在加拿大温哥华对芬太尼补丁安全供应计划进行了定性评估
Alexa Norton1, Andrew Ivsins1, Elizabeth Holliday2
1British Columbia Centre on Substance Use, Vancouver, BC, Canada; Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
The International journal on drug policy
|August 19, 2024
概括
芬太尼尔贴片作为一种更安全的供应选择,通过减少对未经监管药物的依赖,改善了参与者的生活质量,并降低了过量服用的风险. 灵活的程序设计和稳定的剂量增强了参与度,尽管皮肤刺激带来了挑战.
科学领域:
- 药物使用和成研究研究.
- 公共卫生干预 公共卫生干预
- 药理学 药理学是指药理学的学科.
背景情况:
- 加拿大面临过量危机,推动了对更安全的药物供应计划的需求.
- 紧急响应的更安全替代方案 (SAFER) 计划提供芬太尼补丁,与典型的聚焦于摩的倡议不同.
- 关于芬太尼补丁在更安全的供应环境中有效性的数据有限.
研究的目的:
- 为了对SAFER计划中的芬太尼尔补丁成分进行定性评估.
- 评估该计划在减少过量服用风险和对未经监管的药物供应的依赖方面的有效性.
主要方法:
- 与17名SAFER芬太尼补丁参与者的半结构化定性访谈.
- 在2022年2月至2023年4月期间收集的数据.
- 主题分析侧重于项目参与,经验,影响和挑战.
主要成果:
- 灵活的计划结构 (例如,没有每日处方,延长遗漏剂量协议,社区药房分发) 提高了参与者的参与度和自主性.
- 稳定的透皮芬太尼剂量改善了戒断管理和渴望,导致减少不受管制的药物使用和降低过量剂量风险.
- 参与者报告说,经济效益和改善整体健康和生活质量,尽管面临诸如皮肤刺激和贴片粘附等挑战.
结论:
- 芬太尼补丁更安全的供应是药物使用连续护理的宝贵补充.
- 结果为改善这种减少危害干预措施的交付和创新提供了洞察力.
相关概念视频
Drug Regulation
1.3K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
1.3K
Pharmacovigilance
797
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
797
Opioid Analgesics: Synthetic and Semisynthetic Opioids
253
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...
253
Drug Delivery: Parenteral Route
450
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
450
Drug Delivery: Miscellaneous Routes
329
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection, and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
329


