– Mange har en oppfatning av at fastleger generelt ofte er litt mer tilbakeholdne med medikamenter enn sykehusleger. Hvis dette stemmer, er det ikke litt rart at dere fant det motsatte?
A different significant getting is that general practitioners are accountable for nearly ninety% of opioid prescriptions in Norway.
Sammenlignet med bruken av morfin, økte forskrivingen av oksykodon i Norge betydelig fra 2010 til 2021. Det viser en studie som ble publisert i European Journal of Ache i juli i år.
Det er ingen nasjonale norske retningslinjer som anbefaler legene å bruke morfin fremfor oksykodon. Norsk legemiddelhåndbok anbefaler morfin ved valg av sterke opioidagonister.
Program II drugs are substances with a significant probable for abuse and have a currently approved health-related use in procedure in The usa, sometimes with critical restrictions. Abuse may possibly produce extreme psychological or Actual physical dependence.
– We see an important rise in the use of oxycodone throughout the overall Health care method, when using morphine is declining in primary healthcare and only escalating a bit in hospitals, points out direct creator Eirik Haarr from your University of Stavanger and KORFOR.
– Vi sitter på ganske mye registermateriale og skal identifiserer de som bruker opioider rapidly. Så vil se om og eventuelt når de startet med adjuvante analgetika og om og det bidrar til mindre bruk av opioider på sikt.
Researchers have also seemed nearer at achievable explanations. The increase can't be attributed to amplified exercise in hospitals.
To attain our main target, we will deal with ache people and their Physicians, as expanding opioid use may possibly manifest by means of the affected individual-medical doctor conversation.
– Jeg har nylig hatt kontakt med to uavhengige anestesiavdelinger som er i en prosess med å skifte til mer morfin og mindre oksykodon. Det at andre faginstanser tenker i samme baner støtter også vår anbefaling.
– If we are to reach transforming procedures, we also will need to examine how healthcare facility procedures impact basic practitioners, suggests co-author Torgeir Gilje Lid.
Benefits Medical center oxycodone use greater by sixty seven.0% and primary care prescribing rose by 86.five%. Morphine use enhanced by 12.six% in hospitals but lowered by 23.2% in primary treatment. A moderate covariation (Pearson's r = 0.forty eight) amongst clinic use and first care prescribing was noticed. Hospital tender agreements for morphine declined by eighty%, while All those for oxycodone remained stable. Conclusions Oxycodone use considerably amplified relative to morphine in Norwegian read more hospitals and primary treatment. Prescription styles display reasonable covariation, suggesting a possible connection in between clinic and primary care prescribing, while causality continues to be unsure. Tender agreements may well add to prescribing traits in hospitals, with probable associations in primary treatment. Importance This examine is the 1st to offer quantitative evidence of covariation among in-clinic use and primary treatment opioid prescribing across a countrywide Health care method. In spite of tips favoring morphine, oxycodone prescribing carries on to increase in Norway, with marked geographical variation. By linking procurement knowledge, prescription styles and tender agreements, our findings spotlight the necessity to look at hospital procedures and structural factors when addressing opioid prescribing. These effects supply new insights into probable levers for opioid stewardship throughout treatment levels.
Det foreligger ennå ingen information som med sikkerhet kan si risikoen for avhengighet er større for oksykodon enn for andre opioider.
Monitoring opioid prescribing throughout diverse healthcare systems is critical to knowledge populace-amount exposure and informing global wellbeing policies.