Calzada Gerard, Giustiniani Julie, Gois Tiago, Kuntz André, Khazaal Yasser, Zullino Daniele
Service d'addictologie, Département de psychiatrie, HUG, 1211 Genève 14.
Centre cantonal d'addictologie, Réseau fribourgeois de santé mentale, rue de Morat 8, 1700 Fribourg.
Rev Med Suisse. 2021 Jun 9;17(742):1111-1114.
The choice of opioid-assisted treatments for patients with heroin dependence is particularly diverse in Switzerland. Since 1994, diacetylmorphine assisted treatments are available. The rules for prescribing and dispensing diacetylmorphine, as laid down by the FOPH, are particularly strict, requiring patients to attend the treatment center several times a day. Thanks to a legislative amendment by the Federal Council, it became possible to extend the dispensing of diacetylmorphine during the Covid-19 epidemic, allowing patients to take the treatment with them for longer periods and thus reducing the number of visits to the clinic. The time freed up could then be invested in other activities, allowing therapies to be refocused more on the patients' life project.
在瑞士，针对海洛因依赖患者的阿片类药物辅助治疗选择尤为多样。自1994年起，可提供二乙酰吗啡辅助治疗。瑞士公共卫生署制定的二乙酰吗啡处方和配药规则特别严格，要求患者每天多次前往治疗中心。由于联邦委员会的一项立法修正案，在新冠疫情期间可以延长二乙酰吗啡的配药期限，使患者能够携带药物进行更长时间的治疗，从而减少前往诊所的次数。这样腾出来的时间就可以投入到其他活动中，使治疗能够更多地围绕患者的生活规划进行调整。
