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根据“心理健康与成瘾预防中心”2013 - 2016年临床数据,药房改革对药物和精神活性物质使用动态的影响

IMPACT OF PHARMACY REFORM ON THE DYNAMICS OF THE USE OF DRUGS AND PSYCHOACTIVE SUBSTANCES ACCORDING TO THE 2013-2016 CLINICAL DATA FROM THE "CENTER FOR MENTAL HEALTH AND PREVENTION OF ADDICTION".

作者信息

Kiladze L, Todadze Kh, Balkhamishvili T, Gadelia E, Lezhava G

机构信息

"Center for Mental Health and Prevention of Addiction", Tbilisi, Georgia.

出版信息

Georgian Med News. 2017 Sep(270):136-140.

Abstract

Use of medications without doctor's prescription widely established in Georgia had negative impact on the health of the population and on the whole social situation. The use of home-made drugs "Krokodil", "Jeff" and "Vint" produced from the preparations bought without prescriptions (Codeine, Ephedrine), became a special matter of concern. Psychoactive substances became available for teenagers causing damage to their central nervous system and formation of drug-addiction in them. Due to the situation Georgian Government took a number of legislative measures, particularly, it set Criminal Liability for illegal circulation of pharmaceutical products containing Codeine and Ephedrine and Administrative Measures for issuing the psychoactive substances without prescription. Reviewing the clinical histories (2013-2016) of the hospitalized beneficiaries of the "Center for Mental Health and Prevention of Addiction", revealed that the number of the users of home-made drugs produced of Codeine and Ephedrine was reduced but the reform did not have significant influence on distribution of psychoactive substances, due to which administrative measures for breaking circulation rules on psychoactive substances was tightened. The situation is also being improved with the help of universal use of electronic prescriptions and the introduction of quotas on psychoactive substances.

摘要

在格鲁吉亚,不经医生处方自行用药的现象十分普遍,这对民众健康及整个社会状况都产生了负面影响。使用由非处方购买的制剂(可待因、麻黄碱)制成的自制毒品“鳄鱼”、“杰夫”和“文特”,成为了一个特别令人担忧的问题。精神活性物质在青少年中泛滥,损害了他们的中枢神经系统并使他们染上毒瘾。鉴于这种情况,格鲁吉亚政府采取了一系列立法措施,特别是对含有可待因和麻黄碱的药品非法流通设定了刑事责任,并对无处方发放精神活性物质制定了行政措施。审查“精神健康与成瘾预防中心”住院受益人的临床病史(2013 - 2016年)发现,由可待因和麻黄碱制成的自制毒品使用者数量有所减少,但改革对精神活性物质的流通没有产生重大影响,因此加强了对违反精神活性物质流通规则的行政措施。通过普遍使用电子处方和对精神活性物质实行配额制,情况也正在得到改善。

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