RESUMO
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Assuntos
Humanos , Masculino , Feminino , Idoso , Calcâneo , Osteoporose/tratamento farmacológico , Osteoporose , Indústria Farmacêutica , Atenção Primária à SaúdeRESUMO
OBJECTIVE: To present a procedure for opiate detoxication in primary care and to assess results. DESIGN: A retrospective analysis of medical records. SETTING: The Valle-Inclán urban Health Centre, Ourense. PATIENTS: The first 58 heroin addicts treated under the standard procedure for detoxication at our centre. INTERVENTIONS: The method of detoxication based on administering decreasing doses of dextropropoxyphene (Deprancol), accompanied by anxiolytic and hypnotic drugs. The patient attended the clinic, and accompanied by a responsible family member. The treatment ended with naloxone induction. MEASUREMENTS AND RESULTS: We analysed the social, demographic, toxicological and treatment data, always in relation to the result (positive or negative). 85% of patients were male, with average age 27 and average time of consumption > 4 years, with a daily average of 250 mg per day of heroin (125-1,000 mg). 50% were working or studying, 67% lived in their family of origin. The treatment led to a positive result in 79.3% of cases. The only factors which seemed to be associated with this were: age under 30, staying in their original family and the existence of family support for the patient. CONCLUSIONS: The procedure developed by our team was effective and would be more so with better choice of patients. It opens up further perspectives for tackling drug dependency from primary care.
