ISSN: 2329-6488
Kaarlo Simojoki
Finland
Research Article
Driving, Opioid-maintenance, and Co-medications: A Comprehensive Assessment of 22 Cases
Author(s): Pekka Rapeli, Pekka Kuikka, Hanna Sillanpää, Carola Fabritius, Kaarlo Simojoki, Hely Kalska, Pirjo Lillsunde and Hannu AlhoPekka Rapeli, Pekka Kuikka, Hanna Sillanpää, Carola Fabritius, Kaarlo Simojoki, Hely Kalska, Pirjo Lillsunde and Hannu Alho
Introduction: Patients in stable Opioid Maintenance Treatment (OMT) for opioid-dependence are, as a rule, considered fit to drive a car. Polypharmacotherapy, however, is common in opioid-dependent patients, and its association with driving fitness is not well known. Therefore, we examined driving fitness of 22 OMT patients of whom the majority were multidrug-treated patients.
Material and methods: The assessment included a standard on-road driving test, clinical neurological examination, and cognitive driving-related tests. The OMT patients were grouped on the basis of their psychoactive medications into two groups. The first group was considered to have a low probability for drug-related driving impairment (n=10). This group included patients treated with opioid agonist alone or along with the second generation antidepressant or lithium. The .. View More»
DOI:
10.4172/2329-6488.1000113