Dealing with drug-seeking behaviour
Dealing with drug-seeking behaviour
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DOI：
10.18773/austprescr.2016.022
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发表时间：
2016-06-01
影响因子：
2.7
通讯作者：
James, Jenny
中科院分区：
文献类型：
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作者：
James, Jenny
滥用处方药的人最常寻求阿片类药物和苯二氮卓类药物的处方。滥用的其他处方药包括较新的抗精神病药，如奎替鲁和奥氮平，以及兴奋剂，如右旋苯丙胺和哌醋甲酯。卫生专业人员应该意识到可能表明寻求药物的行为，但对处方药的依赖可能发生在任何年龄，任何文化群体和任何教育阶层。有依赖性的病人不一定会有明显的觅药行为，所有普通科诊所均应订有处方依赖性药物的执业政策。全科医生应在处方药购物信息服务处注册。在澳大利亚，有强有力的证据表明，依赖处方药的危害越来越大，包括过量死亡。在开任何依赖性药物之前，卫生专业人员需要了解患者的生物心理社会状况，以及这些药物的循证适应症和潜在的重大危害。
People who misuse prescription drugs most commonly seek prescriptions for opioids and benzodiazepines. Other prescription drugs that are misused include the newer antipsychotics such as quetiapine and olanzapine, and stimulants such as dexamphetamine and methylphenidate.Health professionals should be aware of behaviours that may indicate drug seeking, but dependency on prescription drugs can occur at any age, within any cultural group and across any educational class. Patients with dependencies may not necessarily display obvious drug-seeking behaviours.All general practices should have a practice policy on prescribing drugs of dependence. GPs should register with the Prescription Shopping Information Service.There is strong evidence in Australia of increasing harms from prescription drugs of dependence, including deaths from overdose. Before prescribing any drug of dependence, health professionals require an understanding of the patient's biopsychosocial status, and the evidence-based indications and potential significant harms of these drugs.