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Methadone dispensing by community pharmacies.

C L Bowden, J F Maddux, M Esquivel

    The American Journal of Drug and Alcohol Abuse
    |January 1, 1976
    PubMed
    Summary
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    Community pharmacies can safely dispense methadone for addiction treatment. One-year follow-up shows comparable outcomes to traditional programs, with arrest records impacting employment and treatment continuation.

    Area of Science:

    • Addiction Medicine
    • Pharmacology
    • Public Health

    Background:

    • Traditional methadone maintenance programs often involve centralized dispensaries.
    • Exploring alternative dispensing models is crucial for expanding treatment access.

    Purpose of the Study:

    • To evaluate the feasibility and outcomes of dispensing methadone at community pharmacies.
    • To compare community pharmacy dispensing with traditional program dispensaries.

    Main Methods:

    • A 1-year follow-up study involving 96 patients receiving methadone at community pharmacies.
    • Analysis of patient outcomes, security measures, and factors associated with treatment success.
    • Utilizing official police data to assess the impact of arrest records.

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    Main Results:

    • Patient outcomes were comparable to those in traditional methadone programs.
    • No significant security issues were reported with community pharmacy dispensing.
    • Patients could initiate methadone maintenance at pharmacies without prior stabilization.
    • Pre-treatment and during-treatment arrest records were significantly linked to employment and treatment retention.

    Conclusions:

    • Community pharmacy dispensing of methadone is a viable and effective alternative to traditional models.
    • This model can improve access to methadone maintenance treatment.
    • Arrest records are a critical factor influencing patient success in methadone treatment programs.