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Federal Regulation of Methadone Treatment

Author: Committee on Federal Regulation of Methadone Treatment

Publisher: National Academies Press

Published: 1995-02-01

Total Pages: 251

ISBN-13: 0309598621

For nearly three decades, methadone hydrochloride has been the primary means of treating opiate addiction. Today, about 115,000 people receive such treatment, and thousands more have benefited from it in the past. Even though methadone's effectiveness has been well established, its use remains controversial, a fact reflected by the extensive regulation of its manufacturing, labeling, distribution, and use. The Food and Drug Administration regulates the safety and effectiveness of methadone, as it does for all drugs, and the Drug Enforcement Administration regulates it as a controlled substance. However, methadone is also subjected to a unique additional tier of regulation that prescribes how and under what circumstances it may be used to treat opiate addiction. Federal Regulation of Methadone Treatment examines current Department of Health and Human Services standards for narcotic addiction treatment and the regulation of methadone treatment programs pursuant to those standards. The book includes an evaluation of the effect of federal regulations on the provision of methadone treatment services and an exploration of options for modifying the regulations to allow optimal clinical practice. The volume also includes an assessment of alternatives to the existing regulations.

Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence

Author: World Health Organization. Department of Mental Health and Substance Abuse

Publisher: World Health Organization

Published: 2009

Total Pages: 133

ISBN-13: 9241547545

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"These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv

Methadone

Author: Rebecca Janes Lmhc Ladc

Publisher: Outskirts Press

Published: 2010-10-20

Total Pages: 130

ISBN-13: 1432750747

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Arent they just getting high at taxpayers expense? Does it really ?Çÿeat your bones? Do they have to stay on that stuff forever? I thought Suboxone meant we wouldnt need methadone anymore. Learn the truth behind the Zombie effect Methadone is one tool in our fight against opiate dependency. As with any tool, it can be used, or it can be abused. We need every tool that we can get. Methadone is not the liquid handcuffs - the addiction is the handcuffs. Methadone can be the key to freedom from those handcuffs if it is used effectively. Addiction cant be contained by jail, and it wont be ignored. It will continue to pull down our culture until we acknowledge its power, and grapple with it in effective and realistic ways.

Handbook of Methadone Prescribing and Buprenorphine Therapy

Author: Ricardo A. Cruciani

Publisher: Springer Science & Business Media

Published: 2014-07-08

Total Pages: 308

ISBN-13: 1461469740

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Methadone and buprenorphine are the only two opioids that are indicated for the management of both pain and opioid-related drug addiction. Both present unique challenges to the general practitioner and pain specialist, requiring a separate analysis from the rest of the drugs in the same family. Handbook of Methadone Prescribing and Buprenorphine Therapy is an invaluable guide to the safe use of these opioids. Authored by clinical and academic leaders from a variety of settings and backgrounds, this book includes chapters on pharmacology, adverse effects, safe rotation from other opioids, cardiac toxicity, prescribing, pharmacokinetics, equianalgesic dose and replacement therapy. This comprehensive text provides clinicians, researchers, policy-makers and academicians a resource for all the relevant points in methadone prescribing and buprenorphine therapy.

Medications for Opioid Use Disorder Save Lives

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2019-06-16

Total Pages: 175

ISBN-13: 0309486483

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The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

The Effectiveness of Methadone Maintenance Treatment

Author: John C. Ball

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 386

ISBN-13: 1461390893

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Legislators, journalists and concerned citizens in general, when consider ing what to do about the plague of heroin addiction in large cities, ask an obvious question: "Is methadone treatment effective?" This question is a critical one since maintenance with methadone is at present the only prac tical alternative to leaving tens of thousands (in New York City, hundreds of thousands) of untreated addicts on the streets. Other treatments, although effective for limited groups, could not conceivably be expanded to stop heroin use in as much as 10% of the addicted population. The present study, sponsored by the National Institute on Drug Abuse, was undertaken to provide an authoritative answer to this question. Under the direction of a distinguished expert, the evaluation team made an inten sive examination of techniques and outcomes in six different methadone programs located in New York, Philadelphia, and Baltimore, and followed this by two yhears of data analysis and literature review. The present re port is the product of this work. The primary conclusion-namely that methadone treatment is substan tially effective in reducing heroin use and associated criminal behavior-is consistent with the findings of several previous independent evaluations.

Substance and Substitution

Author: S. Fraser

Publisher: Springer

Published: 2008-03-27

Total Pages: 203

ISBN-13: 0230582567

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Located between three powerful phenomena, public health, the law and social stigma, methadone maintenance treatment attracts loyal advocates, vociferous critics and innumerable engaged onlookers. This book aims to examine the controversial approach to addiction, providing in the process a unique approach to literature on illicit drugs

Opioid Agonist Maintenance Treatment

Author: Pearl Isaac

Publisher:

Published: 2015-05

Total Pages:

ISBN-13: 9781771142434

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"This book provides pharmacists with an overview of pharmacological therapies for opioid use disorders and information about related issues pertaining to pharmacy practice. Its main focus is to provide information on evidence-based treatment of opioid dependence using opioid agonists--methadone and buprenorphine--while acknowledging the importance of behavioural interventions such as psychosocial counselling."--

Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder

Author: Substance Abuse Mental Health Services Administration/SAMHSA (U.S.)

Publisher: Government Printing Office

Published: 2018-06-05

Total Pages: 404

ISBN-13: 0160943752

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This Treatment Improvement Protocol (TIP) reviews the use of the three Food and Drug Administration (FDA)-approved medications used to treat opioid use disorder (OUD)—methadone, naltrexone, and buprenorphine—and provides guidance for healthcare professionals and addiction treatment providers on appropriate prescribing practices for these medications and effective strategies for supporting the patients utilizing medication for the treatment of OUD. The goal of treatment for opioid addiction or OUD is remission of the disorder leading to lasting recovery. Recovery is a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. This TIP also educates patients, families, and the general public about how OUD medications work and the benefits they offer. Related products: Medication-Assisted Treatment of Opioid Use Disorder: Pocket Guide A Shared Burden: The Military and Civilian Consequences of Army Pain Management Since 2001 Click our Alcoholism, Smoking & Substance Abuse collection to find more resources on this topic.

Welcome to Methadonia

Author: Rachel Greene Baldino

Publisher:

Published: 2000

Total Pages: 220

ISBN-13:

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"With her Master of Social Work diploma still fresh in her hands, Rachel Greene Baldino embarked on a year-long journey as a new professional in a methadone clinic. She was ecstatic that she would be starting her career in a full-fledged counselor's position. But was she prepared for what lay ahead? Her personal account of the year that followed will give you an eye-opening glimpse into a place called "methadonia." Welcome to Methadonia: a Social Worker's Candid Account of Life in a Methadone Clinic captures the sights, sounds, smells, and emotions found in such a place. The author honestly and openly describes her feelings about the work and the people, and describes in graphic terms what she observed during her year there. Besides chronicling her year as a counselor in a methadone setting, Baldino makes recommendations for changes to the treatment system."--Book jacket.