Abstract

SILVA, Jéssyka et al. Misuse of medication by people with spinal cord injury: an integrative review. Psic., Saúde & Doenças [online]. 2020, vol.21, n.3, pp.935-943.  Epub Dec 31, 2020. ISSN 1645-0086.  https://doi.org/10.15309/20psd210332.

Spinal cord Injury (SCI) is characterized by total or partial spinal cord malfunction due to an abrupt lesion, injury, dislocation, auto-immune diseases among other things. The objective of this study was to investigate the improper use of medications bypersons with spinal cord injury, according to the literature. A literature review was conducted, in June 2019, following the recommendations of PRISMA. Sought studies published in Medline, Scopus, Bdenf, Lilacs and Web of Science databases by crossing the terms “Analgesics, Opioid and Spinal Cord Injuries” and “Drug Misuse and Spinal Cord Injuries”, and studies found in references of the selected articles. Had been identified 187 articles, and selected ten. Nine studies were performed in USA and one in Canadá and all researches selected had been performed in USA and published in English, between 2014 and 2018. Misuse was found in research and was related to the following factors: pain, black race, frequent use of opioids, smoking, alcoholism, cannabis use, addiction, adverse events, depression, lumbar/sacral injury, young age group, low education, polypharmacy, prescription errors, self-medication and dispensation failures, even with prescription by health professionals. People with SCI make misuse of medicines, especially with excess painkillers.

Keywords : Analgesics; opioid; spinal cord injuries; drug misuse.

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