Alcohol and Drug Recovery Center, Center for Behavioral Health, Department of Psychiatry and Psychology, Cleveland Clinic, Cleveland, OH, USA.
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Curr Psychiatry Rep. 2021 Jan 6;23(2):3. doi: 10.1007/s11920-020-01214-8.
Prescription drug misuse is a public health concern. Governments are attempting to restrict the incidence of medication diversion by establishing laws to curb drug access from human healthcare providers. Veterinarians, who also prescribe controlled substances and see hundreds of millions of patients annually in the USA, are often overlooked as a source of prescription drug misuse.
Evidence suggests that drug misuse occurs in the veterinary setting, and veterinarians acknowledge this as a common problem. Although analgesics are alleged to be the most common drug class diverted, a recent cross-sectional study suggests veterinarian opioid prescribing rate continues to increase. Prescription misuse in veterinarian settings is likely underestimated and needs to be better investigated. Human healthcare providers must familiarize themselves with this potential channel to prescription drugs and specifically question patients on veterinary drug misuse.
处方药物滥用是一个公共卫生关注点。各国政府试图通过制定法律来限制从人类医护人员处获取药物，以减少药物滥用的发生。兽医每年在美国也会开出管制药物，诊治数以亿计的患者，但兽医往往被忽视，成为处方药物滥用的来源之一。
有证据表明，兽医环境中也存在药物滥用的情况，兽医也承认这是一个普遍存在的问题。虽然据称阿片类药物是最常被滥用的药物类别，但最近的一项横断面研究表明，兽医开具阿片类药物的比例仍在继续增加。兽医环境中的处方药物滥用可能被低估了，需要进一步调查。人类医护人员必须熟悉这种潜在的处方药物渠道，并特别询问患者是否存在兽医药物滥用的情况。
