Patient characteristics and risks factors for development of dependence on hydrocodone and oxycodone
by
Miller NS, Greenfeld A.
Department of Psychiatry,
College of Human Medicine,
Michigan State University,
A227 East Fee Hall, East Lansing,
MI 48824-1316, USA.
norman.miller@ht.msu.edu
Am J Ther. 2004 Jan-Feb;11(1):26-32

ABSTRACT

The purpose of the study was to document the substantial increase in problematic use of hydrocodone and oxycodone in an addiction treatment population. Our study consisted of a retrospective review of medical records from all patients admitted and discharged in 2000 from Sparrow/St. Lawrence Addiction Detoxification Unit (N = 534). A literature review was conducted in medical journals, governmental groups, and reports including Drug Abuse Warning Network, Pharmacy Times, and National Household Survey on Drug Abuse. More than 144 patients (27%) were dependent on prescription opiate medications. The most frequently mentioned medication was Vicodin (hydrocodone) (53% of the users) followed by OxyContin (oxycodone) (19%). Physicians commonly prescribed these medications (75% of the cases). Predictors of dependence on opiate medications included substance-related diagnoses, positive toxicology for opiates, and other medical diagnoses. Patients under the care of physicians who have other drug dependence diagnoses and medical complaints appear at risk of developing dependence on prescription opiate medications. Proper evaluation and intervention can limit adverse consequences of prescription opiate medications.

Sources
Morphine
Hydrocodone
Opioid receptors
Hydrocodone hysteria
Oxycodone/Oxycontin
Hydrocodone: structure
Keeping Patients in Pain
Hydrocodone plus ibuprofen
Vicodin: 'some of them actually think they deserve it'

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