Skidmore C A, Robertson J R, Simpson D, Jarvie D R
J R Coll Gen Pract. 1987 Sep;37(302):397-9.
The toxicological screening of 200 urine samples from 55 known heroin users claiming to be abstinent revealed that in 18% of samples (24% of users tested) opiates were unexpectedly detected. Other substances, many of which were psychoactive drugs, were identified in 35% of samples. Cocaine was not detected in any samples. In addition, nicotine was found in 91% of users and caffeine in 44%. The data showed the presence of polydrug abuse in 29% of subjects and suggested there is an illegal supply of drugs originating from doctors' prescriptions. The requirement for more general use of toxicological screening and the implications of the results for management of drug takers in general practices are discussed.
对55名自称已戒毒的已知海洛因使用者的200份尿液样本进行毒理学筛查发现,18%的样本(24%接受检测的使用者)意外检测出阿片类药物。在35%的样本中鉴定出了其他物质,其中许多是精神活性药物。所有样本中均未检测出可卡因。此外,91%的使用者检测出尼古丁,44%检测出咖啡因。数据显示29%的受试者存在多药滥用情况,并表明存在源自医生处方的非法药物供应。文中讨论了更广泛使用毒理学筛查的必要性以及这些结果对普通医疗中药物使用者管理的影响。