Abstract

The Sri Lanka Journal of Psychiatry (SLJP) is a peer-reviewed, open access journal published bi annually by the Sri Lanka College of Psychiatrists.The Journal publishes original papers, brief reports including case reports and commentaries relevant to psychiatry and allied sciences. The Sri Lanka Journal of Psychiatry is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.Cover: Doorways: When one is ill, having somewhere to stay, where one is looked after, is usually a relief to the patient who is not well and his/her family. The picture shows the doorway to what remains of an ancient hospital in Mihintale, said to date back two millennia. Thilini Rajapakse, Department of Psychiatry, Faculty of Medicine, University of Peradeniya, Sri Lanka.

Highlights

  • Opioids include the illegal drug heroin, synthetic opioids such as fentanyl, and prescription pain relievers, such as oxycodone, hydrocodone, codeine, and morphine (1)

  • This retrospective survey was conducted over three months using medical records of patients with opioid dependence who received treatment from psychiatry services in the government or private sector, in Anuradhapura

  • Opioid dependence is a significant problem presenting to psychiatry services in the Anuradhapura district

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Summary

Introduction

Opioids include the illegal drug heroin, synthetic opioids such as fentanyl, and prescription pain relievers, such as oxycodone, hydrocodone, codeine, and morphine (1). The use of illicit drugs in Sri Lanka has been in existence as far back as the 17th century (1). The main legislation on drug law enforcement is provided in the “Poisonous opium and dangerous drug ordinance of 1936” and was amended byAct No 13 of 1984, of the same ordinance (4). Despite these legal measures, there has been an increasing tendency among people to use illicit drugs such as. Opioid dependence is a major mental health problem in Sri Lanka. Anuradhapura is a district with a significant prevalence of opioid (especially heroin) dependence

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