Toxicology and prescribed medication histories among people experiencing fatal illicit drug overdose in British Columbia, Canada

Original research
par
Crabtree, Alexis et al

Date de publication

2020

Géographie

Canada

Langue de la ressource

English

Texte disponible en version intégrale

Oui

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

Our objective was to assess prescription history in the context of postmortem toxicology among people who had a fatal illicit drug overdose in BC.

Constatations/points à retenir

Our data show a high prevalence of nonprescribed fentanyl and stimulants, and a low prevalence of prescribed opioids detected on toxicology in people who died from illicit drug overdose. These results suggest that strategies to address the current overdose crisis in Canada must do much more than target deprescribing of opioids.

La conception ou méthodologie de recherche

Toxicology results from drug overdose deaths involving 1 or more illicit drugs (n=2872), as identified by the BC Coroners Service in 2015–2017, were linked to the prescription drug histories of individuals. Substances identified in toxicology were considered prescribed if the individual had an active dispensation for a matching medication within 60 days before overdose.

Mots clés

Overdose
Mortality
Evidence base
Safer supply
Outcomes
Illegal drugs
Stimulants