门诊环境中丁丙诺啡的转移和滥用情况。

Buprenorphine diversion and misuse in outpatient practice.

作者信息

Lofwall Michelle R, Martin Judith, Tierney Matt, Fatséas Mélina, Auriacombe Marc, Lintzeris Nicholas

机构信息

From the Departments of Behavioral Science and Psychiatry (MRL), Center on Drug and Alcohol Research, University of Kentucky College of Medicine, Lexington; Department of Public Health (JM), City and County of San Francisco, San Francisco, CA; Office-Based Buprenorphine Induction Clinic and Centralized Opiate Placement Evaluation Clinics (MT), Division of Substance Abuse and Addiction Medicine, Department of Psychiatry, San Francisco General Hospital, San Francisco, CA; Université de Bordeaux (Segalen) and Laboratoire de psychiatrie/SANPSY (MF, MA), CNRS USR 3413, Bordeaux, France, and Département d'Addictologie (MF, MA), CH Charles Perrens and CHU de Bordeaux, Bordeaux, France; Drug & Alcohol Services (NL), South East Sydney Local Health District, Caringbah, New South Wales, Australia; NSW Ministry of Health (NL), Sydney, New South Wales, Australia; and University of Sydney (NL), Darlington New South Wales, Australia.

出版信息

J Addict Med. 2014 Sep-Oct;8(5):327-32. doi: 10.1097/ADM.0000000000000029.

DOI:10.1097/ADM.0000000000000029

PMID:25221985

Abstract

This case is an amalgamation of several real patients in office-based treatment for prescription opioid dependence synthesized into a single theoretical case. The case illustrates the various ways in which medication diversion and misuse may be encountered in clinical practice and therapeutic responses designed to maximize positive treatment outcomes. It is followed by discussions from several expert addiction medicine providers from 3 different countries, giving their perspectives on the salient aspects of this case. This case conference should be of particular interest to clinicians working with opioid-dependent patients in an outpatient setting.

摘要

本病例是将在门诊治疗处方阿片类药物依赖的几名真实患者综合而成的一个单一理论病例。该病例说明了在临床实践中可能遇到药物转移和滥用的各种方式，以及为使治疗效果最大化而设计的治疗反应。随后，来自3个不同国家的几位成瘾医学专家提供了讨论内容，阐述了他们对该病例突出方面的看法。本次病例研讨会对于在门诊环境中治疗阿片类药物依赖患者的临床医生来说应该会特别感兴趣。