PMID: 7932481Jun 1, 1994Paper

Is the prescription of amphetamine justified as a harm reduction measure?

Journal of the Royal Society of Health
P M Fleming, D Roberts

Abstract

Although amphetamine is the most widely illicitly used drug in the United Kingdom after cannabis, relatively few problematic users present to treatment agencies. Injecting amphetamine users are a high risk group as far as HIV transmission is concerned. This paper reviews the first 3 years' operation of an oral amphetamine prescribing programme for injecting users. Over half the subjects ceased injecting, and there was a considerable reduction in injecting by the remainder. 85% had not used or shared injecting equipment during the programme. However, subjects reported still using street amphetamine and offending, although at a lower rate than previously. There was little change in sexual practices. There was an increase in primary amphetamine users presenting for treatment. There is a case to be made that closely controlled and monitored programmes such as this can be justified on harm reduction grounds. A number of issues concerned with amphetamine prescribing are discussed.

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Citations

Nov 18, 1997·Drug and Alcohol Dependence·L Topp, S Darke
Sep 23, 2003·Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors·Harold Rosenberg, Kristina T Phillips
Feb 24, 2011·Experimental and Clinical Psychopharmacology·Charles W SchindlerSteven R Goldberg
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Sep 14, 2007·CNS Drugs·Kevin P Hill, Mehmet Sofuoglu
Mar 28, 2008·Drug and Alcohol Review·James Shearer
Sep 17, 2004·Drug and Alcohol Review·James Shearer, Linda R Gowing
Aug 22, 2002·Drug and Alcohol Review·James ShearerIngrid van Beek

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