Opioïdafhankelijke patiënt met twee voorschrijvers

Translated title of the contribution: Opioid dependent patient with two prescribers

Martine Kruijtbosch, Elsemiek Jansen-Groot Koerkamp, Ghislaine van Thiel, Mattijs Numans, Mette Heringa, Marcel Bouvy

Research output: Contribution to journalArticleAcademicpeer-review


Opioid use has risen again in the past year, partly due to overtaken operations. Some of the patients undergoing surgery already chronically use opioids. A fentanyl dependent patient enters the pharmacy with a oxycodone prescription from the orthopedist. The pharmacist doubts whether the orthopedist has the intention to continue the fentanyl use. The patient does not want the pharmacist to contact the orthopedist or the general practitioner who prescribes the fentanyl. The pharmacist experiences a dilemma with multiple handling options and reflects on them based on the professional values that are under pressure. What is the right action to take? A general practitioner and a medical ethicist reflect on the dilemma. The pharmacist experiences daily dilemmas regarding multiple prescribers for one patient. Prescribers can enhance medication safety by indicating on the prescription that they are aware of current treatments and whether a new medicine is a replacement or an addition to the therapy.

Translated title of the contributionOpioid dependent patient with two prescribers
Original languageDutch
Article numberD7354
JournalNederlands Tijdschrift voor Geneeskunde
Publication statusPublished - 24 Jul 2023


  • Humans
  • Analgesics, Opioid/therapeutic use
  • Oxycodone/therapeutic use
  • Fentanyl/adverse effects
  • Opioid-Related Disorders
  • General Practitioners
  • Practice Patterns, Physicians'


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