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Related Concept Videos

Drug Dependence01:17

Drug Dependence

Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
Desensitization and Tachyphylaxis01:20

Desensitization and Tachyphylaxis

Tachyphylaxis is described as a rapid decrease in response to a drug after repeated or continuous administration of the same drug dose. It is a phenomenon where the body becomes less responsive to a particular substance or intervention over time, requiring higher doses or stronger interventions to achieve the same effect. It results from adaptive changes in the body's receptors, signaling pathways, or physiological processes that occur in response to prolonged exposure to a stimulus.
Several...
Drug Abuse and Addiction: Pharmacological Phenomena01:15

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Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not necessarily...
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Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Therapeutic Drug Monitoring: Affecting Factors01:29

Therapeutic Drug Monitoring: Affecting Factors

Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.
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Therapeutic Drug Monitoring: Drug Analysis Methods

Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood or body tissues to tailor drug therapy effectively. This monitoring is critical for managing drugs with narrow therapeutic indices like digoxin and phenytoin, ensuring they are both safe and effective. For instance, monitoring theophylline levels in asthma patients involves precision and sensitivity to adjust doses according to individual responses to therapy, ensuring efficacy and...

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Related Experiment Video

Updated: Jul 27, 2026

A Procedure to Study the Effect of Prolonged Food Restriction on Heroin Seeking in Abstinent Rats
10:35

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Published on: November 11, 2013

Withdrawal from methadone maintenance. Impact of a tapering network support program.

J L Sorensen1, M Trier, S Brummett

  • 1University of California, San Francisco.

Journal of Substance Abuse Treatment
|January 1, 1992
PubMed
Summary

Providing enhanced tapering and aftercare support did not significantly improve outcomes for individuals withdrawing from methadone treatment for heroin addiction. Further improvements in methadone maintenance treatment are needed for successful withdrawal.

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Area of Science:

  • Addiction Medicine
  • Pharmacology
  • Clinical Psychology

Background:

  • Methadone maintenance treatment is a cornerstone for managing heroin addiction.
  • Successful withdrawal from methadone is a critical goal for many patients.
  • Existing tapering protocols may require enhancement to support sustained abstinence.

Purpose of the Study:

  • To evaluate the effectiveness of an enriched tapering and aftercare program compared to standard care for methadone-dependent individuals seeking withdrawal.
  • To identify factors influencing successful methadone tapering and cessation.

Main Methods:

  • A randomized controlled trial involving 114 participants across six outpatient methadone clinics.
  • Participants motivated for methadone withdrawal were assigned to either an enriched program (tapering, aftercare) or a control group (written materials).
  • Outcomes measured included reaching 0 mg of methadone and dose reduction during the study period.

Main Results:

  • No statistically significant difference was observed between the enriched program and control groups in achieving 0 mg methadone or reducing their dosage.
  • Participant motivation and predictive criteria for success did not correlate with differential outcomes between the groups.

Conclusions:

  • The current enriched tapering and aftercare model did not yield superior results compared to standard written materials for methadone withdrawal.
  • Enhancing the quality of methadone maintenance treatment is crucial for improving the success rates of patient withdrawal.
  • Further research is needed to develop more effective interventions for opioid use disorder treatment and cessation.