Gençler ABD Tedavi Merkezlerinde Nadiren Kanıtlanmış Hayat Kurtarıcı Bağımlılık İlaçları Alırlar – apk haber

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Buprenorfin Opioid Tedavisi

2022’de ülke çapında rekor sayıda aşırı dozdan ölüm olmasına rağmen, Oregon Sağlık ve Bilim Üniversitesi tarafından yapılan yeni bir araştırma, ülke çapındaki dört ergen yatılı tedavi merkezinden yalnızca birinin opioid kullanım bozukluğunu tedavi ettiği kanıtlanmış bir ilaç olan buprenorfin sağladığını ortaya koyuyor. OHSU’da bağımlılık tıbbı başkanı MPH, MD, ortak yazar Todd Korthuis, “Opioid kullanım bozukluğu olan ergenleri buprenorfin olmadan fentanilden almayı hayal etmek zor” diyor. Kredi: Oregon Sağlık ve Bilim Üniversitesi

Yeni bir çalışma, opioid salgınıyla mücadelede kanıtlanmış bir araç olan buprenorfin kullanımına karşı dirence ışık tutuyor.

Yeni araştırma, Amerika Birleşik Devletleri’ndeki dört ergen yatılı tedavi merkezinden yalnızca birinin, ülke genelinde yasadışı uyuşturucu artışından kaynaklanan aşırı doz ölümlerinin ülke genelinde giderek artan sayısına rağmen, opioid kullanım bozukluğunu tedavi etmek için kullanılan bir ilaç sağladığını ortaya koyuyor.[{” attribute=””>fentanyl.

The study, led by researchers at Oregon Health & Science University, was published on June 13 in the Journal of the American Medical Association.

Researchers say the lack of buprenorphine in adolescent residential treatment centers undercuts U.S. efforts to alleviate an overdose epidemic that claimed more than 109,000 lives in 2022, according to predicted provisional statistics from the Centers for Disease Control and Prevention, or CDC. Recognizing the particular vulnerability of young people, especially as fentanyl now contaminates other illicit substances, OHSU researchers set out to determine how many adolescent treatment centers in the U.S. were providing buprenorphine to treat addiction.

“These residential treatment centers see some of the most vulnerable adolescents in our communities,” said lead author Caroline King, M.D., Ph.D., who conducted the research as a medical student at OHSU and is now an emergency medicine resident in the Yale School of Medicine. “But they don’t offer the standard of care for these kids. With rising fentanyl-related overdoses among adolescents, we really need these centers to provide the best care.”

The surge in illegal fentanyl is reaching young people nationwide and in the Pacific Northwest, dramatically increasing the number of overdose deaths in recent years, according to data from the CDC.

Buprenorphine is one of three medications approved by the Food and Drug Administration to treat opioid dependence. It normalizes brain function by acting on the same target in the brain as prescription opioids, heroin or fentanyl — all highly addictive substances.

“It’s the one medication that’s approved for use in adolescents, and it’s underused in facilities taking care of kids with the most severe opioid use disorder,” said co-author Todd Korthuis, M.D., M.P.H., head of addiction medicine in the OHSU School of Medicine. “It’s hard to imagine getting adolescents with opioid use disorder off fentanyl without buprenorphine.”

Although buprenorphine is not approved in the U.S. for people younger than 16, there is no evidence to suggest major safety concerns for use at younger ages. The American Society of Addiction Medicine recommends that buprenorphine be considered for the treatment of opioid use disorder in younger people.

Korthuis acknowledged that some treatment providers have resisted using buprenorphine even with adult patients, claiming it’s replacing one drug for another.

“It’s a big issue,” he said. “But it’s something that we can change by supporting these treatment centers with education and technical assistance about buprenorphine, advocating for better funding to staff these centers, and by letting the public know that buprenorphine is necessary treatment in healing brains.”

Results of the new study suggest that most adolescent residential treatment centers could benefit from such support.

King and three other OHSU medical students conducted the study by cataloging treatment centers that serve adolescents in the U.S., primarily through a database maintained by the U.S. Substance Abuse and Mental Health Services Administration, or SAMHSA. They identified 354 residential treatment centers nationally, but fewer than half of them served adolescents.

Researchers posed as the aunt or uncle of a 16-year-old seeking treatment after a recent non-fatal fentanyl overdose. Between October and December of last year, they began making calls.

After connecting with 160 residential treatment facilities serving adolescents nationwide, the researchers found:

  • 39 offered buprenorphine, including through partnership with outside prescribing clinicians. Only 12 of those offered it to adolescents younger than 16.
  • Among the other 121 facilities that did not offer buprenorphine or weren’t sure, 57 indicated adolescents prescribed buprenorphine by their own clinician could stay on it at least temporarily, although some stated they would discontinue it before discharge.
  • 27 residential treatment centers required adolescents to be off buprenorphine at admission — meaning these “abstinence-only” centers actually refuse to admit adolescents receiving proven medication-assisted therapy.

In sum, only one of four adolescent residential treatment centers offered buprenorphine at all — and even fewer offered buprenorphine for ongoing treatment.

“The average parent would need to call nine facilities on the SAMHSA list to find one that offered buprenorphine,” the authors write. “To find one for an adolescent under 16, they would need to call 29 facilities.”

Reference: “Treatments Used Among Adolescent Residential Addiction Treatment Facilities in the US, 2022” by Caroline King, PhD, MPH; Tamara Beetham, MPH; Natashia Smith, MD; Honora Englander, MD; Scott E. Hadland, MD, MPH, MS; Sarah M. Bagley, MD, MSc and P. Todd Korthuis, MD, MPH, 13 June 2023, JAMA.
DOI: 10.1001/jama.2023.6266

For more information on substance and mental health treatment programs in your area, call the free and confidential National Helpline 1-800-662-HELP (4357) or visit

The research was supported by the National Institute on Drug Abuse of the National Institutes of Health, award K23DA045085, R01DA057566, K23DA044324 and UG1DA01581; the Agency for Healthcare Research and Quality award T32HS017589; and the Oregon Clinical and Translational Research Institute award UL1TR002369 from the National Center for Research Resources, a component of the NIH and the NIH Roadmap for Medical Research.

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