Historique
Périodique
Relationship between prescribing and risk of opiate overdose among drug users in and out of maintenance treatment
(Relation entre la prescription et le risque d'overdose d'opiacés chez des usagers de drogues en traitement de maintenance à la méthadone, ambulatoire et résidentiel)
Auteur(s) :
MAN, L. H. ;
BEST, D. ;
GOSSOP, M. ;
STILLWELL, G. ;
STRANG, J.
Année
2004
Page(s) :
35-40
Langue(s) :
Anglais
Refs biblio. :
32
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
PRESCRIPTION MEDICALE
;
METHADONE
;
SURDOSE
;
TRAITEMENT AMBULATOIRE
;
TRAITEMENT DE MAINTENANCE
;
TRAITEMENT RESIDENTIEL
;
FACTEUR DE RISQUE
;
POLYCONSOMMATION
Note générale :
European Addiction Research, 2004, 10, (1), 35-40
Note de contenu :
tabl.
Résumé :
ENGLISH :
Opiate users (n = 135) from southern England, Glasgow and Edinburgh were interviewed about opiate overdose (lifetime). Fifty-six percent had overdosed. The majority (66%) reported mixing opiates with at least one other drug (mainly alcohol and/or benzodiazepines) at their last overdose. Patients identified misjudgements of purity, mixing drugs and misjudgements of tolerance as causes of overdose. The sample was divided into groups : (1) 'no prescription', (2) prescribed 'diazepam only', (3) prescribed 'methadone only' and (4) prescribed 'methadone + diazepam'. The 'methadone + diazepam' group reported more lifetime and deliberate overdoses, the 'methadone only' group were more likely to have used several drugs at the time of their last overdose and the 'no prescription' group to have used only heroin. Drug users' overdose risk may vary as a result of their prescribed and non-prescribed drug use. Interventions should be developed and tailored according to clients' needs and current use patterns. (Author's abstract.)
Affiliation :
Natl Addiction Ctr, 4 Windsor Walk, Denmark Hill, London, SE5 8AF ; LManiop.ac.uk
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.