Anil Sethulakshmi Sreevalsam, Ratnakaran Badr, Suresh Nisha
Department of Psychiatry, Government Medical College, Thiruvananthapuram, Kerala, India.
Department of Psychiatry, Dr. Kunhalu's Nursing Home, Ernakulam, Kerala, India.
J Family Med Prim Care. 2017 Oct-Dec;6(4):867-869. doi: 10.4103/jfmpc.jfmpc_206_17.
Over-the-counter (OTC) opioid abuse, including codeine, has been a growing problem around the world. Although the majority of the abusers use it for recreational purposes, many become dependent on it after having used it a medication for pain or cough. We present a case of codeine dependence where the initial prescribed use had been as a cough medication, but the subsequent abuse of it occurred the following self-medication for premature ejaculation. There is growing need for awareness among doctors and pharmacists of OTC abuse of opioids and for preventive interventions such as restricting supply, audit of pharmacies, training pharmacists, and counter staff and dispensing knowledge about proper use of opioid-containing medications to patients.
包括可待因在内的非处方（OTC）阿片类药物滥用在全球范围内一直是一个日益严重的问题。尽管大多数滥用者将其用于娱乐目的，但许多人在将其作为止痛或止咳药物使用后会对其上瘾。我们报告一例可待因依赖病例，最初是将其作为止咳药物开具处方，但随后因自行用药治疗早泄而发生滥用。医生和药剂师越来越需要了解非处方阿片类药物滥用情况，并采取预防干预措施，如限制供应、对药房进行审计、培训药剂师和柜台工作人员，以及向患者传授含阿片类药物正确使用的知识。
