M.

Abstract

Substance Use Disorder (SUD), also known as drug use disorder, is a condition in which the use of one or more substances lead to a clinically significant impairment or distress. Dependence and Addiction are components of a SUD and addiction represents the most severe form of the disorder. Substance use disorder is a burden to the family and society. Hence the chances of co morbidities and complications are high. It is very much essential to manage the condition at the earliest. Ayurveda described substance use disorder under the context of madātyaya, where the detailed explanation regarding alcohol use and its various phases are discussed. Etiopathogenesis of all SUD’s are almost similar. Principles of management of madatyaya is clinically applicable for every substance use based on assessing the dosa. The management is based on addressing the withdrawal symptoms, cravings and then to address the dependence. Ayurveda management including sirodhara, nasya, snehapana, sodhana, Samana, Rasayana, yoga are used. The management of substance use is crucial for various reasons such as health and safety, social and economical impact, legal implications, psychological well being and prevention of relapses. Addressing substance use promotes mental health and improves overall quality of life. Further studies are needed to establish the scope of Ayurvedic management in SUD.

Keywords: Substance Use Disorder, Addiction, Dependence, Withdrawal, Sodhana, Madatyaya.