IS THE PRESCRIPTION OF AMPHETAMINE JUSTIFIED AS A HARM REDUCTION MEASURE
IS THE PRESCRIPTION OF AMPHETAMINE JUSTIFIED AS A HARM REDUCTION MEASURE
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DOI：
10.1177/146642409411400303
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发表时间：
1994-06-01
期刊：
影响因子：
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通讯作者：
SEN, DR
中科院分区：
文献类型：
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作者：
FLEMING, PM;SEN, DR
虽然苯丙胺是英国仅次于大麻的最广泛使用的非法药物，但相对较少的问题使用者出现在治疗机构。注射安非他明是艾滋病毒传播的高危群体。本文回顾了安非他明注射吸毒者口服处方方案实施3年来的情况。超过一半的受试者停止注射，其余受试者的注射有相当大的减少。85%的人在计划期间没有使用或共用注射设备。然而，受试者报告仍在使用街头安非他明和违法行为，尽管比率低于以前。性行为几乎没有变化。初次吸食安非他命的人数有所增加。有理由认为，这类受到严密控制和监测的方案可以在减少危害的基础上证明是合理的。讨论了与苯丙胺处方有关的一些问题。
Although amphetamine is the most widely illicitly used drug in the United Kingdom after cannabis, relatively few problematic users present to treatment agencies. Injecting amphetamine users are a high risk group as far as HIV transmission is concerned. This paper reviews the first 3 years' operation of an oral amphetamine prescribing programme for injecting users. Over half the subjects ceased injecting, and there was a considerable reduction in injecting by the remainder. 85% had not used or shared injecting equipment during the programme. However, subjects reported still using street amphetamine and offending, although at a lower rate than previously. There was little change in sexual practices. There was an increase in primary amphetamine users presenting for treatment. There is a case to be made that closely controlled and monitored programmes such as this can be justified on harm reduction grounds. A number of issues concerned with amphetamine prescribing are discussed.