致命的中毒与佐皮克隆-一个令人担忧的原因?
Lova Tralla1,2, Sara Gustavsson2, Carl Söderberg2
1Division of Clinical Chemistry and Pharmacology, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Drug safety
|March 27, 2024
概括
皮克隆是一种常见的失眠药物,在致命的中毒中越来越多地被发现. 大多数死亡都涉及处方佐皮克隆,这表明更严格的处方可能会防止未来的死亡事故.
科学领域:
- 法医毒理学 法医毒理学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 索皮克隆是一种治疗失眠的处方药,在法医尸检中经常发现.
- 这项研究研究了苏比克隆在瑞典致命中毒的患病率和影响.
研究的目的:
- 调查索皮克隆在瑞典致命中毒中的作用和程度.
- 确定涉及处方药物的致命佐皮克隆中毒的比例.
- 为了分析因佐皮克隆中毒而死亡的个体的特征.
主要方法:
- 分析法医尸检案例在股骨血液中阳性佐皮克隆 (2012-2020年).
- 鉴定因中毒而导致的死亡事故,而 zopiclone 是其中的一个因素.
- 使用瑞典处方药登记册来检查 zopiclone 的处方.
主要成果:
- 在7320例致命中毒中,佐皮克隆涉及573例.
- 87%的索皮克隆死亡病例是处方药;8%是单一中毒.
- 62%的死亡是自杀,而佐皮克隆涉及所有中毒自杀的17%;女性过度代表.
结论:
- 佐皮克隆毒性可能是致命的,单独或与其他物质一起.
- 大多数致命的佐皮克隆中毒都涉及处方药.
- 更严格的处方做法可能会减少与佐皮克隆相关的死亡,特别是在高危人群中.
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