Posts Tagged ‘Methadone maintenance’

Rise in foreign drug suspects – Global Times

Rise in foreign drug suspects Global Times The city's anti-drug push includes mobilizing 24,000 volunteers and 1,000 social workers in over 300 communities and townships. Ten methadone treatment centers have been set up in the city, with 3,400 drug users going through detox. E-mail · Print.

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Province sidesteps local methadone clinic controversy – Waterloo Record

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Province sidesteps local methadone clinic controversy Waterloo Record KITCHENER — Ontario says it's not involved in locating a new addiction clinic just one block from an existing drug clinic that drew public complaints. "The ministry does not have any role in where a methadone clinic locates and is not obligated to … Kitchener city councillor objects to concentration of methadone clinics570 News all 3 news articles »

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Categorising methadone: Addiction and analgesia.

Int J Drug Policy. 2013 Jun 11;
Keane H

While methadone was first developed as an analgesic, and used for this purpose before it was adopted as a therapy for drug dependence, it is this latter use which has saturated its identity. Most of the literature and commentary on methadone discusses it in the context of methadone maintenance therapy (MMT). But one of the effects of the liberalization of opiate prescription for chronic pain which took place in the 1990s was the re-emergence of methadone as a painkiller. This article examines the relationship between methadone the painkiller and methadone the addiction treatment as it is constituted in recent medical research literature and treatment guidelines. It highlights the way medical discourse separates methadone into two substances with different effects depending on the problem that is being treated. Central to this separation is the classification of patients into addicts and non-addicts; and pain sufferers and non-pain sufferers. The article argues that despite this work of making and maintaining distinctions, the similarities in the way methadone is used and acts in these different medical contexts complicates these categories. The difficulties of keeping the ‘two methadones’ separate becomes most apparent in cases of MMT patients also being treated for chronic pain.
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Methadone maintenance treatment and cognitive function: A systematic review.

Curr Drug Abuse Rev. 2013 Jun 14;
Wang GY, Wouldes TA, Russell BB

Methadone has been used as a pharmacotherapy for the treatment of opiate dependence since the mid-1960s. Many studies examining the benefits of methadone maintenance treatment (MMT) for opiate dependence have documented a significant reduction in both criminal behavior and the use of other opiates. Nevertheless, emerging evidence suggests that MMT may impair cognitive function. However, it is unclear as to the part methadone dose, duration of MMT or plasma level may play in any observed deficits. Given the large number of people enrolled in MMT world-wide and the potential for deficits in cognitive function, a systematic review of the research investigating the association between MMT and cognitive function seemed warranted. The following databases were searched with a combination of free-text and thesaurus terms (methadone AND cognition): MEDLINE In-Process, EMBASE, PsycINFO and EBM Reviews-Cochrane Central Register of Controlled Trials. Seventy-eight articles were retrieved of which 35 met the inclusion criteria. The majority of research suggests that MMT is associated with impaired cognitive function and that deficits extended across a range of domains. However, caution is required when interpreting these results due to the methodological limitations associated with many studies. Further research that includes a combination of psychological and physiological measures within well-controlled group comparison studies is required to more accurately assess which cognitive domains are affected.
HubMed – Methadone

Buprenorphine Use in Pregnant Opioid Users: A Critical Review.

CNS Drugs. 2013 Jun 18;
Soyka M

Pregnancy in opioid users poses a number of problems to treating physicians. Most guidelines recommend maintenance treatment to manage opioid addiction in pregnancy, with methadone being the gold standard. More recently, buprenorphine has been discussed as an alternate medication. The use and efficacy of buprenorphine in pregnancy is still controversial. This article reviews the current database on the basis of a detailed and critical literature search performed in MEDLINE (206 counts). Most of the relevant studies (randomised clinical trials and one national cohort sample) were published in the last 2 years and mainly compared buprenorphine with methadone. Some studies are related to maternal outcomes, others to foetal, neonatal or older child outcomes. With respect to maternal outcomes, most studies suggest that buprenorphine has similar effects to methadone. Very few data from small studies discuss an effect of buprenorphine on neurodevelopment of the foetus. Neonatal abstinence syndrome is common in infants of both buprenorphine- and methadone-maintained mothers. As regards neonatal outcomes, buprenorphine has the same clinical outcome as methadone, although some newer studies suggest that it causes fewer withdrawal symptoms. Since hardly any studies have investigated the combination of buprenorphine with naloxone (which has been suggested to possibly have teratogenic effects) in pregnant women, a switch to buprenorphine monotherapy is recommended in women who become pregnant while receiving the combination product. These novel findings indicate that buprenorphine is emerging as a first-line treatment for pregnant opioid users.
HubMed – Methadone

New methadone clinic coming to Kitchener this summer – CBC.ca

New methadone clinic coming to Kitchener this summer CBC.ca A new drug addiction treatment clinic is set to arrive near downtown Kitchener. The new clinic will open at 1145 King Street East near Ottawa Street in early August, said Peter Earle, the vice-president of outreach and development at Towards Recovery …

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