TY - JOUR
T1 - Intranasal abuse of prescription hydrocodone/acetaminophen results in oronasal fistula
T2 - A case report
AU - Sloan, Paul A.
AU - Klimkina, Oksana
PY - 2009
Y1 - 2009
N2 - Opioids are becoming more common in the treatment of chronic nonmalignant pain. With increased availability of opioids for chronic pain we may expect an increased misuse of these as analgesics as well. The authors describe the case report of a young woman with chronic back pain and intranasal abuse of prescribed hydrocodone/acetaminophen who was diagnosed after presenting for hypernasal speech and foreign body in the nose. This case report highlights the need for vigilance on the part of the physician for any aberrant drug-related behaviors. Any unusual symptoms or signs such as hypernasal speech, chronic nasal infection, or unexplained foreign body sensation in the nose should be thoroughly investigated.
AB - Opioids are becoming more common in the treatment of chronic nonmalignant pain. With increased availability of opioids for chronic pain we may expect an increased misuse of these as analgesics as well. The authors describe the case report of a young woman with chronic back pain and intranasal abuse of prescribed hydrocodone/acetaminophen who was diagnosed after presenting for hypernasal speech and foreign body in the nose. This case report highlights the need for vigilance on the part of the physician for any aberrant drug-related behaviors. Any unusual symptoms or signs such as hypernasal speech, chronic nasal infection, or unexplained foreign body sensation in the nose should be thoroughly investigated.
KW - Drug abuse
KW - Hydrocodone
KW - Intranasal opioid use
UR - http://www.scopus.com/inward/record.url?scp=75649100579&partnerID=8YFLogxK
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U2 - 10.5055/jom.2009.0039
DO - 10.5055/jom.2009.0039
M3 - Article
C2 - 20073413
AN - SCOPUS:75649100579
SN - 1551-7489
VL - 5
SP - 383
EP - 385
JO - Journal of Opioid Management
JF - Journal of Opioid Management
IS - 6
ER -