Schepis Ty S
Department of Psychology, Texas State University, 601 University Drive, San Marcos, Texas 78666, TX, USA.
Pain Manag. 2011 Jan;1(1):53-9. doi: 10.2217/pmt.10.4.
Concomitant with increases in prescriptions for controlled opioids, rates of nonmedical use of prescription opioids (NMUPO) have increased, including among adolescents aged 12-19 years. Adolescent NMUPO poses particular problems for clinicians, as prescribing physicians and dentists serve as the primary source of opioids for NMUPO in the majority of cases. Furthermore, early initiation of NMUPO appears to increase the risk of developing opioid dependence in adulthood. Given the significant morbidity and mortality associated with adolescent NMUPO, steps taken by clinicians to limit the scope of this phenomenon are needed. This article aims to aid clinicians by reviewing the literature on adolescent NMUPO and making specific recommendations to limit the scope of adolescent NMUPO.
随着处方类阿片药物处方量的增加,处方类阿片药物的非医疗使用(NMUPO)率也在上升,包括12至19岁的青少年。青少年NMUPO给临床医生带来了特殊问题,因为在大多数情况下,开处方的医生和牙医是NMUPO的阿片类药物的主要来源。此外,NMUPO的早期开始似乎会增加成年后患阿片类药物依赖的风险。鉴于青少年NMUPO会带来显著的发病率和死亡率,临床医生需要采取措施来限制这一现象的范围。本文旨在通过回顾关于青少年NMUPO的文献并提出具体建议来限制青少年NMUPO的范围,从而帮助临床医生。