J Psychoactive Drugs. 2011 Jul-Sep;43(3):175-9. doi: 10.1080/02791072.2011.605643.
Misuse of prescription opioids, particularly by adolescents, is a growing problem in the United States. It is a leading cause of death and disability in this age group. The primary form of treatment available to adolescents is drug free psychosocial programs. For the high risk group that has relapsed after traditional psychosocial treatment, pharmacotherapy needs to be explored. Two primary issues need to be addressed: the development of effective treatment, including the use of opiate antagonists and ongoing monitoring, and education and training of clinicians regarding appropriate prescribing practices in pain management, with better identification of those who misprescribe for personal gain.
处方阿片类药物的滥用，尤其是在青少年中，是美国日益严重的问题。这是该年龄段人群死亡和残疾的主要原因。青少年可获得的主要治疗形式是无药物的心理社会项目。对于传统心理社会治疗后复发的高危人群，需要探索药物治疗。需要解决两个主要问题：开发有效的治疗方法，包括使用阿片类拮抗剂和持续监测，以及对临床医生进行有关疼痛管理中适当处方实践的教育和培训，更好地识别那些为谋取私利而滥开处方的人。
