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El uso médico, el uso indebido y el desvío de opioides en la India
M R Rajagopal1, D E Joranson, A M Gilson
1Pain and Palliative Care Clinic, Medical College, 673008, Calicut, India. pain@vsnl.com
Lancet (London, England)
|July 21, 2001
Resumen
En la India, la morfina oral se utilizó con seguridad para el alivio del dolor en el hogar en 1723 pacientes durante dos años. Este estudio no encontró evidencia de uso indebido o desvío de opioides, lo que desafía las estrictas regulaciones en los países menos desarrollados.
Área de la Ciencia:
- La investigación médica es la investigación médica.
- Farmacología Farmacología.
- Salud pública La salud pública.
Sus antecedentes:
- La disponibilidad de opioides para el alivio del dolor está restringida en los países menos desarrollados debido a las estrictas regulaciones destinadas a prevenir el uso indebido y la desviación.
- Estas regulaciones a menudo dificultan el acceso a analgésicos esenciales como la morfina para los pacientes necesitados.
Objetivo del estudio:
- Evaluar la seguridad y eficacia de la morfina oral para el tratamiento ambulatorio del dolor en el hogar en la India.
- Investigar la prevalencia del uso indebido y desvío de opiáceos en el contexto de las prácticas de dispensación liberalizadas.
Principales métodos:
- Un estudio prospectivo siguió a 1723 pacientes que recibían morfina oral para el control del dolor en una base de atención domiciliaria ambulatoria en Calicut, India.
- La recopilación de datos se extendió durante dos años, centrándose en identificar cualquier caso de uso indebido o desvío de opiáceos recetados.
Principales resultados:
- Durante el período de estudio de dos años, no se identificaron casos de uso indebido o desvío de morfina oral entre los 1723 pacientes.
- Los hallazgos indican que la morfina oral puede ser dispensada y utilizada de manera segura por los pacientes para el alivio del dolor en el hogar en la India.
Conclusiones:
- La morfina oral se puede administrar de forma segura a los pacientes para su uso en el hogar en países menos desarrollados como la India, contrariamente a los temores de un uso indebido generalizado.
- Los programas de cuidados paliativos deben comprometerse con las autoridades y los medios de comunicación para abogar por una mejor disponibilidad de opiáceos para uso médico y crear conciencia.
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