| Buprenorphine supply by community pharmacists in Victoria, Australia: perceptions, experiences and key issues identified. | |
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MedLine Citation:
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PMID: 17364849 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Buprenorphine is dispensed primarily in community pharmacies in Victoria, with buprenorphine prescribing expanding nationally. The aim of this paper was to examine issues that affect the delivery of buprenorphine in the community setting. A cross-sectional survey was conducted of 282 pharmacies participating in the methadone and buprenorphine programme across Victoria. Dispensing pharmacists completed the survey, designed to canvass issues around buprenorphine diversion and other issues related to the programme. Themes from the results indicated that there was concern from the majority of pharmacies with the issue of the supervision of buprenorphine and diversion of dispensed doses. The rate of suspected diversion was 1.5 times per 100 doses per month or 33 times per 100 clients per month. Seventy-four per cent of pharmacists indicated that this was a negative aspect of buprenorphine treatment. Frequency of suspected and confirmed diversion was associated with the number of pharmacy clients. Pharmacists' perceptions of issues related to buprenorphine appeared to affect opinions of buprenorphine clients and the buprenorphine programme more generally. Pharmacists believe that a significant level of diversion is occurring. This finding warrants serious attention, particularly in light of the increasing use of buprenorphine nationally and internationally. |
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Authors:
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Suzanne Nielsen; Paul Dietze; Adrian Dunlop; Peter Muhleisen; Nicole Lee; David Taylor |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Drug and alcohol review Volume: 26 ISSN: 0959-5236 ISO Abbreviation: Drug Alcohol Rev Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-03-16 Completed Date: 2007-05-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9015440 Medline TA: Drug Alcohol Rev Country: England |
Other Details:
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Languages: eng Pagination: 143-51 Citation Subset: IM |
Affiliation:
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Turning Point Alcohol and Drug Centre, Fitzroy, Victoria, Australia. suzin@turningpoint.org.au |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel* Australia / epidemiology Buprenorphine / supply & distribution*, therapeutic use* Catchment Area (Health) Community Pharmacy Services / organization & administration* Cross-Sectional Studies Demography Drug Administration Routes Health Care Surveys Health Services Misuse / statistics & numerical data* Heroin Dependence / rehabilitation* Humans Methadone / supply & distribution, therapeutic use Narcotic Antagonists / supply & distribution*, therapeutic use* Pharmacists / psychology*, statistics & numerical data* Prevalence |
| Chemical | |
Reg. No./Substance:
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0/Narcotic Antagonists; 52485-79-7/Buprenorphine; 76-99-3/Methadone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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