早期的OxyContin营销与与注射药物使用相关的传染病的长期传播有关
Julia M Dennett1, Gregg S Gonsalves2
1Julia M. Dennett, Yale University, New Haven, Connecticut.
Health affairs (Project Hope)
|July 19, 2023
概括
最初的OxyContin营销显著增加了致命的过量服用和注射药物使用并发症,包括肝炎和内心炎死亡. 营销暴露较高的州面临着这些阿片类药物危机结果的最大长期负担.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药品营销 药品营销 药品营销
背景情况:
- 美国的阿片类药物危机受到阿片类 analgesics 的营销的影响.
- 首次OxyContin营销对注射药物使用并发症的长期影响尚不清楚.
研究的目的:
- 评估最初的OxyContin营销暴露对注射药物使用相关结果的长期影响.
- 分析营销对致命过量服用和传染病并发症的影响.
主要方法:
- 差异差异分析比较了初始营销暴露率高或低的州.
- 2010年OxyContin重制之前和之后的检查结果.
主要成果:
- 最初的OxyContin营销显著增加了致命的合成阿片类药物过量服用.
- 暴露导致急性肝炎A,B和C感染率更高.
- 在高度暴露的州中,观察到与感染性内心炎相关的死亡人数增加.
结论:
- 20世纪90年代中期OxyContin的营销决定导致病毒和细菌并发症的增加.
- 这些营销策略也提高了25年后非法阿片类药物过量死亡率.
- 最严重的长期结果集中在初始营销暴露率最高的州.
更多相关视频
10:17High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
Published on: April 23, 2019
9.7K
10:13Author Spotlight: An Efficient Methodology to Confidently Differentiate and Characterize Fentanyl Analogs
Published on: November 8, 2024
2.3K
相关概念视频
Opioid Analgesics: Morphine and Other Natural Cogeners
293
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
293
Prescription, Nonprescription and Orphan Drugs
768
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
768
Opioid Analgesics: Synthetic and Semisynthetic Opioids
338
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
338
Opioid Receptors: Overview
1.1K
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
1.1K
Drug Classes and Categories
2.1K
Drugs can be classified according to their chemical composition or their intended therapeutic application. For instance, anti-infective agents that possess the ability to eliminate pathogens or suppress their growth and reproduction can be grouped based on the organisms they target or their chemical structure. Furthermore, drugs can be divided into prescription, nonprescription, or controlled substances. Prescription medications, such as antibiotics, require oversight from a licensed healthcare...
2.1K
Drug Dependence
1.1K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.1K
