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Expert Nonsense
I came across an odd quote in an article on patients with illnesses that mean they will have to be maintained on opioids indefinitely. No surprise there; I’ve met a few myself. But the article quotes...
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Methadone Maintenance and Crime
I’ve always assumed that one of the harm reduction benefits of opioid maintenance was a corresponding reduction in criminal behavior. Now I understand that may not be true. When methadone maintenance...
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Suboxone and Overdose
I’ve been asked about this several different times now, so it might be worth a comment. The question: Suppose someone who was on Suboxone maintenance decided to go ahead and inject heroin. Would the...
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Maintenance Dilemma
The challenge with OTP (Opioid Treatment Programs) and some of the other MRTs (medication replacement therapies) is what I’ve come to call ‘maintenance mentality’. It’s a mindset that people adopt,...
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Is MAT Enough?
I’ve noticed a push from some quarters to add therapeutic programming to Medication Assisted Treatment (MAT), particularly Opioid Treatment. That might be a really good idea. It’s always seemed to me...
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In the News: Disasters and Opioid Treatment
Here’s a very intelligent look at what can happen to a maintenance client when disaster strikes and access to methadone is cut off. It includes the author’s own experience during a historic flood, as...
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Methadone Maintenance Plus
I was pleased to hear that the folks at IRETA— the Institute for Research, Education and Training in Addictions– have taken on a project I find of particular interest: The value and viability of...
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Naltrexone versus Opioids
In clinical trials, medications show promise for treating heroin addiction The above-linked article discusses the results of a clinical medication trial that compared the effectiveness of extended...
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The Business of Cures
Goldman Sachs asks in biotech research report: ‘Is curing patients a sustainable business model?’ I was wondering why this question hadn’t come up before, given recent breakthroughs in medical science:...
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In the News: Opioid Windfall
The Politico website provides us with this fascinating status report on the future of opioid treatment. The Federal government is considering an infusion of cash, as much as $6 billion. As you might...
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