In a 2015 case study published in the Substance Abuse journal, researchers reported on the “Intravenous Abuse of Tropicamide in Opioid Use Disorder: Presentation of 2 Cases,” describing it as a “new phenomenon” then. “We also encourage them to be diligent and check all pharmaceutical orders to ensure they are legitimate. SCOPA also encourages pharmaceutical companies to examine additional safeguards they can institute to verify who they are selling to.” Tropicamide misuse Pack’s identity was stolen, and his signature forged and used in such a manner. Licensed doctors of optometry should be aware of this issue, and we urge them to monitor any pharmaceuticals that are stored in their examination lanes and recommend that materials, such as dilation drops, be secured. Says Jackie Rivers, SCOPA executive director: “SCOPA was alarmed to learn that Dr. He also reached out to local authorities. Pack was concerned enough to alert the SCOPA, which alerted the state’s Board of Examiners in Optometry. She indicated that sometimes drug abusers will mix it with opioids and inject it intravenously. “I did ask why would someone try to get tropicamide illegally. Pack, former South Carolina Optometric Physicians Association (SCOPA) president. He also didn’t know anyone at the shipping address. Pack, who is semi-retired, did not recognize the name on the prescription or remember ordering the drops. In August, Alva Pack, O.D., was contacted by a wholesale pharmaceutical company in order to verify whether he had written a prescription for the commonly used dilation drops, tropicamide. In the end, a forgery of a prescription of a South Carolina doctor of optometry was averted.
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