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International_Journal_Drug_PolicyDes chercheurs du programme d’études et de recherche en toxicomanie de l’Université de Sherbrooke et du Centre de recherche du CHUM se sont penchés sur les pratiques de consommation de médicaments, particulièrement de médicaments psychotropes (tranquillisants, sédatifs, stimulants et antipsychotiques) chez les consommateurs de cocaïne du centre-ville de Montréal.

Source : extrait du résumé de l’article

Two thirds of the 50 participants were male. They ranged in age from 20 to 60 and most were homeless. A significant proportion of them reported polydrug use patterns that included frequent concomitant opioid use (heroin and/or prescription opioids (PO)). Benzodiazepine-based tranquilizers and the atypical antipsychotic quetiapine were the most frequently used PM. Routes of PM administration were oral, nasal and, to a lesser degree, intravenous. Five main PM use practices were identified: 1) “downers” from cocaine high (benzodiazepines and quetiapine); 2) enhancers of heroin/PO effects (benzodiazepines); 3) reducers or suppressors of heroin/PO withdrawal symptoms (benzodiazepines); 4) enablers of a different type of “trip” (benzodiazepines); and 5) treatment for mental and physical problems (benzodiazepines and quetiapine).

Psychotropic medication (PM) use practices showed several complementary functions that PM fulfill in a context of polydrug use. The soothing and stimulating effects of PM reinforce the patterns of drug use among participants, posing various risks including overdose, HIV/HCV transmission, PM dependence and accidents. The results highlight the need for clinicians to assess clients’ substance use patterns when prescribing PM and to question people who use cocaine about PM use. The findings also underline certain unmet service needs in relation to overdose, HIV/HCV and mental health prevention/treatment among cocaine users.

Pour en savoir plus, consultez le résumé de l’article en ligne sur le site de l’éditeur (en anglais). L’article complet est disponible sur les rayons du CQDT.

Référence :
Motta-Ochoa, R., Bertrand, K., Arruda, N., Jutras-Aswad, D. et Roy, É. (2017). « I love having benzos after my coke shot »: The use of psychotropic medication among cocaine users in downtown Montreal. International Journal of Drug Policy, 49, 15‑23.

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