The diversion of prescription drugs by health care workers in Cincinnati, OhioJames A Inciardi
University of Delaware, USA
Subst Use Misuse 41:255-64. 2006
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The Diversion of Ultram, Ultracet, and generic tramadol HCLJames A Inciardi
University of Delaware Research Center, Coral Gables, FL 33134, USA
J Addict Dis 25:53-8. 2006
..Survey data suggest that the diversion of Ultram and other tramadol products is low, and overall, diversion investigators did not consider tramadol to be a problem in their respective jurisdictions...
Mechanisms of prescription drug diversion among drug-involved club- and street-based populationsJames A Inciardi
Center for Drug and Alcohol Studies, University of Delaware, Coral Gables, Florida 33134, USA
Pain Med 8:171-83. 2007
..However, empirical data on diversion are limited...
The "black box" of prescription drug diversionJames A Inciardi
Center for Drug and Alcohol Studies, University of Delaware, 2121 Ponce de Leon Blvd, Suite 430, Coral Gables, FL 33134, USA
J Addict Dis 28:332-47. 2009
..Little is known about where drug dealers are obtaining their supplies, and as such, prescription drug diversion is a "black box" requiring concentrated, systematic study...
Changing patterns of cocaine use and hiv risks in the south of BrazilJames A Inciardi
Center for Drug and Alcohol Studies, University of Delaware, Coral Gables, FL, USA
J Psychoactive Drugs 38:305-10. 2006
..Within this context, this article describes the qualitative data describing the decline of cocaine injecting and the corresponding emergence of crack use in Porto Alegre, Brazil, and related HIV risks...
Integrating an HIV/HCV brief intervention in prisoner reentry: results of a multisite prospective studySteven S Martin
Center for Drug and Alcohol Studies, University of Delaware, Newark, DE 19716, USA
J Psychoactive Drugs 40:427-36. 2008
..This study is among the first to report any positive impacts on sexual behaviors among a population of inmates returning to the community...
FDA approvals of generic drugs: impact on the diversion of opioid analgesics with a potential for abuseJames A Inciardi
University of Delaware, Coral Gables, Florida, USA
J Opioid Manag 5:81-7. 2009
..Although diversion did not increase in the short-term, the need for longer term monitoring appears warranted...
Prescription opioid abuse among drug-involved street-based sex workersHilary L Surratt
Center for Drug and Alcohol Studies, University of Delaware, Coral Gables, Florida, USA
J Opioid Manag 2:283-9. 2006
..These findings warrant intensive study to determine the relative contribution of each mechanism of diversion to the illicit market...
Prescription drugs purchased through the internet: who are the end users?James A Inciardi
Center for Drug and Alcohol Studies, University of Delaware, Coral Gables, FL 33134, United States
Drug Alcohol Depend 110:21-9. 2010
..The consistency of this finding across very diverse populations suggests that the Internet is a relatively minor source for illicit purchases of prescription medications by the individual end-users of these drugs...
Correlates of heterosexual anal intercourse among substance-using club-goersGladys E Ibañez
Center for Drug and Alcohol Studies, University of Delaware, Coral Gables, FL 33134, USA
Arch Sex Behav 39:959-67. 2010
..Event-based and qualitative studies are needed to better understand the context in which anal sex occurs. Interventions that target heterosexual populations should include discussion about the risks of anal sex...
Prescription opioid abuse and diversion in an urban community: the results of an ultrarapid assessmentJames A Inciardi
Center for Drug and Alcohol Studies, University of Delaware, Coral Gables, FL 33134, USA
Pain Med 10:537-48. 2009
..Prescription-drug diversion is a topic about which comparatively little is known, and systematic information garnered from prescription-drug abusers and dealers on the specific mechanisms of diversion is extremely limited...
Developing an HIV intervention for indigent women substance abusers in the United States Virgin IslandsHilary L Surratt
Center for Drug and Alcohol Studies, University of Delaware, Newark, Delaware, USA
J Urban Health 82:iv74-83. 2005
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Treatment during transition from prison to community and subsequent illicit drug useClifford A Butzin
Center for Drug and Alcohol Studies, University of Delaware, Newark, DE 19716, USA
J Subst Abuse Treat 28:351-8. 2005
..4%). Treatment during the transitional period between prison and community showed substantial and persistent benefits even for a cohort marked with extensive criminal history, low rates of marital bonds, and substantial unemployment...
Prescription drug abuse among ecstasy users in MiamiSteven P Kurtz
Center for Drug and Alcohol Studies, 10977 East Main St, Coral Gables, FL 33134, USA
J Addict Dis 24:1-16. 2005
..Additional studies among larger samples are needed to understand the processes of prescription drug access and the extent of integration in club drug using cultures...
HIV, HBV, and HCV infections among drug-involved, inner-city, street sex workers in Miami, FloridaJames A Inciardi
Center for Drug and Alcohol Studies, University of Delaware Research Center, 2100 Ponce de Leon Boulevard, Coral Gables, FL 33134, USA
AIDS Behav 10:139-47. 2006
..4%; HBV, 53.4%; HCV, 29.7%. A multidimensional public health program must address not only issues related to unsafe sex, but also the problems of drug abuse, homelessness, and other lifestyle factors that contribute to risk behaviors...
Predictors of substance abuse treatment entry for crime-involved, cocaine-dependent womenChristine A Saum
Center for Drug and Alcohol Studies, University of Delaware, 77 E Main St, Newark, DE 19716, USA
Drug Alcohol Depend 91:253-9. 2007
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Barriers to health and social services for street-based sex workersSteven P Kurtz
Center for Drug and Alcohol Studies, University of Delaware, DE, USA
J Health Care Poor Underserved 16:345-61. 2005
..Bridging these gaps is tremendously important from a public health perspective given the disease burden among this population. Recommendations include service staff training, outreach, and promising research directions...
Working toward recovery: the interplay of past treatment and economic status in long-term outcomes for drug-involved offendersDaniel J O'Connell
The Center for Drug and Alcohol Studies, University of Delaware, Newark, DE 19716, USA
Subst Use Misuse 42:1089-107. 2007
..We then use structural equations modeling to demonstrate how this process might play out. The data for this study were collected from 1992 through 1998 from the Delaware Department of Corrections. The study's limitations are noted...
An effective HIV risk-reduction protocol for drug-using female sex workersHilary L Surratt
Center for Drug and Alcohol Studies, University of Delaware, Coral Gables, Florida, USA
J Prev Interv Community 38:118-31. 2010
..Outcome analyses indicate that both groups benefited from participation in the intervention trial. However, the SWF Intervention was found to be more efficacious in regard to reductions in unprotected oral sex and sexual violence...
HIV/AIDS among probationers: an assessment of risk and results from a brief interventionSteven S Martin
Center for Drug and Alcohol Studies, University of Delaware, Newark, Delaware 19716 2582, USA
J Psychoactive Drugs 35:435-43. 2003
..Further work will consider what components in programs and characteristics in clients should be considered in selecting the most appropriate interventions for probationers...
Evaluating component effects of a prison-based treatment continuumClifford A Butzin
Center for Drug and Alcohol Studies, University of Delaware, Newark, DE 19716, USA
J Subst Abuse Treat 22:63-9. 2002
..However, the residential transitional program effects are generally larger and more long lasting. Additionally, the two outcomes appear differentially sensitive to the degree of completion of the continuum...
Physical dependence on Ultram (tramadol hydrochloride): both opioid-like and atypical withdrawal symptoms occurEdward C Senay
Pritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA
Drug Alcohol Depend 69:233-41. 2003
..These results indicate that physicians and other healthcare professionals need to be aware of the potential of Ultram to induce withdrawal of the classical opioid type, and that atypical withdrawal may also occur...
An independent assessment of MEDWatch reporting for abuse/dependence and withdrawal from Ultram (tramadol hydrochloride)George E Woody
Treatment Research Institute, School of Medicine, Philadelphia Va University of Pennsylvania, 600 Public Ledger Building, 150 South Independence Mall W, Philadelphia, PA 19106 3475, USA
Drug Alcohol Depend 72:163-8. 2003
..Assess the validity of medical products reporting program (MEDWatch) reports of abuse/dependence and withdrawal associated with Ultram (tramadol)...
[Risk factors for HIV transmission in drug users from Porto Alegre, Rio Grande do Sul State, Brazil]Flavio Pechansky
Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
Cad Saude Publica 20:1651-60. 2004
..0% of the sample reported no prior drug injection. Variables associated with HIV infection are similar to the national and international literature and agree with the theoretical model of risk behavior proposed by the first author...
Diversion and abuse of methadone prescribed for pain managementTheodore J Cicero
JAMA 293:297-8. 2005
Rates of abuse of tramadol remain unchanged with the introduction of new branded and generic products: results of an abuse monitoring system, 1994-2004Theodore J Cicero
Washington University School of Medicine, 660 South Euclid Avenue, St Louis, MO 63110, USA
Pharmacoepidemiol Drug Saf 14:851-9. 2005
..This provided a unique opportunity to study the potential changes in abuse as the generic and combination products became available...
Trends in abuse of Oxycontin and other opioid analgesics in the United States: 2002-2004Theodore J Cicero
Washington University School of Medicine, St Louis, Missouri 63110, USA
J Pain 6:662-72. 2005
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Relationship between therapeutic use and abuse of opioid analgesics in rural, suburban, and urban locations in the United StatesTheodore J Cicero
Washington University School of Medicine, MO, USA
Pharmacoepidemiol Drug Saf 16:827-40. 2007
..The goal of these studies was to determine the relationship between prescribed use of opioid analgesics and their non-medically related use (abuse) at a regional level across the country...
Trends in the use and abuse of branded and generic extended release oxycodone and fentanyl products in the United StatesTheodore J Cicero
Washington University School of Medicine, Department of Psychiatry, 660 South Euclid Avenue, Campus Box 8134, St Louis, MO 63110 1093, USA
Drug Alcohol Depend 91:115-20. 2007
..In this paper we assessed whether the introduction of generic products in the U.S. increased the therapeutic use and illicit abuse of extended release oxycodone products and the fentanyl patch...
Foundations of opioid risk managementNathaniel P Katz
Tufts University School of Medicine, Boston, MA, USA
Clin J Pain 23:103-18. 2007
..Limitations of current approaches, and emerging directions in opioid risk management, are also presented...
The development of a comprehensive risk-management program for prescription opioid analgesics: researched abuse, diversion and addiction-related surveillance (RADARS)Theodore J Cicero
Washington University School of Medicine, St Louis, Missouri 63110, USA
Pain Med 8:157-70. 2007
..Thus, its major focus was the detection of abuse of OxyContin and other commonly prescribed opioid analgesics at the three-digit ZIP code level across the country utilizing a number of different detection systems...
A comparison of the abuse liability of tramadol, NSAIDs, and hydrocodone in patients with chronic painEdgar H Adams
Edgar Adams Consulting, Covance, Princeton, New Jersey 08540, USA
J Pain Symptom Manage 31:465-76. 2006
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Brazilian female crack users show elevated serum aluminum levelsFlavio Pechansky
Center for Drug and Alcohol Research, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Rev Bras Psiquiatr 29:39-42. 2007
..Since aluminum intake is associated with neurological damage, we measured serum aluminum levels in crack smokers. The objective of this study was to ascertain the levels of aluminum in crack users who smoke on makeshift aluminum pipes...
A psycho-economic model of ecstasy consumption and related consequences: a multi-site study with community samplesArbi Ben Abdallah
Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri 63108, USA
Subst Use Misuse 42:1651-84. 2007
..The implications of incorporating the role of economic factors in shaping a more refined understanding of addiction are discussed. Suggestions for future research and study limitations are also noted...
Prevalence of narcotic analgesic abuse among students: individual or polydrug abuse?James A Inciardi
Center for Drug and Alcohol Studies at the University of Delaware, USA
Arch Pediatr Adolesc Med 158:498-9. 2004
[Substance use, risk situations, and HIV seroprevalence among individuals seeking free HIV testing in Porto Alegre, Brazil]Flavio Pechansky
Universidade Federal do Rio Grande do Sul, Centro de Pesquisa em Alcool e Drogas, Brazil
Rev Panam Salud Publica 18:249-55. 2005
..To describe substance use, HIV seroprevalence, and risk of exposure to HIV infection in individuals seeking HIV testing in two screening centers (a municipal one and a state one) in the city of Porto Alegre, Rio Grande do Sul, Brazil...
Using thought mapping and structured stories to decrease HIV risk behaviors among cocaine injectors and crack smokers in the South of BrazilFlavio Pechansky
Center for Drug and Alcohol Research, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Rev Bras Psiquiatr 29:233-40. 2007
..To compare changes in AIDS knowledge and risk behaviors among Brazilian cocaine users in an intervention trial...
Differences in prevalence of prescription opiate misuse among rural and urban probationersJennifer R Havens
Center on Drug and Alcohol Research, Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, Kentucky 40502, USA
Am J Drug Alcohol Abuse 33:309-17. 2007
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Potential for abuse of buprenorphine in office-based treatment of opioid dependenceTheodore J Cicero
N Engl J Med 353:1863-5. 2005