[Prevention of opioid misuse and overdose risk and distribution of naloxone: Current practices, needs and prospects among dispensing pharmacists].

IF 2.2 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Armelle Chan Soc Foh, Salim Mezaache, Franck Turlure, Nathalie Fredon, Stéphane Pichon, Laurent Peillard, Joelle Micallef, Elisabeth Frauger
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引用次数: 0

Abstract

Introduction: Opioids are essential medicines, but their use is associated with risks. The POP program "Prevention and risk reduction of Opioid-related overdoses in the PACA region" aims to improve the management of patients at risk of overdose and the distribution of naloxone. We have conducted a survey of pharmacist with the aim was to assess their knowledge, practices, difficulties and needs concerning the management of opioid users and overdose prevention and naloxone diffusion, and to propose training materials adapted to their needs.

Materials and methods: In the context of POP programme, pharmacists were approached via an online questionnaire (February-March 2024) and semi-structured interviews (April 2024).

Results: A total of 107 pharmacists completed the questionnaire and 10 took part in the interviews. Seventy-four per cent said they had encountered patients with opioid misuse disorders. Awareness of the Prescription Opioid Misuse Index was low (92%). Only 37% of pharmacists said they were aware of the availability of take-home naloxone, and 87% were uncomfortable with the advice associated with it is dispensing. Actions in the event of misuse included contacting the prescriber (76%), refusing to dispense (76%), and adapting or splitting dispensing (60%). In terms of needs, 95% were interested in training, 44% in practical tools, and 41% in documents for patients. Based on the needs expressed, information and outreach actions were carried out.

Conclusion: The results highlight the need to improve pharmacists knowledge on overdose risk and naloxone. Regular training and the dissemination of practical tools are essential.

[阿片类药物滥用和过量风险的预防和纳洛酮的分布:配药药师的现状、需求和前景]。
阿片类药物是基本药物,但其使用与风险相关。POP项目“PACA区域阿片类药物相关过量的预防和风险降低”旨在改善对有过量风险的患者的管理和纳洛酮的分配。我们对药师进行了调查,目的是评估他们在阿片类药物使用者管理、过量预防和纳洛酮扩散方面的知识、做法、困难和需求,并提出适合他们需求的培训材料。材料与方法:在POP项目背景下,通过在线问卷(2024年2月- 3月)和半结构化访谈(2024年4月)与药师进行接触。结果:共107名药师完成问卷,10名药师参与访谈。74%的人表示,他们遇到过阿片类药物滥用障碍患者。处方阿片类药物滥用意识指数较低(92%)。只有37%的药剂师说他们知道可以带回家的纳洛酮,87%的药剂师对配药建议感到不舒服。发生误用时采取的措施包括联系处方医师(76%)、拒绝配药(76%)以及调整或分开配药(60%)。在需求方面,95%的人对培训感兴趣,44%的人对实用工具感兴趣,41%的人对患者的文件感兴趣。根据所表示的需要,开展了宣传和外联行动。结论:药师对纳洛酮用药过量风险的认识有待提高。定期培训和传播实用工具是必不可少的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Therapie
Therapie 医学-药学
CiteScore
3.50
自引率
7.70%
发文量
132
审稿时长
57 days
期刊介绍: Thérapie is a peer-reviewed journal devoted to Clinical Pharmacology, Therapeutics, Pharmacokinetics, Pharmacovigilance, Addictovigilance, Social Pharmacology, Pharmacoepidemiology, Pharmacoeconomics and Evidence-Based-Medicine. Thérapie publishes in French or in English original articles, general reviews, letters to the editor reporting original findings, correspondence relating to articles or letters published in the Journal, short articles, editorials on up-to-date topics, Pharmacovigilance or Addictovigilance reports that follow the French "guidelines" concerning good practice in pharmacovigilance publications. The journal also publishes thematic issues on topical subject. The journal is indexed in the main international data bases and notably in: Biosis Previews/Biological Abstracts, Embase/Excerpta Medica, Medline/Index Medicus, Science Citation Index.
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