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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...
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Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
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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...
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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.
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注射和吸烟和吸入海洛因和合成阿片类药物的减少和增加,2000-2021年

George Karandinos1, Jay Unick2, Jeff Ondocsin3

  • 1Division of General Internal Medicine, Massachusetts General Hospital, 100 Cambridge St., Suite 1600, Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.

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概括

人们对海洛因和合成阿片类药物的服用方式 (ROA) 偏好发生了变化,全国注射使用量下降,吸烟量增加,特别是在美国西部. 鼻在美国东部也有所增加,这表明公共卫生风险正在不断变化.

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科学领域:

  • 公共卫生 公共卫生
  • 流行病学 流行病学
  • 药物使用障碍 药物使用障碍

背景情况:

  • 使用海洛因和合成阿片类药物与基于使用途径 (ROA) 的独特健康风险有关.
  • 在阿片类药物流行期间ROA偏好的转变仍然不清楚.

研究的目的:

  • 从2000年到2021年分析海洛因/合成阿片类药物ROA偏好的趋势.
  • 确定与改变ROA偏好相关的因素.

主要方法:

  • 从2000年至2021年期间,利用了来自SAMHSATEDS-A的7,881,318名入学者的数据.
  • 分析了注射,吸烟和鼻偏好以及相关的人口和地理因素的趋势.

主要成果:

  • 全国注射使用在2014年达到顶峰,到2021年下降到52.2%.
  • 到2021年,吸烟率稳步上升至11.4%,其中西部州的显著增长.
  • 喷鼻药的使用在东部州增加,而第一次使用阿片类药物的年龄较大和某些种族/种族群体显示出更高的非注射ROA患病率.

结论:

  • 自2000年以来,海洛因/合成阿片类药物ROA偏好发生了重大变化.
  • 增加的吸烟率,特别是在美国西部,以及美国东部鼻的增加是关键趋势.
  • 公共卫生战略必须解决与吸烟有关的过量服用和疾病发生率模式变化的日益增长的风险.