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Drug Abuse and Addiction: Pharmacological Phenomena01:15

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Novel Apparatus and Method for Drug Reinforcement
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Published on: August 20, 2010

[Pharmacist as gatekeeper: combating medication abuse and dependence].

Takuya Shimane1

  • 1Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo 187-8553, Japan. shimane@ncnp.go.jp

Yakugaku Zasshi : Journal of the Pharmaceutical Society of Japan
|June 4, 2013
PubMed
Summary

Nonmedical medication use, including psychotropic and over-the-counter drugs, is rising in Japan. Pharmacists are now key gatekeepers for identifying and preventing substance abuse and suicide risk.

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Area of Science:

  • Pharmacology
  • Public Health
  • Psychiatry

Context:

  • Nonmedical medication use, particularly psychotropic and over-the-counter drugs, is a significant and escalating public health concern in Japan.
  • A notable increase in patients with sedative (benzodiazepine)-related disorders has been observed in mental hospitals over the past decade.
  • The association between psychotropic drug overdose and elevated suicide risk is a documented issue.

Purpose:

  • To define fundamental terms related to nonmedical medication use, including abuse, dependence, and intoxication.
  • To summarize the current epidemiological landscape of substance abuse and dependence in Japan.
  • To discuss the evolving role of pharmacists as gatekeepers in preventing medication-related substance abuse and dependence.

Summary:

  • The nonmedical use of medications, encompassing psychotropic and over-the-counter drugs, presents a growing challenge in Japan.
  • Epidemiological data indicate a doubling of sedative-related disorders and highlight the link between drug overdose and suicide risk.
  • Pharmacists are increasingly recognized for their gatekeeping role in identifying and managing individuals at risk of substance abuse or suicide.

Impact:

  • Highlights the critical role of pharmacists in public health, particularly in addressing medication abuse and suicide prevention.
  • Provides a comprehensive overview of substance abuse trends in Japan, informing public health strategies.
  • Emphasizes the need for pharmacists to be equipped with the skills to identify and intervene in cases of nonmedical drug use and suicide risk.