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Restabilization with methadone after methadyl acetate maintenance

W Ling, M Blakis, E D Holmes

    Archives of General Psychiatry
    |February 1, 1980
    PubMed
    Summary
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    Patients switched from methadyl acetate to methadone can be stabilized. Adjusting methadone doses impacts illicit heroin use, suggesting a covert abstinence syndrome in long-term treatment.

    Area of Science:

    • Addiction Medicine
    • Pharmacology

    Background:

    • Opioid maintenance therapy is crucial for heroin addiction treatment.
    • Methadyl acetate and methadone hydrochloride are commonly used medications.

    Purpose of the Study:

    • To assess the transition of heroin addicts from methadyl acetate to methadone.
    • To evaluate the impact of methadone dosage adjustments on illicit drug use and patient comfort.

    Main Methods:

    • A double-blind study involving 68 heroin addicts over 40 weeks.
    • Patients were transferred to a uniform 60 mg daily methadone dose and observed for six weeks.
    • Methadone doses were adjusted based on clinical needs, monitoring for discomfort and illicit drug use.

    Main Results:

    Related Experiment Videos

  • Patients maintained on methadyl acetate were successfully restabilized on methadone.
  • Sudden methadone dose decreases correlated with increased illicit heroin use.
  • Increased methadone doses led to a reduction in illicit drug consumption.
  • Conclusions:

    • Methadone is effective for restabilizing patients previously on methadyl acetate.
    • Dosage titration is critical in managing illicit drug use during methadone maintenance.
    • A potential chronic covert abstinence syndrome may influence continued illicit drug use in long-term therapy.