精神病医生应该知道什么关于处方更安全的阿片类药物供应
Anees Bahji1,2,3,4, Marlon Danilewitz5,6, Arushi Sachdev7
1Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Canadian journal of psychiatry. Revue canadienne de psychiatrie
|October 16, 2024
概括
处方更安全的阿片类药物供应计划为疼痛管理提供了传统阿片类药物处方的替代方案. 这些计划旨在通过在医疗监督下提供药品级阿片类药物来降低过量使用风险并改善患者的治疗结果.
科学领域:
- 成 药物 药物 药物 药物
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 阿片类药物危机仍然是一个重大的公共卫生问题.
- 传统的阿片类药物处方做法导致了广泛的滥用和过量死亡.
- 需要使用替代性降低危害策略来管理慢性疼痛和阿片类药物使用障碍.
研究的目的:
- 为精神病医生提供有关处方安全阿片类药物供应 (PSOS) 的原则和实践的信息.
- 概述PSOS在减少与非法阿片类药物使用相关的危害方面的潜在好处.
- 为符合条件的患者提供关于将PSOS纳入临床实践的指导.
主要方法:
- 对减少危害和阿片类药物处方现有文献的审查.
- 分析与PSOS相关的案例研究和临床试验数据.
- 专家达成共识,并为PSOS实施制定指南.
主要成果:
- 公共公共卫生服务计划显示出减少非法阿片类药物使用和过量使用事件的潜力.
- 接受PSOS治疗的患者报告生活质量有所改善,参与高风险行为减少.
- 谨慎的患者选择和持续的监测对于成功的PSOS计划至关重要.
结论:
- 处方更安全的阿片类药物供应代表了管理阿片类药物使用障碍和慢性疼痛的范式转变.
- 精神病医生应该意识到PSOS作为一个可行的减少危害策略.
- 需要进一步的研究和临床指导方针来优化PSOS交付和可访问性.
更多相关视频
09:29Investigating Drivers of Antireward in Addiction Behavior with Anatomically Specific Single-Cell Gene Expression Methods
Published on: August 4, 2022
2.1K
08:40Author Spotlight: A Novel 3D-Printed Titanium Implant for Minimally Invasive Treatment of Hip Dysplasia in Young Dogs
Published on: April 19, 2024
2.0K
相关概念视频
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
237
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...
237
01:02Prescription, Nonprescription and Orphan Drugs
701
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...
701
01:20Opioid Analgesics: Morphine and Other Natural Cogeners
188
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...
188
01:25Analgesia and Pain Management
540
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
540
01:28Drug Therapy
39
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
39
01:25Drug Classes and Categories
1.9K
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...
1.9K