澳大利亚对修改释放型青的重新安排是否影响了过量服用的频率?
Michaela J Ryan1, Andis Graudins1,2, Nicole O'Shea3
1Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
将修改释放型甲醇 (甲醇-MR) 升级到计划-3并没有减少过量剂量频率. 这项研究发现,在降醇-MR过量服用或监管后的相关呼叫中没有显著变化.
科学领域:
- 药物监督 药物监督 药物监督
- 药品安全法规 药品安全法规
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 修改释放型甲醇 (甲醇-MR) 在2020年6月从第二时间表转移到第三时间表,限制了获取.
- 这一变化旨在通过限制可用性来减少对胺醇-MR的过量服用.
研究的目的:
- 评估升级时间表的对他醇-MR对过量剂量频率的影响.
- 在监管变更之前和之后,分析帕拉西托马尔-MR过量治疗电话和急诊室演示的趋势.
主要方法:
- 追溯队列研究分析了2017年6月至2022年5月的数据.
- 使用中断时间序列分析来评估直接影响和趋势变化.
- 检查的医院记录和中毒控制中心要求过量服用胺醇-MR.
主要成果:
- 在这两组数据中,降醇-MR病例的比例在升级后保持不变.
- 在莫纳什健康 (RR=1.08,95% CI=0.57-2.01) 的月度青-MR过量呈现没有显著变化.
- 维多利亚州毒药信息中心 (RR=1.05,95%CI=0.96-1.14) 的每月青-MR过量给药电话没有显著变化.
结论:
- 升级降醇-MR的日程安排到日程-3并没有降低过量剂量的比例或频率.
- 目前的获取限制可能不足以制降醇-MR过量服用.
- 进一步限制对类醇产品的访问可能需要考虑.
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