SY15-3PRESCRIPTION OPIOIDS IN SOUTHERN EUROPE: SPAIN

Background. Prescription opioid misuse in an increasing public health in many countries. The objective is to assess the prevalence of prescription opioid misuse in four European countries: France, Germany, Italy and Spain. Data form Sapin are presented Methods. Cross-sectional study. The rates of prescription drug misuse have been assessed using patient self-report at treatment program intake. Patients have been asked to self-report the use of use and injection history for European-market prescription opioids, prescription stimulants, and heroin, during the past 30-day. Also, basic demographic information, treatment history, and health care worker status have been recorded. Results. In Spain, a final sample of 125 subjects (78% males; 39 + 10 years old) was recruited. The 94% were in treatment for heroin dependence; the rest (7) has as a main drug methadone, tramadol, codeine, pethidine and opium. The main opioid abused drug during the last month was heroin (63%), followed by methadone, tramadol, codeine, pethidine, fentanyl, buprenorphine, morphine and metylphenidate. Conclusions. Preliminary data show that besides heroin, in Spain, there is a concomitant abuse of prescription opioids. The knowledge of drug use patterns can provide useful information to develop effective prevention and treatment.