吩坦尼fentanyl的戒斷(一種強效類鴉片藥物)

台灣是二級管制藥品

(91年至103年，12年間成長2.2倍)

衛福部相關說明連結在最底下

前言

為什麼突然想貼類鴉片藥物的文？

因為剛剛在電郵看到一小則消息，

「美國德州宣布任何吩坦尼毒品的死亡都將被歸類為謀殺，宣布Cartel是恐怖主義組織。」

想到之前在紐約時報看到溫哥華城市對這個毒品的激進做法，請注意，很多人服用，並不是開趴自嗨，而是生病太過疼痛需要緩解，緩解之後又會上癮，所形成的藥害問題。在加拿大曾經引發公衛危機，可見嚴重程度。

以下

(沒有說溫哥華的做法很好，只是開始在認識藥害，沒有其他意思)

紐約時報在溫哥華

積極降低吩坦尼藥害的前線城市，溫哥華，在面對日益嚴重的街頭毒品問題時，把想法帶到一個新的層次。加拿大公衛系統贊助合法的吩坦尼販售，希望透過較安全的方式，減少因為服用過量而死亡的案例。

這是最新，也是蠻激進的做法。溫哥華這個城市一直是努力尋求怎樣降低藥害實驗新方法的前線城市。監督注射地點，發放處方藥 

(✓)hydromorphone(#一種類鴉片藥物)，替代吩坦尼

(✓)納洛酮、逆轉類鴉片藥物過量上癮，在每個藥房都可免費取得

去年市中心一家大醫院在自助餐廳旁邊開設了一個使用更安全的場所，試圖讓服用的患者留在那裡。

新計劃在為吩坦尼上癮的人提供更安全的替代品，那裡吩坦尼的取得越來越致命，六年前的公衛緊急事件，主要就是吩坦尼的過量。

新冠爆發以來，不列顛哥倫比亞省死亡人口激增，就像北美其他地區一樣。不斷增加的死亡現象促使很多地方尋找新的解決方案，溫哥華又比這些地方更積極、更快。主動發放替代藥品等做法，希望減少急診與住院，進而拯救生命、減少賦稅負擔。

衛福部相關說明

https://www.mohw.gov.tw/fp-16-38589-1.html

紐約時報連結

https://www.instagram.com/p/CgjqKEGOsBl/?igshid=MTA0ZTI1NzA=

nytimes Vancouver, a city on the forefront of harm reduction, has taken the concept to a new level in an effort to address the growing toxicity of street drugs. Canadas public health system has financed a legal fentanyl dispensary, in hopes of reducing overdose deaths and severe illness by making the drugs safer for people who use them.

It is the latest and perhaps most radical step in a city that has consistently been at the leading edge of experiments in harm reduction: Supervised injection sites and biometric machines that dispense prescription hydromorphone dot the city center; naloxone kits, which reverse overdoses, are available free in every pharmacy; last year, a big downtown hospital opened a safer-use site next to the cafeteria, to keep patients who are drug users from leaving in order to stave off withdrawal.

The new program aims to provide a safer alternative to the fentanyl available on the streets, where the supply is increasingly lethal and is responsible for most of the overdose epidemic that was declared a public health emergency six years ago.

Overdose deaths have surged in British Columbia since the start of the Covid pandemic, as they have across the rest of North America. The mounting toll has spurred communities to search for new solutions, and Vancouver has tried more of them, faster, than anywhere else. The dispensaries are expected to save lives and tax dollars in reduced emergency services and hospitalizations.

nytimes Vancouver, a city on the forefront of harm reduction, has taken the concept to a new level in an effort to address the growing toxicity of street drugs. Canadas public health system has financed a legal fentanyl dispensary, in hopes of reducing overdose deaths and severe illness by making the drugs safer for people who use them.

It is the latest and perhaps most radical step in a city that has consistently been at the leading edge of experiments in harm reduction: Supervised injection sites and biometric machines that dispense prescription hydromorphone dot the city center; naloxone kits, which reverse overdoses, are available free in every pharmacy; last year, a big downtown hospital opened a safer-use site next to the cafeteria, to keep patients who are drug users from leaving in order to stave off withdrawal.

The new program aims to provide a safer alternative to the fentanyl available on the streets, where the supply is increasingly lethal and is responsible for most of the overdose epidemic that was declared a public health emergency six years ago.

Overdose deaths have surged in British Columbia since the start of the Covid pandemic, as they have across the rest of North America. The mounting toll has spurred communities to search for new solutions, and Vancouver has tried more of them, faster, than anywhere else. The dispensaries are expected to save lives and tax dollars in reduced emergency services and hospitalizations.