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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by ChrisK on June 19, 2001, at 4:23:36
Cam,
Thought you might like to read this study found at Medscape.
http://psychiatry.medscape.com/APhA/JAPhA/2001/v41.n03/jap4103.02.dabn/jap4103.02.dabn-01.html
You may have to register if you haven't already but it's free. Here's the summary:
=======================================Onset of Illegal Use of Mind-Altering or Potentially Addictive Prescription Drugs Among Pharmacists
Dean A. Dabney
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Abstract
Objectives: To determine the temporal and descriptive aspects of pharmacists' decision-making processes regarding illegal use of mind-altering or potentially addictive prescription drugs (PAPDs) and to measure the effects of social factors associated with being and becoming a pharmacist on pharmacists' decisions to use PAPDs illegally.
Design: One-time, written, mailed survey.
Setting: United States.
Participants: Random sample of licensed practicing pharmacists who were members of the American Pharmaceutical Association in fall 1996.
Interventions: Not applicable.
Main Outcome Measures: Responses to items on the survey.
Results: Nearly 40% of respondents indicated that they had used a form of PAPD without first obtaining a physician's authorizing prescription. A significant portion of the sample showed signs of repeated use -- 20% of the respondents reported 5 or more lifetime PAPD-use episodes, and 6% reported more than 10 such episodes. Almost 6% of the respondents identified themselves as being drug abusers at some point during their pharmacy careers. Moreover, a full 88% of these pharmacists began such illegal PAPD use after entering college, 51% used more than one type or class of PAPD, and 69% directly violated their professional code of ethics and state and/or federal laws by either stealing PAPDs from their place of employment (61%) or forging prescriptions (8%) to obtain them.
Conclusion: A considerable percentage (40%) of the pharmacists surveyed had, on at least one occasion, used some form of PAPD without first obtaining a physician's authorizing prescription, and about one-fifth of respondents reported repeated use. The onset of such illegal PAPD use by pharmacists almost always occurred after the individuals had entered college. Interpersonal factors, such as positive reinforcement of self-medication practices from peers and increased levels of one's own approval for self-medication, appear to increase the likelihood that a pharmacist will engage in such illegal PAPD use. [J Am Pharm Assoc 41(3):392-400, 2001. © 2001 American Pharmaceutical Association, Inc.]
Posted by Cam W. on June 19, 2001, at 9:11:17
In reply to Cam W. - Interesting Study, posted by ChrisK on June 19, 2001, at 4:23:36
Chris - Thanks, I had already passed this study on to our narcotics inspector (I have medscape psychiatry updates sent to my e-mail). She told that, basically, the only connection between those pharmacists that "dabble" and those that don't is that they all have pharmacy licences. You would never expect some of those who are addicted. It is probably more likely that stress plays a part, but not (seemingly) always.
Not to try to be holier than thou, but I see what abuse of these drugs does to people. I do not want to be one of those constantly lying and making up stories, in order to get a prescription early or get called on a double doctor. Also, I don't need the stress of being short when they count my narcotics and controlled drugs. I really don't think that there is anything "fun" about any of the drugs in a pharmacy.
Thanks again, I always appreciate more studies. - Cam
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