纳洛联合处方的趋势
Jainaba Dumbuya1, Mitchell J Barnett2, Eric J Ip3
1Stanford University School of Medicine, Office of PA Education, 300 Pasteur Drive, Stanford, CA, United States.
Drug and alcohol dependence
|December 25, 2024
概括
纳洛联合处方从2019年至2022年增加,特别是在高风险患者中. 然而,在农村地区和老年人中,这一比例仍然不够理想,这表明需要改进阿片类药物过量预防策略.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阿片类药物流行病是美国的主要公共卫生危机.
- 纳洛对于对抗阿片类药物过量服用至关重要.
- 不理想的纳洛联合处方率持续存在,特别是在高风险人群中.
研究的目的:
- 分析爱荷华州纳洛联合处方率的最新趋势.
- 确定从2019年到2022年共同处方模式的变化.
- 检查不同患者群体之间联合处方率的差异.
主要方法:
- 对爱荷华州处方监测计划 (PMP) 数据的回顾性分析.
- 每1000名阿片类药物患者 (2019-2022) 计算的纳洛联合处方率.
- 按阿片类药物剂量,同时使用二二类药物和人口统计数据分层的比率;不包括临终关怀/非健行患者.
主要成果:
- 从2019年到2022年观察到纳洛联合处方的年增长.
- 对高风险群体的联合处方显著增加 (高阿片类药物剂量,同时使用二).
- 观察到的差异:农村地区和老年患者群体的比率较低.
结论:
- 增加的纳洛联合处方表明过量预防的进展.
- 对于高风险个体,联合处方率仍然不足于最佳水平.
- 需要持续的教育和政策努力来改善纳洛的可访问性,特别是在老年患者和农村地区.
相关概念视频
Opioid Analgesics: Synthetic and Semisynthetic Opioids
219
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...
219
Prescription, Nonprescription and Orphan Drugs
687
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...
687
Opioid Analgesics: Morphine and Other Natural Cogeners
179
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...
179
Drug Abuse and Addiction: Pharmacological Phenomena
434
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...
434
Drug Delivery: Enteral Route
377
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
377
Opioid Receptors: Overview
510
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
510


