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Headline

One in four adults prescribed addictive medicines, says PHE review

Comment

I work as a GPSI addiction. Remember that the evidence base for OST (methadone and buprenorphine) advises doses 60mg and not to detox unless the patient wants to / or there are safety issues. Under treating opiate dependency & inappropriate detoxes contribute to the escalating DRDs.(This is in response to the first comment) A big issue with iatrogenic opiate dependency, is that often the patient doesn't understand / admit that they have an addiction issue. Many would benefit from conversion to OST but decline this intervention. The stigma associated with methadone /addiction exacerbates this problem further. Primary care isn't in a position to deal with this massive issue. From experience our local specialist addiction service don't have the capacity either, even if this group of patients was willing to attend a service mainly catering for street drug users. Addiction to heroin or prescribed meds is a response to stress/ trauma / poverty / our culture and society. There needs to be more focus on the root of the problem.

Posted date

10 Sep 2019

Posted time

3:30pm

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