Taking the physician out of "physician shopping": A case series of clinical problems associated with Internet purchases of medication
Taking the physician out of "physician shopping": A case series of clinical problems associated with Internet purchases of medication
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DOI：
10.4065/79.8.1031
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发表时间：
2004-08-01
影响因子：
8.9
通讯作者：
Bostwick, JM
中科院分区：
文献类型：
--
作者：
Lineberry, TW;Bostwick, JM
在美国，精神活性处方药的滥用程度仅次于大麻（如果不考虑烟草和酒精）。医生购物-拜访多个医生只是为了获得处方-一直是获得药物的传统方法。随着以社区为基础的减少医生购物的努力扩大，吸毒者越来越多地转向互联网。非法互联网药店的数量在过去十年中迅速增加，既不需要处方，也不需要医生监督，对获得药物的干扰微乎其微。没有医生的介入，病人就不再是病人。相反，他们成为消费者，能够从匿名提供者那里购买处方药，甚至是受管制的药物，这些提供者不提供持续的治疗关系，也不对所分发的药物负责。当并发症发生时，这些消费者成为患者，回到传统的医疗系统来管理过量，成瘾和药物不良反应和相互作用。我们提出了一个案例系列，说明了一些医疗问题，导致从网上非法购买的药物。
In the United States, psychoactive prescription medications rank second only to marijuana as drugs of abuse (if tobacco and alcohol are discounted). Physician shopping-visiting multiple physicians simply to procure prescriptions-has been a traditional method for acquiring drugs illicitly. As community-based efforts to curtail physician shopping have expanded, drug abusers have turned increasingly to the Internet. Illegal Internet pharmacies, increasing rapidly in number during the past decade and requiring neither prescription nor physician oversight, offer minimal interference to obtaining drugs. With no physician involved, patients cease to be patients. Instead, they become consumers able to buy prescription medications, even controlled substances, from anonymous providers offering no ongoing treatment relationship and taking no responsibility for the drugs dispensed. When complications occur, these consumers become patients, turning back to the traditional medical system to manage overdoses, addictions, and drug adverse effects and interactions. We present a case series illustrating some of the medical problems that resulted from drugs bought on-line illegally.