Sociodemographic and clinical characteristics of patients with long-term remission with buprenorphine / naloxone in opiate use disorder

Y Kahya,A Erdogan

doi:10.1192/j.eurpsy.2021.2176

Abstract

IntroductionBuprenorphine/Naloxone (BP/NLX) is an effective drug combination used in long-term maintenance therapy in opiate use disorder (OUD). In some studies, abstinence over 180 days was defined as long-term remission (1).ObjectivesThe aim of this study is to determine the sociodemographic and clinical characteristics of patients in long-term remission with BP/NLX.Methods In this study, 30 patients who were followed up with OUD at Akdeniz University Addiction Center and were in remission with BP/NLX for at least 180 days were evaluated retrospectively.ResultsSociodemographic and clinical characteristics are summarized in table 1.ConclusionsOUD is associated with lower quality of life and employment rate (2). In our study, the rate of working in a regular job is high. It can be concluded that prolonged remission improves functionality in patients. Although patients are in remission for a long time in terms of opiate use, 20% of patients continue to use cannabis and 10% continue to use cocaine. In a study, there was no difference in productivity and quality of life between BP users with and without current cannabis use. Continued use of cannabis by patients may be related to this condition. However, cannabis use increases many mental illnesses, especially psychosis (4). In patients in remission with BP/NLX, studies should also be carried out to avoid other substances than opiates. In our study, in accordance with the literature (5), no negative effects on kidney and liver functions were observed with long-term BP/NLX treatment. BP/NLX appears to be safe in prolonged use.DisclosureNo significant relationships.

Highlights

E-cigarette use has increased over the last years
A survey was conducted with a sample of 234 students in Mohamed Ali high school in Sfax, a town in South of Tunisia, in February 2020
Among high school students aged 15 to 20, 58,8% have ever used e-cigarette, 38,3% had done so within the previous 30 days and 20,5 % were regular users of vapes. 53.8% of students believed that e-cigarettes are harmful. 78.4% of them thought they were less harmful than regular cigarettes and 50.5% thought they could be addictive, 45.4% of students believed e-cigarette smoking decreased anxiety and a third thought it made them sociable (33.3%) and confident (30.6%).Adolescents who used e-cigarettes had significantly more favorable e-cigarette attitudes than non-users: they believed they were less harmful than tobacco (p=0,019), they were not addictive (p=0,005), they decreased anxiety (p=0,001) and they made the user sociable (p

Summary

Introduction

Gaming is a source of addiction for adolescents. Objectives: To determine the prevalence of gaming addiction among secondary school students. Methods: This cross-sectional study was conducted between September and October of 2020 among students enrolled in secondary school. Results: The initial sample was composed of 180 secondary school students. The participants with gaming addiction were, on average, younger than those who were not addicted to gaming Gameaddicted individuals were more likely to be male than female (13,8% vs 7,9%; p=0,036). There was, a significant relation between IA and having academic difficulties (p=0.042). Conclusions: Based on our study findings, that gaming addiction is a challenging problem among Tunisian adolescents. We recommend authorities consider gaming addiction a serious problem for the young population and make this growing phenomenon an adolescent health priority.

Findings