The Opioid Epidemic in COVID 19 Pandemic

R. Shyamala1, V. Bhatia, Vijayalakshmi Nayak, M. Prashanth
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Abstract

Background: COVID 19 pandemic has caused additional challenges and insurmountable psychosocial impact for patients with opioid use disorders. The particularly challenging group include those seeking treatment with medication for OUD patients. This article discusses the bi-directional effects between opioid use disorder patients and covid 19. Method: PubMed and Google Scholar were searched with the following keywords- “COVID-19”, “opioid use disorder”, “pandemic”, “behavioural addiction”, “opioid”, “opioid agonist therapy”. Results: People with opioid use disorder are at a heightened risk of acquiring and increased severity of COVID 19 infections due to compromised immunity, homelessness or housing instability, lockdown and social distancing leading to failure of rehabilitation strategies, mucociliary dysfunction, cardiopulmonary morbidities, etc. Conclusion: COVID 19 pandemic and opioid use disorder is on the verge of the collision so every effort must be taken by the government and health care sector to prevent a big wave of opioid overdose and relapse in our community.
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COVID - 19大流行中的阿片类药物流行
背景:COVID - 19大流行给阿片类药物使用障碍患者带来了额外的挑战和无法克服的社会心理影响。特别具有挑战性的群体包括那些为OUD患者寻求药物治疗的人。本文讨论了阿片类药物使用障碍患者与covid - 19之间的双向效应。方法:以“COVID-19”、“阿片类药物使用障碍”、“大流行”、“行为成瘾”、“阿片类药物”、“阿片类药物激动剂治疗”等关键词检索PubMed和谷歌Scholar。结果:阿片类药物使用障碍患者由于免疫力低下、无家可归或住房不稳定、封锁和社交距离导致康复策略失败、纤毛粘膜功能障碍、心肺发病率等,感染COVID - 19的风险更高,感染的严重程度也更高。结论:COVID - 19大流行和阿片类药物使用障碍处于碰撞的边缘,政府和卫生保健部门必须尽一切努力防止我们社区出现阿片类药物过量和复发的大浪潮。
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