Between a Rock and a Hard Place: Prescription Opioid Restrictions in the Time of Fentanyl and Other Street Drug Adulterants

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Peer reviewed: 
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Scholarly level: 
Faculty/Staff
Final version published as: 

Cheng, Tessa; DeBeck, Kora. Between a rock and a hard place: Prescription opioid restrictions in the time of fentanyl and other street drug adulterants. Can J Public Health, [S.l.], v. 108, n. 3, p. e325-e327, Sep. 2017.

Date created: 
2017-09
Keywords: 
Public health
Pain
Opioid-related disorder
Harm reduction
Abstract: 

Non-medical prescription opioid use (NMPOU) has increased alarmingly across Canada and resulted in strict prescribing restrictions on opioids. Despite a clear need to reduce opioid prescriptions in response to this crisis, few other policies have been implemented and this singular focus is incongruent with the known characteristics of substance use disorders, negative effects of supply reduction policies, and realities of pain management. Given the recent rise of fentanyl and other dangerous adulterants in street drugs, this commentary argues that a comprehensive response to NMPOU that includes improvements to addiction management and harm-reduction services is urgently needed.

Language: 
English
Document type: 
Article
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Rights remain with the authors.
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