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Updated: Aug 26, 2025

A General Method for Evaluating Deep Brain Stimulation Effects on Intravenous Methamphetamine Self-Administration
Published on: January 22, 2016
Discussion on methadone initiation protocols: A case report
Matthieu Delaye1, Sophie Laurent2, Mélanie Try3
1Pain Management Unit, Gustave Roussy Institute, Villejuif, France. ORCID: https://orcid.org/0000-0002-2435-4757.
Abstract:
Through a concrete case, we discuss the main published protocols to initiate methadone and illustrate the advantages and disadvantages of rapid or gradual initiation and on-demand or fixed doses with rescue doses. Daily doses can vary widely depending on the protocol chosen. An on-demand administration could lead to an overdose as illustrated in our case. A better understanding of particularities and limitations of these protocols could lead to safer methadone initiation. Systematic comparison of different protocols and calculation of the daily dose should be a standard in clinical practice.
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