阿片类药物使用障碍:预防,诊断和治疗策略,以减轻成风险
Uma Agarwal1, Khushboo Singhal2, Rajiv Kumar Tonk1
1Department of Pharmaceutical Chemistry, School of Pharmaceutical Sciences, Delhi Pharmaceutical Sciences and Research University, PushpViharSector-3, M-B Road, New Delhi- 110017, India.
Current drug safety
|February 21, 2025
概括
阿片类药物使用障碍 (OUD) 治疗是有效的,但受到系统性问题的限制. 改善结果需要扩大接入,个性化护理和医疗改革,以更好地管理OUD.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 阿片类药物使用障碍 (OUD) 涉及持续的阿片类药物滥用,尽管有负面后果,增加死亡率和并发症.
- 造成OUD的危险因素包括人口状况,较低的社会经济地位,精神疾病和遗传倾向.
- 长期非医疗性阿片类药物使用可能表明不可逆转的OUD.
研究的目的:
- 评估目前对OUD的理解.
- 为了确定现有的OUD治疗方法的局限性.
- 通过扩大访问和个性化护理,提出改善OUD结果的策略.
主要方法:
- 使用PubMed和Scopus等数据库对过去20-25年的研究进行了全面的文献综述.
- 选择优先考虑系统审查,临床试验和指导方针,重点关注OUD风险因素,治疗方法,护理障碍和改善策略.
- 对药理疗法的分析,护理级联障碍,以及OUD的医疗保健服务进步.
主要成果:
- 治疗OUD的药物是有效的,但它们的影响受到各级护理层面的系统性问题的严重阻碍.
- 在OUD护理级联中存在障碍,限制了治疗的有效性和获取.
- 在医疗保健提供和创新的潜在进步对于解决OUD至关重要.
结论:
- 解决OUD需要超越药理治疗的综合策略.
- 系统性挑战需要专业培训,创新的治疗方法和医疗改革.
- 扩大获取和个性化护理是改善阿片类药物使用障碍结果的关键.
相关概念视频
Opioid Analgesics: Synthetic and Semisynthetic Opioids
205
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...
205
Opioid Analgesics: Morphine and Other Natural Cogeners
163
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...
163
Analgesia and Pain Management
422
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...
422
Drug Abuse and Addiction: Pharmacological Phenomena
427
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...
427
Prescription, Nonprescription and Orphan Drugs
679
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...
679
Substance Use Disorders Affecting Sleep
154
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
154


