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Related Experiment Videos

Adjunctive drug use by methadone patients.

E C Senay, W H Harvey, J N Oss

    The American Journal of Drug and Alcohol Abuse
    |January 1, 1977
    PubMed
    Summary

    Drug treatment clinics initially assumed high use of minor tranquilizers and sedative-hypnotics. However, urine screening revealed lower-than-expected incidence, except for opiates and alcohol, prompting policy reevaluation.

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    Area of Science:

    • Addiction Medicine
    • Pharmacology
    • Public Health Policy

    Background:

    • Clinical observations and media reports suggested widespread use of minor tranquilizers and sedative-hypnotics among patients in drug treatment programs.
    • This perception prompted consideration of policy changes regarding the regulation of these substances within clinics.

    Purpose of the Study:

    • To investigate the actual incidence of minor tranquilizer and sedative-hypnotic use among patients in drug treatment programs.
    • To assess the validity of assumptions held by methadone program physicians regarding adjunctive drug use.

    Main Methods:

    • A national survey of randomly selected methadone program physicians was conducted.
    • A pilot urine screening program was implemented to detect the presence of adjunctive drugs.

    Main Results:

    • Physicians' assumptions regarding the extensive use of minor tranquilizers and sedative-hypnotics were largely confirmed by their survey responses.
    • Pilot urine screening indicated that the incidence of these drugs was lower than anticipated, with notable exceptions for opiates and alcohol.

    Conclusions:

    • The findings suggest a need to reconsider planned policy alterations concerning the regulation of minor tranquilizers and sedative-hypnotics.
    • A comprehensive national research program involving serum and/or urine analysis is recommended for evidence-based policy making.

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