Evolution of the Addictovigilance Signal of Zopiclone: A 2014–2020 National Follow-up Study.

Zopiclone, like zolpidem, is under surveillance in France due to its potential for dependence, abuse and misuse. However, part of the narcotics regulation was implemented in 2017 in France for zolpidem only, which has led to an increase in the number of zopiclone consumers. The objective of this art...

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Publicado en:International Journal of Mental Health & Addiction Vol. 22; no. 6; pp. 3733 - 3748
Autores principales: Aquizerate, Aurélie, Laforgue, Edouard-Jules, Istvan, Marion, Rousselet, Morgane, Gérardin, Marie, Jouanjus, Emilie, Libert, Frédéric, Caous, Anne-Sylvie, Djezzar, Samira, Boucher, Alexandra, Daveluy, Amélie, Eiden, Céline, Fauconneau, Bernard, Fournier-Choma, Christine, Gibaja, Valérie, Lacroix, Clémence, Lapeyre-Mestre, Maryse, Le Boisselier, Reynald, Revol, Bruno, Guerlais, Marylène
Formato: Artículo
Publicado: Springer Nature Dec2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
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        atl: Evolution of the Addictovigilance Signal of Zopiclone: A 2014–2020 National Follow-up Study.
      aug:
        au:
          Aquizerate, Aurélie
          Laforgue, Edouard-Jules
          Istvan, Marion
          Rousselet, Morgane
          Gérardin, Marie
          Jouanjus, Emilie
          Libert, Frédéric
          Caous, Anne-Sylvie
          Djezzar, Samira
          Boucher, Alexandra
          Daveluy, Amélie
          Eiden, Céline
          Fauconneau, Bernard
          Fournier-Choma, Christine
          Gibaja, Valérie
          Lacroix, Clémence
          Lapeyre-Mestre, Maryse
          Le Boisselier, Reynald
          Revol, Bruno
          Guerlais, Marylène
        affil:
          https://ror.org/03gnr7b55 Nantes Université, CHU Nantes, Centre d'Evaluation Et d'Information Sur La Pharmacodépendance-Addictovigilance (CEIP-A), Service de Pharmacologie Clinique, 9 Quai Moncousu, 44000, Nantes, France
          INSERM U1246 SPHERE "methods in Patient-Centered Outcomes and Health Research", Nantes and Tours University, Nantes, France
          https://ror.org/017h5q109 Centre for Evaluation and Information On Pharmacodependence, Clinical Pharmacology Department, Toulouse University Hospital, Toulouse, France
          https://ror.org/02tcf7a68 Centre for Evaluation and Information On Pharmacodependence, Clinical Pharmacology Department, Clermont-Ferrand University Hospital, Clermont-Ferrand, France
      su:
        Medical personnel
        Drug addiction
        Fraud
        Drug abuse
        Zolpidem
      sug:
        subj:
          Medical personnel
          Drug addiction
          Fraud
          Drug abuse
          Zolpidem
      keyword:
        Abuse
        Addictovigilance
        Dependence
        Hypnotics
        Misuse
        Sedatives
        Zopiclone
        Abuse
        Addictovigilance
        Dependence
        Hypnotics
        Misuse
        Sedatives
        Zopiclone
      ab: Zopiclone, like zolpidem, is under surveillance in France due to its potential for dependence, abuse and misuse. However, part of the narcotics regulation was implemented in 2017 in France for zolpidem only, which has led to an increase in the number of zopiclone consumers. The objective of this article is to present French addictovigilance data regarding the evolution of the abuse, dependence and misuse profiles of zopiclone. We used the following 3 data sources over two periods: the 3-year period before the regulatory measure regarding zolpidem (2014–2016) and the 3-year period after the regulatory measure (2018–2020): (i) Medic'AM, a public database which provides a good overview of the number of boxes of zopiclone reimbursed in France; (ii) all French cases of drug dependence or abuse reported by health professionals to the French Addictovigilance Network (FAN); and (iii) a national epidemiological tool based on the surveillance of falsified prescriptions. Between the first and the second study periods (i) despite an increase in the exposure of the population to zopiclone, the proportion of reports to the FAN remained stable; (ii) the proportion of misusers increased significantly (p < 0.01), from 27% (n = 31) to 48.3% (n = 72); (iii) the profile of problematic users remained comparable with persistence of markers of problematic use; and (iv) there was a significant increase (p = 0.01) in zopiclone fraud for obtention, from 26.1% (n = 30) to 40.9% (n = 61), which mainly concerned nomadism. Prescribers should remain cautious in providing zopiclone prescriptions.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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