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私人执业中不可接受的一面:向成瘾者开具管制药品处方。

Unacceptable face of private practice: prescription of controlled drugs to addicts.

作者信息

Bewley T, Ghodse A H

出版信息

Br Med J (Clin Res Ed). 1983 Jun 11;286(6381):1876-7. doi: 10.1136/bmj.286.6381.1876.

Abstract

Self administered questionnaires completed by 69 out of 100 consecutive drug addicts attending two drug dependence clinics suggested that some private general practitioners were easily persuaded to prescribe controlled drugs. These drugs were usually methadone, dipipanone-cyclizine (Diconal), and methylphenidate (Ritalin). Numbers of new narcotic addicts notified to the Home Office confirmed the practice, which may lead to a severe spread of addiction, as occurred in the 1960s with heroin and cocaine. If the General Medical Council or a tribunal set up in accordance with the Misuse of Drugs Act 1971 cannot stop the practice, then the present licensing system should be extended to include all controlled drugs.

摘要

在两家戒毒诊所就诊的100名连续吸毒者中,有69人填写了自行管理的调查问卷,结果显示一些私人全科医生很容易被说服开具管制药品。这些药品通常是美沙酮、二苯哌己酮 - 赛克利嗪(地可诺)和哌醋甲酯(利他林)。向内政部通报的新吸毒成瘾者数量证实了这种情况,这可能会导致成瘾现象的严重蔓延,就像20世纪60年代海洛因和可卡因出现的情况一样。如果普通医学委员会或根据1971年《药物滥用法》设立的法庭无法阻止这种行为,那么现行的许可制度应扩大到涵盖所有管制药品。

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本文引用的文献

1
The treatment of drug-addiction.药物成瘾的治疗。
Lancet. 1960 Dec 24;2(7165):1377-9. doi: 10.1016/s0140-6736(60)92614-3.
2
Prescribing psychoactive drugs to addicts.给成瘾者开精神活性药物。
Br Med J. 1980 Aug 16;281(6238):497-8. doi: 10.1136/bmj.281.6238.497.
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Long-term follow-up of clients of high- and low-dose methadone programs.
Arch Gen Psychiatry. 1981 Sep;38(9):1055-63. doi: 10.1001/archpsyc.1981.01780340107013.
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Treatment of drug and addiction in London.伦敦的药物与成瘾治疗。
Lancet. 1983 Mar 19;1(8325):636-9. doi: 10.1016/s0140-6736(83)91804-4.

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