Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke · 2020
[A woman in her forties who used addictive drugs in very high doses].
СтатьяНазвание и аннотация: Перевод в очереди
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Heldal Anne Taraldsen, Aamo Trond Oskar, Frost Joachim
Аннотация
BACKGROUND: Following a surgical procedure, a female patient in her forties was prescribed opioids (oxycodone). The prescription escalated into doses that were extremely high, and at a level beyond any experienced previously, either at the various hospital units that were involved in the treatment or in the medical literature.
CASE PRESENTATION: The patient had no known history of substance abuse. After the surgical procedure, her general practitioner continued to prescribe the drug. The prescriptions escalated over the course of a couple of years, and at the time of our first contact with her, the doses had reached 11 000 mg oxycodone per day.
INTERPRETATION: The high doses were tapered down over the course of around nine months. The spiralling prescriptions had several causes: the oxycodone treatment was initiated without a set plan for withdrawal; the patient had a change of general practitioner during the early stage; and she was a patient without any history of substance abuse. The costs escalated to the extent that the Norwegian Health Economics Administration eventually refused further payments. In such cases there is a need for close cooperation between the inpatient drug rehabilitation care unit and medical and pharmacological units.
CASE PRESENTATION: The patient had no known history of substance abuse. After the surgical procedure, her general practitioner continued to prescribe the drug. The prescriptions escalated over the course of a couple of years, and at the time of our first contact with her, the doses had reached 11 000 mg oxycodone per day.
INTERPRETATION: The high doses were tapered down over the course of around nine months. The spiralling prescriptions had several causes: the oxycodone treatment was initiated without a set plan for withdrawal; the patient had a change of general practitioner during the early stage; and she was a patient without any history of substance abuse. The costs escalated to the extent that the Norwegian Health Economics Administration eventually refused further payments. In such cases there is a need for close cooperation between the inpatient drug rehabilitation care unit and medical and pharmacological units.