Buprenorphine Versus Methadone Use in Opiate Detoxification, Are There Other Factors That Should Be Considered?
Buprenorphine versus methadone use in opiate detoxification, are there other factors that should be considered?
Filed under: Methadone Clinics
Br J Gen Pract. 2012 Feb; 62(595): 68-9
Bhupal HK
Pilot trial of a recovery management intervention for heroin addicts released from compulsory rehabilitation in China.
Filed under: Methadone Clinics
J Subst Abuse Treat. 2012 Apr 18;
Hser YI, Fu L, Wu F, Du J, Zhao M
China faces the challenge of dual epidemics of drug use and HIV/AIDS. Despite the high relapse rate among heroin addicts released from compulsory rehabilitation facilities, there are few programs available in China to assist these addicts in the community. We pilot-tested in China a Recovery Management Intervention (RMI) program designed to facilitate early detection of relapse and prompt linkage from compulsory rehabilitation to the community and, if participants relapse, to community-based methadone maintenance treatment (MMT) programs. One hundred heroin addicts were randomly assigned to either the Standard Care group (n=50) or the RMI group (n=50). At the end of the 3-month trial, participants in the RMI group, relative to the standard care group, demonstrated positive outcomes in recidivism due to relapse (0 vs. 6%, p=.08; d=0.354), MMT participation (8% vs. 0, p=0.06; d=0.417), and employment (33% vs. 2%, p<.001; d=0.876), although no difference was found in urine testing results (8.5% vs. 8.7%; d=0.013) among interviewed participants. These pilot study results were based on a small sample size and short-term observation, suggesting the need for more research to further improve and test RMI effectiveness with larger samples over a longer period of time in order to provide evidence in support of RMI as an effective strategy for community reintegration among addicts released from rehabilitation facilities in China. Source
[Methadone substitution treatment for heroin addiction: a program assessment in Colombia].
Filed under: Methadone Clinics
Adicciones. 2012; 24(1): 69-75
Zapata MA, Giraldo LF
Assessment of a methadone substitution and maintenance treatment program in Colombia using the OTI (Opiate Treatment Index) instrument. Descriptive study with a 50-patient sample attended in the period 2007- 2008 for their heroin addiction. The OTI instrument was implemented to assess drug use, HIV risk-taking behavior, social functioning, criminality, health status and psychological functioning. Men accounted for 74% of the sample, women for 26%. Mean age was 22, with 64% in the 20-24 age group. Mean reported age at onset of heroin use was 18, with a range of 13-28. In 38% of the sample (19 patients) comorbidity with other mental disorders was found, 47% of these being personality disorders. Median reported current methadone dose was 40 mg/day, with a range of 15-80 mg/day. According to the OTI subscales, HIV risk-taking behavior was low-moderate, while social functioning, criminality and health status were low-risk. In the case of psychological adjustment, a low-moderate risk score was obtained for the 0-12 month treatment group, and a moderate risk score for the 12-24 and ≥ 24 month groups. Starting age for heroin use in this population is early . In general, the risk assessed in the OTI areas is low, possibly due to problematic heroin use being in its early stages in Colombia, but comorbidity with personality disorders is high.
Source
Management of Severe Neuropathic Cancer Pain: An Illustrative Case and Review.
Filed under: Methadone Clinics
Am J Hosp Palliat Care. 2012 Apr 19;
Connolly I, Zaleon C, Montagnini M
Neuropathic cancer pain is common, very disabling and difficult to treat. It can be related to tumor invasion of neural structures and neuronal damage by surgery, chemotherapy and radiation therapy. Adjuvant analgesics are often used with opioids to control neuropathic pain in cancer patients. Methadone, a synthetic opioid with multiple mechanisms of action, is gaining increasing importance as an effective agent in the treatment of cancer related neuropathic pain. This case illustrates the challenges of managing severe pain in a patient with head and neck cancer while undergoing anti-tumor treatment. A review of the adjuvant analgesics and opioids, particularly methadone, in the management of neuropathic pain is also included.
Source
Drug treatment gets tighter rules
Filed under: Methadone Clinics
… A regulation passed Wednesday will require drug treatment centers, halfway houses and marijuana dispensaries to seek a new layer of Planning and Zoning approval, though the commission insisted passage is not connected to a planned methadone clinic.
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Torrington Residents Sign Petition Against Methadone Clinic
Filed under: Methadone Clinics
City officials and residents are hoping to block any plan for a methadone clinic on Kennedy Drive. Although no formal proposal for such a service has been made, a petition with the signatures of 53 residents opposing a methadone clinic at 241 Kennedy …
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