OKAY...I'VE HAD SEVERAL DIFFERENT DRS Tell me that many Dr's have opiate problems...not that i'm not sympathetic but i don't want a dr on the same thing I'm on--I don't take out gallbladders. Actually, the best thing ever said to me in the icky days was that he was sure I'd be fine because I was smart and the percetage of drs because they are smart recover whereas most others don't....and this just shoots it all to hell...i can never decide if i were a dr. with all those free samples...would i hate pharmaceutical co so much that i'd never take a drug or would i bilk them? i already bilk them i have a medical pen scam going on..i compliment the recceptionist on how when the pen works and they give me tons and then when i used them in public people stare at me like why does she have a risperdal pen? the best i've seen is a HUGE paxil mu.
Risk Factors Identified for Substance Abuse Relapse Among Doctors
NEW YORK (Reuters Health) Mar 22 - Use of a major opioid, coexisting psychiatric illness, and a family history of substance use disorder all raise the odds that a physician or other healthcare professional will have a relapse of their substance use disorder, new research shows.
"State physician health programs might wish to consider managing substance-using professionals who have 1 or more of these 3 risk factors and those with prior relapse with more intensive and more prolonged monitoring," lead author Dr. Karen B. Domino, from the University of Washington in Seattle, and colleagues note.
The study, which is reported in the Journal of the American Medical Association for March 23/30, involved an analysis of data from 292 subjects who were enrolled in a posttreatment monitoring program for healthcare professionals with substance use disorder.
Twenty-five percent of subjects experience one or more relapses, the investigators point out.
A family history of substance use disorder more than doubled the risk of relapse, the authors found. Major opioid use raised the risk of relapse by 5.79-fold in the presence of a co-existing psychiatric disorder, but had no effect in its absence. The combined presence of these risk factors increased the odds of relapse by 13.25-fold.
A history of relapses also increased the risk of relapse, the researchers note. Subjects who had experienced a relapse in the past were 69% more likely to have another compared with those who had never relapsed.
In a related editorial, Dr. David R. Gastfriend, from Harvard Medical School in Boston, comments that "individualized monitoring plans and treatment contracts that take into account various risk loadings should improve outcomes for patients with substance use disorders."
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