Bulletin of fundamental and clinic medicine, 2022 №4

Subject of the article



Pikirenya Vladimir Ivanovich , Pechko Tatyana Leonidovna , Kopytov Andrey Vasilyevich


Belarusian State Medical University, Republic of Belarus, Minsk NGO “Positive Movement”, Republic of Belarus, Minsk


The article describes the use of additional psychoactive substances by patients receiving maintenance therapy with opioid agonists, analyzes published data on the use of various groups of substances and the risks associated with it. The data of our own study are presented: 85.9% of patients smoked cigarettes in the last day (the same figure for the week), 33.1% consumed light alcohol in the week preceding the survey and 62.2% in the year preceding the survey, sedatives and hypnotics, taken without a doctor's prescription in the previous week was consumed by 26.8% of patients and 46.9% - in the year preceding the survey. Next in popularity are (the share of respondents who consumed per year) strong alcohol – 44.1%, cannabinoids – 21.6%, substances with anticholinergic activity – 19.3%, synthetic cathinones – 18.1%, opioids – 9.9%, amphetamines – 8% and synthetic cannabinoids – 0.5%.

Key words

maintenance therapy with opioid agonists; opioid addiction; harm reduction; polysubstance use; comorbidity.


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