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He National Household Survey on Drug Abuse found that 1.4% of the general population acknowledged using prescription medication not legitimately prescribed for them.1 The following study was undertaken to explore the prevalence of prescription diversion ie, redirection of one's medication to others ; among patients in a family practice setting. Study candidates were 220 patients, 18 years or older, seen for nonemergency medical care at a family medicine resident clinic. Exclusion criteria were medical debilitation and cognitive impairment. Participation rate was 100%, with 75% being female and 25% male. Mean SD ; age was 39.5 16.2 years data were missing for 22 patients. Most were African American 50% ; or white 41% the remainder were Hispanic or other data missing for 11 ; . Most were single 43% ; or married 28% ; , while 15% were divorced, 11% were widowed, and 2% were separated data missing for 1 ; . Twenty percent had not completed high school, 33% had a high school diploma, and the remainder had attended some college or received a degree data missing for 4 ; . Candidates were introduced to the project during registration by the receptionist ie, convenience sample ; and asked to drop the anonymous survey into a collection box in the waiting room. Respondents were not paid for participation. Survey completion approximately 3 minutes ; was accepted as informed consent. The survey explored respondents' history of drug or alcohol abuse and whether respondents' had ever illegally sold drugs, been denied entry into a medical practice because of problems with prescription medications, or given or sold their medication to anyone else. Of the 220 participants, 3 indicated past drug or alcohol problems; 2 had illegally sold drugs. No participant reported that they had ever been told by a physician office that they could not return because of selling, giving away, or taking too much of a prescribed medication. Fifteen participants 7% ; acknowledged prescription diversion: 14 reported giving medication to someone else and 1 reported selling the prescription pain pills ; on 1 occasion. Among the former, 7 gave medication to a friend, 6 to a spouse or significant other, and 7 to an REPRINTED ; ARCH FAM MED VOL 9, JULY 2000 587 and cleocin, because strep throat.
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Associate Professor, Pharmacy Practice and Science College of Pharmacy University of Kentucky Lucille P. Markey Cancer Center Lexington, Kentucky Dr. Val Adams is Associate Professor in the Division of Pharmacy Practice and Science in the College of Pharmacy at the University of Kentucky. He is part of the graduate faculty and staff member at the Markey Cancer Center, where he has a clinical practice site. As the director of the hematology oncology residency program, Dr. Adams has trained twelve residents and maintains an active research lab. He received his B.S. degree in pharmacy from the University of Utah and received his Pharm.D. degree from the University of Texas at Austin jointly with the University of Texas Health Science Center at San Antonio. He completed a residency in hematology oncology at the Audie L. Murphy Memorial V.A. Hospital in San Antonio, Texas and then completed a two-year fellowship in immunology and transplantation at the University of Florida. Following the completion of the fellowship, he joined the University of Kentucky faculty in 1996 and clomid.
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