From the first pilot initiatives in the early 1990s to the national OSIAP survey in the 2020s: More than 30years of insight in medication diversion phenomenon in France
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View abstract on PubMed
Summary
This summary is machine-generated.The OSIAP survey tracks falsified medical prescriptions in France, showing a consistent yearly increase. This trend may reflect more falsifications or improved pharmacist vigilance, potentially linked to digital advancements.
Area Of Science
- Pharmacovigilance
- Drug Abuse Monitoring
- Public Health
Background
- The French Addictovigilance System utilizes various tools to monitor drug use and misuse.
- The OSIAP (Suspect Prescriptions Indicator of Possible Abuse) survey has been conducted nationally since 2001.
- Understanding OSIAP's development requires reviewing historical context, including the former French National Commission on Narcotic and Psychotropic Drugs.
Purpose Of The Study
- To trace the historical development of falsified medical prescription monitoring in France.
- To analyze the evolution and trends of the OSIAP survey.
- To discuss the implications of increasing falsified prescriptions and future challenges.
Main Methods
- Historical review of the OSIAP survey's genesis and development.
- Analysis of trends in falsified prescription data collected by the Addictovigilance network.
- Examination of factors contributing to prescription falsification, including technological advancements.
Main Results
- The OSIAP survey, created in the early 1990s, shows a continuously increasing yearly trend in recorded falsified prescriptions.
- OSIAP has been instrumental in identifying problematic drug uses, such as tropicamide eye drop misuse and codeine cough syrup diversion.
- The rise in falsifications correlates with the adoption of teleconsultations and digital techniques like prescription copying and QR code generation.
Conclusions
- Continued close monitoring of falsified prescriptions in France is essential.
- The increasing trend in falsified prescriptions requires further investigation to determine if it's due to increased absolute numbers or enhanced detection.
- Future falsification techniques may adapt to stricter regulations like dematerialized prescriptions.
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