Why do doctors abuse prescription drugs? 'Self-medication' is key reason

Doctors who abuse prescription drugs often do so for "self-medication"—whether for physical or emotional pain or stress relief, reports a study in the October Journal of Addiction Medicine, the official journal of the American Society of Addiction Medicine.

Based on focus groups with in treatment for substance abuse, the findings lend "unique insights" into the reasons why doctors abuse prescription medications—as well as important implications for prevention and recognition. The lead author was Lisa J. Merlo, PhD, MPE, of the University of Florida, Gainesville.

Physicians in Recovery Discuss Why They Abused Prescription Meds

In anonymous discussions, the researchers talked about reasons for prescription drug abuse with 55 physicians in recovery. The doctors were being monitored for substance abuse as part of their state's physician health program. Sixty-nine percent of the physicians had abused prescription drugs, in addition to alcohol and illicit drugs.

Of five major themes that emerged in the focus groups, three were related to "self-medication" using prescription drugs. The doctors reported using medications for self-treatment of:

  • Physical pain—Many physicians initially developed their drug habit while using medications prescribed for chronic pain after trauma or surgery.
  • Emotional pain and psychiatric symptoms—Some doctors found that prescription drugs finally gave them an effective treatment for " longstanding problems with anxiety or depression."
  • Work and life stress—The physicians commonly used medications to relieve stress related to their personal or professional life.

Like other substance abusers, many of the physicians said they also used drugs recreationally—to "get high." Others said they used prescription drugs to treat symptoms of drug withdrawal. For many doctors, as their addiction problem progressed, managing withdrawal became an increasingly important reason for drug use.

Findings May Help in Preventing and Recognizing Drug Abuse by Doctors

The rate of drug misuse by doctors is similar to that in the general population. However, because they have access, physicians seem more likely to use prescription drugs. Substance use is the most common cause of impairment among physicians. Their professional colleagues are required to refer or report them when substance abuse is suspected.

Physician health programs provide referrals for long-term treatment, monitoring, and drug screening, with a high success rate in achieving long-term freedom from substance abuse. Asking physicians in recovery about their experience provides a unique opportunity to understand the reasons for substance abuse by .

The findings highlight the importance of self-medication as a reason for prescription drug abuse by doctors, although recreational use is important as well. The study "provides additional evidence that health care professionals who misuse may represent a special population of substance users, who may use substances for various reasons and may require different methods of prevention and intervention to be most effective," Dr Merlo and coauthors write.

The researchers suggest that prevention efforts targeting prescription drug misuse by physicians should start during medical training, with required continuing education throughout their careers. Education should include strong messages to that they must seek qualified medical care for pain or other medical problems, as well as for psychiatric or emotional concerns—rather than trying to treat themselves. Dr Merlo and colleagues add, "All physicians should learn the signs of and the procedure for intervening with a colleague suspected of substance-related impairment."

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

WHO: Millions of Ebola vaccine doses ready in 2015

Oct 24, 2014

The World Health Organization says millions of doses of two experimental Ebola vaccines could be ready for use in 2015 and five more experimental vaccines will start being tested in March.

Added benefit of vedolizumab is not proven

Oct 23, 2014

Vedolizumab (trade name Entyvio) has been approved since May 2014 for patients with moderately to severely active Crohn disease or ulcerative colitis. In an early benefit assessment pursuant to the Act on the Reform of the ...

Seaweed menace may yield new medicines

Oct 22, 2014

An invasive seaweed clogging up British coasts could be a blessing in disguise. University of Greenwich scientists have won a cash award to turn it into valuable compounds which can lead to new, life-saving drugs.

User comments