{"id":3024,"date":"2013-02-08T10:21:07","date_gmt":"2013-02-08T08:21:07","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=3024"},"modified":"2013-02-08T10:21:07","modified_gmt":"2013-02-08T08:21:07","slug":"avrupada-metilfenidat-suistimali","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=3024","title":{"rendered":"Avrupa\u2019da metilfenidat suistimali"},"content":{"rendered":"<p><span style=\"font-size: 10px;\">Avrupa\u2019da metilfenitat t\u00fcketimi alarm veren bir oranda art\u0131yor. Suistimal ve ba\u011f\u0131ml\u0131l\u0131k raporlar\u0131 da ayn\u0131 zamanda art\u0131yor.<\/span><\/p>\n<p><span style=\"font-size: 10px;\">Metilfenidat, amfetamin benzeri bir psiko-stimuland\u0131r 1990\u2019lardan beri dikkat eksikli\u011finin e\u015flik etti\u011fi hiperaktivite ve narkopeksi\u2019de son \u00e7are semptomatik\u00a0 tedavi olarak kullan\u0131l\u0131r.<\/span><\/p>\n<p class=\"MsoNormal\">Fransa ve ba\u015fka yerlerden halihaz\u0131rda rapor edilmi\u015f vakalarla. suistimal ve ba\u011f\u0131ml\u0131l\u0131k potansiyeli uzun zamand\u0131r bilinmektedir.(2.3) Toulose ve Marsilya\u2019da b\u00f6lgesel farmakaovijilans ve farmakoba\u011f\u0131ml\u0131l\u0131k izleme merkezleri ve D\u00fcnya sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (WHO) metilfenidat t\u00fcketimi ve suistimal ve ba\u011f\u0131ml\u0131l\u0131k raporlar\u0131n\u0131 Uppsala\u2019daki \u00a0WHO veri taban\u0131na 1994 ve 2010 y\u0131llar\u0131 aras\u0131nda kaydetmi\u015ftir.<\/p>\n<p class=\"MsoNormal\">2005 ve 2010 y\u0131llar\u0131 aras\u0131nda metifenidat t\u00fcketimi Avrupa\u2019da keskin \u015fekilde y\u00fckselmi\u015ftir Bu art\u0131\u015f oranlar\u0131 \u00f6rne\u011fin Danimarka\u2019da % 525, Hollanda\u2019da % 222, Almanya\u2019da % 216 Fransa\u2019da % 167 olmu\u015ftur.(4) Suistimal ve ba\u011f\u0131ml\u0131l\u0131k raporlar\u0131nda da orant\u0131sal bir art\u0131\u015f olmu\u015f ancak vaka say\u0131s\u0131 belirtilmemi\u015ftir.<\/p>\n<p class=\"MsoNormal\">Pratikte Avrupa verileri Fransa\u2019da daha \u00f6nce yap\u0131lan g\u00f6zlemler ile ayn\u0131 do\u011frultudad\u0131r (2)<\/p>\n<p class=\"MsoNormal\">Metilfenidat re\u00e7etesi yazarken Suistimal ve ba\u011f\u0131ml\u0131l\u0131k riski hesaba kat\u0131lmal\u0131d\u0131r.<\/p>\n<p class=\"MsoNormal\">\u00a0<\/p>\n<p class=\"MsoNormal\"><span style=\"text-decoration: underline;\">PRESCRIRE INTERNATIONAL FEBRUARY 2013\/VOLUME 22 N\u00b0 135<\/span>&#8216;<strong>dan terc\u00fcme edilmi\u015ftir.<\/strong><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 10px;\"><a href=\"ek\/methylphenidate__abuse_in_Europe.pdf\" target=\"_blank\">Methylphenidate: abuse in Europe<\/a><\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 10px;\"><br \/><\/span><\/p>\n<p class=\"MsoNormal\"><strong style=\"font-size: 10px;\"><span style=\"color:#231F20\">Selected references from Prescrire\u2019s literature search.<\/span><\/strong><\/p>\n<p>\u00a0<\/p>\n<p class=\"MsoNormal\"><strong><span style=\"color:#231F20\">1- <\/span><\/strong><span style=\"color:#231F20\">Prescrire R\u00e9daction \u201cM\u00e9thylph\u00e9nidate: un amph\u00e9taminique \u00e0 ne manier qu\u2019avec beaucoup<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"color:#231F20\">de pr\u00e9cautions\u201d <em>Rev Prescrire <\/em>2011; 31 (330): 263.<\/span><\/p>\n<p class=\"MsoNormal\"><strong><span style=\"color:#231F20\">2- <\/span><\/strong><span style=\"color:#231F20\">Prescrire Editorial Staff \u201cMethylphenidate: abuse and addiction\u201d <em>Prescrire Int <\/em>2012; <strong>21 <\/strong>(131): 241.<\/span><\/p>\n<p class=\"MsoNormal\"><strong><span style=\"color:#231F20\">3- <\/span><\/strong><span style=\"color:#231F20\">Prescrire Editorial Staff \u201cMethylphenidate\u201d <em>Prescrire Int <\/em>1997; <strong>6 <\/strong>(31): 126-130.<\/span><\/p>\n<p class=\"MsoNormal\"><strong><span style=\"color:#231F20\">4- <\/span><\/strong><span style=\"color:#231F20\">Micallef J et al. \u201cDetection and magnitude of methylphenidate abuse and misuse using Vigibase and correlation with data from drug utilisation studies\u201d 33rd Pharmacovigilance Meeting, Dijon: 4-<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"color:#231F20\">6 April 2012. <em>Fundamental Clin Pharmacol <\/em>2012; <strong>26 <\/strong>(suppl. 1): 11 (abstract 12-P193).<strong> <\/strong><\/span><\/p>\n<p>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Avrupa\u2019da metilfenitat t\u00fcketimi alarm veren bir oranda art\u0131yor. Suistimal ve ba\u011f\u0131ml\u0131l\u0131k raporlar\u0131 da ayn\u0131 zamanda art\u0131yor. Metilfenidat, amfetamin benzeri bir&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[62],"tags":[],"class_list":["post-3024","post","type-post","status-publish","format-standard","hentry","category-sagliktan-haberler"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3024","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3024"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3024\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3024"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3024"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3024"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}