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Survey of noncontrolled medication misuse patterns.

Amelia Slane^1,1,2, Sophie Robert¹, Christine Rarrick¹

¹Psychiatric Clinical Pharmacy Specialist, The Medical University of South Carolina, Charleston, South Carolina.

The Mental Health Clinician

|July 8, 2022

Summary

Noncontrolled prescription medication (NCPM) misuse is prevalent, with 38.4% of patients reporting misuse. Trazodone and quetiapine were the most commonly misused NCPMs, highlighting a need for provider education on NCPM misuse.

Keywords:

medication misuse patient survey prescriber survey substance use disorders

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Published on: November 21, 2013

Area of Science:

Psychiatry
Clinical Psychology
Pharmacology

Background:

Noncontrolled prescription medication (NCPM) misuse is an underrecognized public health concern.
While the misuse potential of controlled substances is well-documented, NCPM misuse warrants further investigation.
Understanding prescriber perceptions and patient patterns of NCPM misuse is crucial for clinical management.

Purpose of the Study:

To identify prescriber perceptions regarding the misuse of noncontrolled prescription medications (NCPM).
To evaluate patient-reported patterns of NCPM misuse.
To assess the clinical significance and prevalence of NCPM misuse in a psychiatric patient population.

Main Methods:

Anonymous surveys were administered to adult patients admitted to psychiatry services.
Anonymous surveys were administered to prescribers in psychiatry and general medicine services.
Data analysis focused on identifying rates and patterns of NCPM misuse and prescriber awareness.

Main Results:

38.4% of patients reported misusing NCPMs.
Trazodone (35%) and quetiapine (30%) were the most frequently misused NCPMs.
Patients misusing NCPMs reported higher rates of opioid and cannabis use disorders.

Conclusions:

Noncontrolled prescription medication (NCPM) misuse is prevalent in psychiatric patient populations.
Trazodone and quetiapine are frequently misused, necessitating increased clinical attention.
Provider education and further research are recommended to address NCPM misuse effectively.