Lafferty Con, Smith Linda, Coull Alison, Shanley Jim
Mental Health Nurse/Blood-borne Virus Prevention Worker, Substance Misuse Directorate, Harm Reduction Team, Spittal St Centre, UK
Mental Health Nurse/Blood-borne Virus Prevention Worker, Substance Misuse Directorate, Harm Reduction Team, Spittal St Centre, UK.
Scott Med J. 2016 May;61(2):74-83. doi: 10.1177/0036933016649871. Epub 2016 May 12.
New psychoactive substances are causing increasing harm across the UK but the use of new psychoactive substance by injecting has become a significant problem within Lothian since the beginning of 2014. Data indicate a rapid rise in the number of existing drug injectors, particularly heroin injectors, moving to new psychoactive substance injecting. This paper reports the experiences within Lothian of a sudden increase in injecting of ethylphenidate over one year. A temporary class drug order was placed on ethylphenidate on 10 April 2015, and as yet the effects of this are unknown.
Data specifically relating to new psychoactive substance recorded during injecting equipment provision transactions conducted by the NHS are reported. A survey was utilised to gather more detailed data from new psychoactive substance injectors.
Injection of new psychoactive substance, including ethylphenidate has had significant adverse effects on physical and mental health. Risky behaviour such as sharing of equipment is known, and there are risks of transmission of infections.
The rapid increase in injecting ethylphenidate has had a major impact on injecting equipment provision services, health services and public health. More work is required to identify routes to recovery.
新型精神活性物质在英国造成的危害日益增加，但自2014年初以来，在洛锡安地区，通过注射使用新型精神活性物质已成为一个重大问题。数据显示，现有药物注射者，尤其是海洛因注射者，转向注射新型精神活性物质的人数迅速上升。本文报告了洛锡安地区一年内哌醋甲酯注射量突然增加的情况。2015年4月10日，哌醋甲酯被列入临时管制药品令，目前其影响尚不清楚。
报告了在国民保健服务体系进行的注射设备供应交易中记录的与新型精神活性物质相关的数据。通过一项调查收集了来自新型精神活性物质注射者的更详细数据。
注射包括哌醋甲酯在内的新型精神活性物质对身心健康产生了重大不利影响。已知存在共用设备等危险行为，并且存在感染传播风险。
哌醋甲酯注射量的迅速增加对注射设备供应服务、医疗服务和公共卫生产生了重大影响。需要开展更多工作以确定康复途径。
