Lineberry Timothy W, Bostwick J Michael
Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA.
Mayo Clin Proc. 2004 Aug;79(8):1031-4. doi: 10.4065/79.8.1031.
In the United States, psychoactive prescription medications rank second only to marijuana as drugs of abuse (if tobacco and alcohol are discounted). Physician shopping--visiting multiple physicians simply to procure prescriptions--has been a traditional method for acquiring drugs illicitly. As community-based efforts to curtail physician shopping have expanded, drug abusers have turned increasingly to the Internet. Illegal Internet pharmacies, increasing rapidly in number during the past decade and requiring neither prescription nor physician oversight, offer minimal interference to obtaining drugs. With no physician involved, patients cease to be patients. Instead, they become consumers able to buy prescription medications, even controlled substances, from anonymous providers offering no ongoing treatment relationship and taking no responsibility for the drugs dispensed. When complications occur, these consumers become patients, turning back to the traditional medical system to manage overdoses, addictions, and drug adverse effects and interactions. We present a case series illustrating some of the medical problems that resulted from drugs bought on-line illegally.
在美国，精神活性处方药作为滥用药物（若不计烟草和酒精）仅次于大麻。“医生购物”——即仅为获取处方而拜访多位医生——一直是非法获取药物的传统方式。随着基于社区减少“医生购物”的努力不断扩大，药物滥用者越来越多地转向互联网。非法网上药店在过去十年中数量迅速增加，既不需要处方也无需医生监督，为获取药物提供了极小的阻碍。由于无需医生参与，患者不再是患者。相反，他们成为消费者，能够从匿名供应商处购买处方药，甚至是管制药品，这些供应商不提供持续的治疗关系，也不对所售药物负责。当出现并发症时，这些消费者又变回患者，转而求助于传统医疗系统来处理药物过量、成瘾以及药物不良反应和相互作用。我们展示了一系列病例，说明非法网上购药导致的一些医疗问题。
