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Related Experiment Videos

Client variables associated with selection and outcome in a methadone tapering program

C T Capone1, E L Haggerty, K Acer

  • 1Nassau County Department of Drug and Alcohol Addiction, East Meadow, New York 11554.

The International Journal of the Addictions
|February 1, 1994
PubMed
Summary

This study found no predictors for methadone tapering success. Patients offered tapering had less heroin use history and fewer Black individuals than the general methadone maintenance population.

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Area of Science:

  • Addiction Medicine
  • Pharmacology
  • Public Health

Background:

  • Methadone maintenance is a cornerstone treatment for opioid use disorder.
  • Methadone tapering aims to gradually reduce or eliminate methadone dosage.
  • Predictors of successful methadone tapering remain incompletely understood.

Purpose of the Study:

  • To investigate indicators of success in a methadone tapering program.
  • To identify patient characteristics associated with successful methadone discontinuation.
  • To compare patients undergoing tapering with the general methadone maintenance population.

Main Methods:

  • Archival data from 36 patients in a methadone tapering program were analyzed.
  • Patient variables were assessed to differentiate successful from unsuccessful taperers.

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  • Demographic and clinical data were compared between tapering and general populations.

    • Main Results:

    • No studied variables differentiated successful from unsuccessful methadone taperers.
    • Patients offered tapering had significantly fewer years of heroin use prior to methadone maintenance.
    • The proportion of Black patients attempting to taper was significantly lower than in the general population.

    Conclusions:

    • Current indicators do not predict success in methadone tapering.
    • Patient selection or access to tapering programs may be influenced by duration of heroin use and race.
    • Further research is needed to understand disparities in methadone tapering participation and outcomes.