Denial of prescription analgesia among people who inject drugs in a Canadian setting

摘要: Introduction and Aims Despite the high prevalence of pain among people who inject drugs (PWIDs), clinicians may be reluctant to prescribe opioid-based analgesia those with a history drug use or addiction. We sought examine correlates PWIDs reporting being denied prescription (PA). also explored reported reasons for actions taken after PA. Design Methods Using data from two prospective cohort studies PWIDs, multivariate logistic regression was used identify PA. Descriptive statistics were characterise denials subsequent actions. Results Approximately two-thirds (66.5%) our sample 462 active having ever been found that PA significantly positively associated enrolled in methadone maintenance treatment (adjusted odds ratio 1.76, 95% confidence interval 1.11–2.80) daily cocaine injection 2.38, 1.00–5.66). The most commonly reason accused seeking (44.0%). Commonly included buying requested medication off street (40.1%) obtaining heroin treat (32.9%). Discussion Conclusions These findings highlight challenges addressing perceived need strategies prevent high-risk methods self-managing pain, such as diverted medications illicit substances pain. Such include integrated management guidelines within other substance programs. [Voon P, Callon C, Nguyen Dobrer S, Montaner JSG, Wood E, Kerr T. Denial Canadian setting. Drug Alcohol Rev 2015;34:221–228]