Department of Medicine, Boston University School of Medicine, Boston, MA (SMB, RS); Department of Pediatrics, Boston University Schoolf of Medicine, Boston, MA (SMB, SEH); Boston Medical Center, Boston, MA (SMB, SEH, BLC, RS); Department of Community Health Sciences, Boston University School of Public Health, Boston, MA (RS).
J Addict Med. 2017 Nov/Dec;11(6):415-416. doi: 10.1097/ADM.0000000000000348.
: In September 2016, the American Academic of Pediatrics released a policy statement that adolescents with opioid use disorder should be offered pharmacotherapy with buprenorphine/naloxone, methadone, or naltrexone. In our clinical practice, however, we have encountered the perception among patients, families, and clinicians alike that medications should be used as a last resort. That we should wait until things get worse is a discarded approach. As addiction specialists, it is imperative that we prevent and identify risky use and use disorders, then intervene early and offer timely, evidence-based treatment. We suggest that adolescents deserve special attention and that specific efforts should be made to reduce the stigma associated with treating adolescents with opioid use disorder with medications to optimize those efforts.
2016 年 9 月,美国儿科学会发布了一项政策声明,指出患有阿片类药物使用障碍的青少年应提供丁丙诺啡/纳洛酮、美沙酮或纳曲酮的药物治疗。然而,在我们的临床实践中,我们遇到了患者、家属和临床医生同样的看法,即药物应该作为最后的手段使用。我们应该等到情况恶化再采取措施,这种方法已经被摒弃了。作为成瘾专家,我们必须预防和识别危险使用和使用障碍,然后及早干预,并提供及时、基于证据的治疗。我们认为青少年应该得到特别关注,应该做出具体努力来减少治疗青少年阿片类药物使用障碍的污名化,以优化这些努力。