Case series of buprenorphine injectors in Kuala Lumpur, Malaysia

Bruce, R.D. and Govindasamy, S. and Sylla, L. and Haddad, M.S. and Kamarulzaman, A. and Altice, F.L. (2008) Case series of buprenorphine injectors in Kuala Lumpur, Malaysia. American Journal of Drug and Alcohol Abuse, 34 (4). pp. 511-517. ISSN 0095-2990,

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Diversion of buprenorphine has been described in settings where it is legally prescribed and has become an increasing concern in Malaysia; it resulted in banning of buprenorphine in Singapore where unsubstantiated case reports suggested that buprenorphine injection was associated with particularly poor outcomes. We therefore conducted a case series of qualitative interviews with buprenorphine injectors in Kuala Lumpur, Malaysia to examine further the issues surrounding buprenorphine injection as well as the abuse of midazolam in combination with buprenorphine. Interviews with 19 men do not suggest significant adverse health consequences from buprenorphine injection alone and injectors have adapted diverted buprenorphine as a treatment modality. A subset of these injectors, however, combined buprenorphine and midazolam for euphoric effects with resultant symptoms of a possible pharmacological interaction. Prospective cohort studies, rather than hospital-derived samples, are needed to better understand the safety of buprenorphine injection.

Item Type: Article
Additional Information: Bruce, R. Douglas Govindasamy, Sumathi Sylla, Laurie Haddad, Marwan S. Kamarulzaman, Adeeba Altice, Frederick L.
Uncontrolled Keywords: Buprenorphine Injectors
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms azrahani halim
Date Deposited: 23 Jan 2013 07:14
Last Modified: 23 Jan 2013 07:14

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