Epidemiology of Pain Among Outpatients in Methadone Maintenance Treatment Programs.
Epidemiology of pain among outpatients in methadone maintenance treatment programs.
Filed under: Methadone Clinics
Drug Alcohol Depend. 2012 Aug 27;
Dhingra L, Masson C, Perlman DC, Seewald RM, Katz J, McKnight C, Homel P, Wald E, Jordan AE, Young C, Portenoy RK
BACKGROUND: This analysis explored the prevalence and correlates of pain in patients enrolled in methadone maintenance treatment (MMT). METHODS: Patients in two MMT programs starting a hepatitis care coordination randomized controlled trial completed the Brief Pain Inventory Short-Form and other questionnaires. Associations between clinically significant pain (average daily pain?5 or mean pain interference?5 during the past week) and sociodemographic data, medical status, depressive symptoms, and health-related quality of life, and current substance use were evaluated in multivariate analyses. RESULTS: The 489 patients included 31.8% women; 30.3% Hispanics, 29.4% non-Hispanic Blacks, and 36.0% non-Hispanic Whites; 60.1% had hepatitis C, 10.6% had HIV, and 46.8% had moderate or severe depressive symptomatology. Mean methadone dose was 95.7mg (SD 48.9) and urine drug screening (UDS) was positive for opiates, cocaine, and amphetamines in 32.9%, 40.1%, and 2.9%, respectively. Overall, 237 (48.5%) reported clinically significant pain. Pain treatments included prescribed opioids (38.8%) and non-opioids (48.9%), and self-management approaches (60.8%), including prayer (33.8%), vitamins (29.5%), and distraction (12.7%). Pain was associated with higher methadone dose, more medical comorbidities, prescribed opioid therapy, and more severe depressive symptomatology; it was not associated with UDS or self-reported substance use. CONCLUSIONS: Clinically significant pain was reported by almost half of the patients in MMT programs and was associated with medical and psychological comorbidity. Pain was often treated with opioids and was not associated with measures of drug use. Studies are needed to further clarify these associations and determine their importance for pain treatment strategies.
Source
MYLES LITTLE: ” A HEAVY PRICE TO PAY” A SONG I WROTE ABOUT METHADONE. – this is a song i just wrote about the lethal drug, METHADONE AND HOW IT CAN KILL YOU DEAD! Myles Little © 2012 Home Page: safetyincounsel.com Store: www.reverbnation.com
Documents reveal concerns about methadone clinic closure
Filed under: Methadone Clinics
Health officials come under pressure to ensure patients requiring Methadone — a drug used to treat addictions — would not have their treatment interrupted due to the temporary closure of Downtown Pharmacy in St. John's. Check out this special report …
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Pinnacle Centers acquires Recovery Works
Filed under: Methadone Clinics
The company is looking to expand into additional states in the coming months and plans to open three additional methadone clinics this year. Pinnacle plans to enhance the existing Recovery Works facility and double the current bed count to 32 from 16 …
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