Diversion of prescribed drugs by drug users in treatment: analysis of the UK market and new data from London
Diversion of prescribed drugs by drug users in treatment: analysis of the UK market and new data from London
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DOI：
10.1046/j.1360-0443.2000.95339310.x
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发表时间：
2000-03-01
期刊：
影响因子：
6
通讯作者：
Griffiths, P
中科院分区：
文献类型：
--
作者：
Fountain, J;Strang, J;Griffiths, P
目标。回顾现有的关于在联合王国接受治疗的吸毒者的药物转移到非法市场的知识，并在更多的脱轨中确定伦敦市场的各个方面。方法。对文献和新数据的分析，包括市场的范围和性质、交易的实用性、销售动机、需求原因以及处方实践变化对转移的影响。被转移的处方药的价格和它们在伦敦的可用性的细节被提出。市场规模巨大，似乎涉及大量个人，每个人都转移了少量自己的处方药。销售处方药的主要动机是筹集资金购买其他首选药物和/或支付私人处方费用。正在接受治疗的购买者似乎是出于补充自己处方的愿望，因为他们对所开的特定药物、剂量和配方不满意。正在接受治疗的吸毒者可以利用处方实践中的变化——比如允许他们带多少“带回家”的药物，以及是否进行测试以确定他们是否在自己使用这些药物——转移他们的处方药。非法市场上处方药的价格可根据供需情况每天波动。结论。结果表明，要有效控制分流，必须同时涉及处方者、药物治疗服务机构、执法机构和配药药师的威慑作用。最后，对这一研究不足的问题提出了进一步研究的建议。
Aims. To review the available knowledge about the diversion to the illicit market of drugs prescribed to drug users in treatment in the United Kingdom, and to identify aspects of the London marker in more derail. Method. An analysis of the literature and new data in terms of the extent and nature of the marker, the practicalities of trade, motives for selling, reasons for demand and the influence of variations in prescribing practice on diversion. Prices of diverted prescription drugs and derails of their availability in London are presented Findings. The size of the market is substantial and appears to involve a large number of individuals, each diverting small amounts of their own prescribed drugs. Major motives for selling prescribed drugs are to raise funds to buy other, preferred, drugs and/or to pay for a private prescription. Buyers in treatment appear to be motivated by a desire to supplement their own prescriptions because they are dissatisfied with the particular drug prescribed, dosage and formulation. Drug users in treatment can exploit the variations in prescribing practice-such as how much 'take-home' medication they are allowed and whether tests are conducted to ascertain if they are using it themselves-and divert their prescribed drugs. Prices of prescription drugs on the illicit market can fluctuate on a daily basis according to supply and demand. Conclusions. The results suggest that, to be effective, diversion control must simultaneously involve deterrents from prescribers, drug treatment services, law enforcement agencies and dispensing pharmacists. Finally, some suggestions for further research on this under-studied issue are suggested.