Profile of opioids abuse in postmortem toxicology in Kermanshah Legal Medicine Center during 1395-1396

Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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TOXICOLOGY15_091

تاریخ نمایه سازی: 15 بهمن 1398

Abstract:

Introduction: Opioids abuse is a major cause of morbidity and mortality in Iran. Changing in pattern of type of abused substances during the time intervals, should be considered for clinical and legal measures. Postmortem toxicological findings are important data source for substance abuse control planning. The aim of this study was to demonstrate the pattern of abused opioids in postmortem cases in legal medicine center of Kermanshah-Iran. Methods: This retrospective study involved all corpses suspected to opioids abuse/addiction which referred to the Kermanshah Legal Medicine Center (KLMC) during 1395-1396. Data were extracted from records and including demographics and postmortem toxicological analysis findings. Results: During the 2-year study period, 326 corpses were referred to the KLMC with suspicion of opioids abuse/addiction. 89% of cases were male. The age range of decedents was 39.3±17.4 years old. Methadone (33.7%), tramadol (27.6%), morphine/heroin (17.8%), and opium (3.1%) were the most frequent detected opioids in the cases. Methamphetamine (1.8%) and amphetamine (1.5%) were detected as the most common nonpharmaceutical agents in these cases. Conclusion: In this study, tramadol and methadone were determined as the main opioids in drug abusers in the Kermanshah province. Abuse of synthetic and pharmaceutical opioids have been considered as a new pattern of substance abuse in the study. In this regards, prevention programs for drug control programs should be considered in this province.

Authors

Elham Masoudipour

Legal Medicine Center of Kermanshah, Kermanshah, Iran

Vida Shiri Ghaleh

Legal Medicine Center of Kermanshah, Kermanshah, Iran

Mehrdad Moradi

Legal Medicine Center of Kermanshah, Kermanshah, Iran

Ali Gorgin Karaji

Department of Immunology, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

Salim Khani

Legal Medicine Center of Kermanshah, Kermanshah, Iran