Điều trị thay thế nghiện các chất dạng thuốc phiện bằng Buprenorphine

20:23 11/09/2019

(Baothanhhoa.vn) - Tại Thanh Hóa hiện đang có hơn 2.700 người điều trị nghiện các chất dạng thuốc phiện (CDTP) bằng Methadone, đây là biện pháp an toàn và hiệu quả cao. Tuy nhiên, việc bệnh nhân phải đến cơ sở y tế hàng ngày để uống cũng là một trở ngại trong duy trì điều trị nhất là với bệnh nhân các huyện miền núi hoặc vùng sâu, vùng xa. Sau một thời gian sử dụng Methadone đã bộc lộ một số hạn chế như: Tỷ lệ bỏ điều trị cao; tăng liều Methadone đối với bệnh nhân điều trị ARV do tương tác thuốc; bệnh nhân phải đến cơ sở uống thuốc hàng ngày làm ảnh hưởng đến công việc, thời gian và chi phí đi lại... Như vậy, bên cạnh Methadone thì Buprenorphine là một trong những giải pháp tối ưu để điều trị thay thế nghiện ma túy được Bộ Y tế chính thức đưa vào điều trị từ ngày 10-5-2019.

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