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A profile of OxyContin addiction
1Department of Psychiatry, University of Kentucky Medical Center, 3470 Blazer Parkway, Room 304, Lexington 40509, USA. lrhays@pop.uky.edu
Journal of Addictive Diseases
|September 2, 2004
Summary
OxyContin (oxycodone) abuse is a significant issue, particularly in Appalachia. This study profiles 187 OxyContin addicts, revealing high daily doses and a progression to more dangerous administration methods.
Area of Science:
- Addiction Medicine
- Psychiatry
- Public Health
Background:
- OxyContin (controlled-release oxycodone) is prescribed for moderate to severe pain.
- Diversion and abuse of OxyContin present a substantial public health challenge, especially in rural and Appalachian regions of the U.S.
Purpose of the Study:
- To develop a demographic and clinical profile of individuals dependent on OxyContin seeking treatment.
- To understand the patterns of OxyContin abuse and dependence.
Main Methods:
- Retrospective chart review of 579 admissions to an Addictive Disease Unit over 18 months (October 2000 - March 2002).
- Analysis focused on 187 individuals identified as dependent on OxyContin.
Main Results:
- Of 298 opioid abuse admissions, 187 were dependent on OxyContin.
- Average daily OxyContin dose among dependent individuals was 184 mg.
- A trend was observed from oral (p.o.) use to snorting or intravenous (i.v.) administration.
Conclusions:
- A sociocultural understanding is crucial for effectively treating OxyContin addiction.
- Improved communication between pain management and addiction treatment professionals is necessary.