Tags

Type your tag names separated by a space and hit enter

Is Europe Facing an Emerging Opioid Crisis Comparable to the U.S.?
Ther Drug Monit. 2020 Jul 06 [Online ahead of print]TD

Abstract

In the U.S., an opioid overdose crisis has emerged, attributable to over-prescription of opioid analgesics, driven by aggressive marketing by pharmaceutical companies, followed by surging heroin overdose deaths, and more recently, by the high mortality rates predominately due to illicitly manufactured fentanyl and analogs of fentanyl. In Europe, the use of prescription opioids for pain management has also increased in the last two decades, although it is debatable as to whether this could lead to a similar opioid overdose crisis. To address this issue, recent trends in opioid prescription rates, prevalence rates of fatal and non-fatal incidents, and addiction care treatment were used as proxies of opioid-related harm. The current overview, comparing opioid use and its negative consequences in Germany, France, the U.K., and the Netherlands, using the same indicators as in the U.S., demonstrates that there is no evidence of a current or emerging opioid crisis in these European countries. Scotland, however, is an alarming exception, with high rates of opioid-related harms. Considering that the use of prescription opioids has been declining rather than increasing in Europe, an opioid crisis is not anticipated there yet. Authorities should, however, remain vigilant.

Authors+Show Affiliations

Department of Psychiatry, Amsterdam UMC, location AMC, University of Amsterdam, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.Department of Psychiatry, Amsterdam UMC, location AMC, University of Amsterdam, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.Department of Psychiatry, Amsterdam UMC, location AMC, University of Amsterdam, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32649487

Citation

van Amsterdam, Jan, et al. "Is Europe Facing an Emerging Opioid Crisis Comparable to the U.S.?" Therapeutic Drug Monitoring, 2020.
van Amsterdam J, Pierce M, van den Brink W. Is Europe Facing an Emerging Opioid Crisis Comparable to the U.S.? Ther Drug Monit. 2020.
van Amsterdam, J., Pierce, M., & van den Brink, W. (2020). Is Europe Facing an Emerging Opioid Crisis Comparable to the U.S.? Therapeutic Drug Monitoring. https://doi.org/10.1097/FTD.0000000000000789
van Amsterdam J, Pierce M, van den Brink W. Is Europe Facing an Emerging Opioid Crisis Comparable to the U.S.. Ther Drug Monit. 2020 Jul 6; PubMed PMID: 32649487.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is Europe Facing an Emerging Opioid Crisis Comparable to the U.S.? AU - van Amsterdam,Jan, AU - Pierce,Mimi, AU - van den Brink,Wim, Y1 - 2020/07/06/ PY - 2020/7/11/entrez PY - 2020/7/11/pubmed PY - 2020/7/11/medline JF - Therapeutic drug monitoring JO - Ther Drug Monit N2 - In the U.S., an opioid overdose crisis has emerged, attributable to over-prescription of opioid analgesics, driven by aggressive marketing by pharmaceutical companies, followed by surging heroin overdose deaths, and more recently, by the high mortality rates predominately due to illicitly manufactured fentanyl and analogs of fentanyl. In Europe, the use of prescription opioids for pain management has also increased in the last two decades, although it is debatable as to whether this could lead to a similar opioid overdose crisis. To address this issue, recent trends in opioid prescription rates, prevalence rates of fatal and non-fatal incidents, and addiction care treatment were used as proxies of opioid-related harm. The current overview, comparing opioid use and its negative consequences in Germany, France, the U.K., and the Netherlands, using the same indicators as in the U.S., demonstrates that there is no evidence of a current or emerging opioid crisis in these European countries. Scotland, however, is an alarming exception, with high rates of opioid-related harms. Considering that the use of prescription opioids has been declining rather than increasing in Europe, an opioid crisis is not anticipated there yet. Authorities should, however, remain vigilant. SN - 1536-3694 UR - https://www.unboundmedicine.com/medline/citation/32649487/Is_Europe_Facing_an_Emerging_Opioid_Crisis_Comparable_to_the_U.S L2 - https://doi.org/10.1097/FTD.0000000000000789 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.