Health
Illegal fentanyl, a stimulant found in the majority of deaths from overdose before BC
Unprescribed fentanyl and stimulants were the leading causes of mortality from overdose, according to a new toxicology study below, but few had prescribed opioids for the system CMAJ (Canada Medical Association Journal)..
“Understand the relative contributions of prescribed and illegally obtained substances, along with health professional organizations that have introduced guidelines to reduce prescriptions for opioids and other controlled substances. Overdose Mortality is key to developing effective programs to reduce mortality from overdose,” co-authors with BC Centers for Disease Control and Dr. Alexis Crabtree of the University of British Columbia.
In postmortem research, Drug overdose Identified by BC Coroners Service at 1 or higher between 2015 and 2017 Illegal drug.. The death was linked to the person’s prescription history in the PharmaNet database in British Columbia. Of the total of 2872 deaths, toxicological results were obtained for 1789 deaths, the majority (85.5%) of which had one or more opioids. However, only 8.7% of the prescribed opioids were taken, and methadone and buprenorphine used in opioid agonist therapy were rarely detected in postmortem toxicology.
Of unprescribed opioid-related deaths, fentanyl or fentanyl analogs were found in 79% of cases. Stimulants are found in 71% of deaths and almost all are unprescribed. Of the deaths in which benzodiazepines were detected, 63% were unprescribed.
Mortality from illegal drugs has more than quadrupled between 2014 and 2018. This is due to contamination of the illegal drug supply. British Columbia has the highest mortality rate in the last five years Use of illegal drugs In Canada.
“[P]”Prescribing policies are inadequate and additional strategies are needed to address Canada’s current overdose crisis,” the authors write. “Physicians should be encouraged to practice patient-centric opioid prescriptions.”
They remove the barriers of medically controlled opioid agonist therapy, provide a safer alternative to illicit drugs, and harm mitigation organizations to provide care to people who use unprescribed drugs. We propose to support.
so Related commentaryDr. Mark Tyndale, a school of population and public health at the University of British Columbia, wrote: Improve addiction care system and create better housing and social services. These may be important actions and aspirations in the long run, but they cannot address the current emergencies. It’s time to expand safe supplies and decriminalize drug use. “
“The Toxicology and Prescription Medication History of People Experiencing Deadly Illegal Drug Overdose in British Columbia, Canada” was published on August 24, 2020.
Canadian Medical Association Journal (2020). www.cmaj.ca/lookup/doi/10.1503/cmaj.200191
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