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[Drugs diverted from reaching drug addicts]

M F Poirier1, D Ginestet

  • 1Service hospitalo-universitaire de santé mentale et de thérapeutique Centre hospitalier Sainte-Anne, Paris.

La Revue Du Praticien
|June 1, 1995
PubMed
Summary

Diversion from psychotropic drugs can lead to toxicomania, often involving benzodiazepines and other substances like opioids. Risk factors include prolonged use and dependent personality traits, highlighting the need for careful monitoring.

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Area of Science:

  • Pharmacology
  • Addiction Medicine
  • Toxicology

Context:

  • Psychotropic drug diversion is a significant public health concern.
  • Understanding the patterns of misuse is crucial for effective intervention.
  • Co-occurring substance use complicates treatment approaches.

Purpose:

  • To identify psychotropic and non-psychotropic drugs frequently diverted for misuse.
  • To examine risk factors associated with psychotropic drug diversion.
  • To highlight the demand for specific drug classes among individuals with substance use disorders.

Summary:

  • Diversion of psychotropic drugs, particularly short-acting benzodiazepines, can result in classic toxicomania, often alongside alcohol or opioids.
  • Prolonged use (over four months) and dependent personality traits are identified risk factors.
  • Non-psychotropic drugs, including opioids (e.g., dextropropoxyphene, Neocodion) and stimulants (anorectics, ephedrine, beta-stimulants), are also frequently abused.

Impact:

  • Informs clinical practice regarding patient monitoring and risk assessment for drug diversion.
  • Guides public health strategies aimed at preventing and mitigating prescription drug misuse.
  • Contributes to a better understanding of the multifaceted nature of substance use disorders.

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