Opioid use in France



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A report that provides an update on pain medications has an impact similar to opium. It also describes orders but also misuse, and its & # 39; mentions an increasing number of deaths.

Increasingly French French employs opioid pipers, and there are effects compared to opium ones. In 2015, nearly one million people got an order for one of those drugs that was very tough. The podium of the supervisory orders is tramadol, then with codeine and opium. In a report released on Wednesday, the National Drug Safety Agency (ANSM) for its first time a survey of the consumption in France. Expected state of time at which these materials cause unexpected healthcare in North America. Every day, 115 Americans die from pre-introduction of opioids.

More poisoning

"France is not in a situation that is similar to the United States, which ensures that Pr Nicolas Authier, head of medical surgery department Clermont-Ferrand University Hospital and director of the French Theater on analog drugs. On the other hand, the rapid increase in the number of drugs, hospital and death shows us to be attentive. "In ten years, the annual poisoning number with opioid analysts has been doubled. 2,762 disasters of this type were introduced between 2005 and 2016. The number of hospitals has risen by 167% from 2000, with nearly 2,600 people in 2017. In terms of the number of deaths, it jumped 146% between 2000 and 2015. Now, four people will die every week of opioid painkiller every week. most involved, tramadol (37 deaths in 2016) and morphine (22 deaths), codeine (16 deaths) and oxycodone (8 deaths) afterwards. "The low downturn is compared to North America, saying Pr Authier. But we need to be aware that these figures are accurate on the truth. "A shared vision by Nathalie Richard, Deputy Director of Drugs in Neurology, Practitioners and Medicines at ANSM, who was in charge of the report:" We are we do not have full data, but it is interesting to continue the progress. "

Unlike other analgesics (paracetamol, aspirin …), opioids can be extremely difficult. And pre-introduction can cause death by respiratory. They are categorized in two areas: weak opioids (tramadol, codeine, opium, for example) and strong opioids (morphine, oxycodone, fentanyl), which are diseases. Whether they are weak or strong, they all appear to be the same risks. "When these medicines take care for several weeks, corporate dependency can be set up," said Pr Authier. After suffering patience, it is essential for the patient to increase the dose to raise the same effects. "We can see patients who have up to 50 or 60 tablets per day, where it should not be more than 6 or 8 records," said the doctor.

Sunday

What is the patient profile According to the ANSM report, people often suffer from painful pain, continuous pain, back pain or osteoarthritis pain. The average age is about 52 years for weak opioids and 64 years for strong opioids. Most of the patients "Our patients routinely give risk factors," and " mentions Nicolas Authier. Concerns, mood, psychological problems or histories of drugs make their misuse of these drugs: "They will quickly get out that the & 39; do only the illness, but also their feelings. They then look for this anxiolytic effect. "

But those who fall into the loss of bad suffering, and # 39; Look at the wall because it is not easy to get those drugs in France. From July 2017 – the date from which the code is now longer beyond its counterpart – all opioid releases are only available on order. In terms of strong opioids, they are only issued to secure orders, found with a large number of just 28 legitimate days. So, to get their dose, the "customs" are ready for anything: a visit to medical offices and pharmacies, direct orders or an order on the internet. "I had one of my patients needed 18 tramadol donations every day, so there should be no more than 4," said Pr Authier. After years of a medical and medical profession, he put up 100 boxes on the internet. "

"This report shows that pain is better managed in France, but there are a number of issues that need to be monitored," Nathalie Richard says. to finish. From now on, the focus should be to identify a patient at risk as well as telling health professionals. Many doctors do not know that it is an opioid in a tramadol. "

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