Benéitez M Cristina, Gil-Alegre M Esther
Department of Pharmacy and Pharmaceutical Technology, Complutense University of Madrid, 28040 Madrid, Spain.
University Institute of Industrial Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain.
Biomed Res Int. 2017;2017:7120815. doi: 10.1155/2017/7120815. Epub 2017 May 18.
Detoxification programmes seek to implement the most secure and compassionate ways of withdrawing from opiates so that the inevitable withdrawal symptoms and other complications are minimized. Once detoxification has been achieved, the next stage is to enable the patient to overcome his or her drug addiction by ensuring consumption is permanently and completely abandoned, only after which can the subject be regarded as fully recovered.
A systematic search on the common databases of relevant papers published until 2016 inclusive.
Our study of the available oral treatments for opioid dependence has revealed that no current treatment can actually claim to be fully effective. These treatments require daily oral administration and, consequently, regular visits to dispensaries, which in most cases results in a lack of patient compliance, which causes fluctuations in drug plasma levels. We then reviewed alternative treatments in the available scientific literature on polymeric sustained release formulations. Research has been done not only on release systems for detoxification but also on release systems for giving up the habit of taking opioids. These efforts have obtained the recent authorization of polymeric systems for use in patients that could help them to reduce their craving for drugs.
戒毒项目旨在采用最安全且人道的方式帮助患者戒除阿片类药物,从而将不可避免的戒断症状及其他并发症降至最低。戒毒成功后,下一阶段是帮助患者彻底戒除毒瘾,只有在确保患者永久且完全停止吸毒后,才能认定其已完全康复。
对截至2016年(含)发表的相关论文的常见数据库进行系统检索。
我们对现有的阿片类药物依赖口服治疗方法的研究表明,目前尚无一种治疗方法可称得上完全有效。这些治疗方法需要每日口服给药,因此患者需定期前往药房,这在大多数情况下导致患者依从性差,进而引起药物血浆水平波动。随后,我们在现有关于聚合物缓释制剂的科学文献中查阅了替代治疗方法。不仅对戒毒释放系统进行了研究,还对戒除阿片类药物成瘾的释放系统进行了研究。这些努力使得聚合物系统最近获得批准用于患者,这可能有助于他们减少对毒品的渴望。