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STUDY 2001 PDF file 188Kb
Outcomes from GP methadone maintenance in Britain match those from specialist clinics
Findings from Liverpool make a valuable addition to a limited UK evidence base confirming that outcomes from addiction treatment by well-supported GPs are at least as good as those achieved by specialist clinics.
STUDY 2004 PDF file 159Kb
Methadone maintenance as low-cost lifesaver
US studies find that even when slow methadone detoxification is bolstered by psychosocial therapy and aftercare, methadone maintenance does better at prolonging the lives of opiate-dependent patients at relatively little extra cost.
Limited access to opiate substitute prescribing in Norway opened a window on its powerful lifesaving potential, a view obscured in countries where barriers create a confounding selection effect or where everyone who needs and wants this treatment can quickly get it.
STUDY 2006 PDF file 114Kb
Low threshold methadone extends life expectancy in Barcelona
Largely due to the expansion of low threshold oral methadone maintenance programmes, in the '90s the life expectancy of heroin users entering treatment in Barcelona increased by 21 years. Protecting against overdose was the main way methadone saved lives.
This British study concluded that it takes extended opiate substitute prescribing to realise the treatment's life-saving potential. The implication is that the current push to get people off methadone sooner could cost lives.
NOTES 2010 PDF file 239Kb
Preventing unauthorised use of medications prescribed for the treatment of opiate addiction
Detailed and fully referenced notes on preventing the diversion of maintenance medications like methadone on to the illicit market, with an emphasis on the pros and cons of supervised consumption.
Unequivocal backing from UN agencies for methadone and other forms of long term maintenance treatments as the prime modality for the treatment of dependence on heroin and allied drugs. In contrast say the experts, detoxification results in poor long term outcomes.
Survey responses from clinicians prescribing methadone at Scottish addiction treatment clinics show how the requirement that patients be observed taking the medication involves striking a balance between safety, individualising treatment, and attracting and retaining patients.
DOCUMENT 2012 HTM file
Medications in recovery: re-orientating drug dependence treatment
On behalf of the UK government an expert group has developed and documented a clinical consensus on how prescribing-based treatment for heroin addiction can be made more recovery-oriented in line with national strategy. Their report will be the main reference point in tussles over what recovery means for methadone services and patients.
REVIEW 2011 HTM file
Substitution treatment of injecting opioid users for prevention of HIV infection
Updated review conducted for the respected Cochrane collaboration finds that methadone maintenance and allied treatments for opioid dependence consistently and significantly reduce the risk of transmission of blood-borne viruses and curb the spread of HIV.
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