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Research Report

Use of Illegally Acquired Medical Opioids by Opiate-Dependent Patients in Detoxification Treatment

Scherbaum N.a · Kluwig J.a · Meiering C.a · Gastpar M.b

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aDepartment of Addictive Behavior and Addiction Medicine and bDepartment of Psychiatry and Psychotherapy, Rheinische Kliniken Essen, University Hospital Essen, Essen, Germany

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Eur Addict Res 2005;11:193–196

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Article / Publication Details

First-Page Preview
Abstract of Research Report

Published online: August 19, 2005
Issue release date: August 2005

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 2

ISSN: 1022-6877 (Print)
eISSN: 1421-9891 (Online)

For additional information: https://www.karger.com/EAR

Abstract

Take-home dosages in maintenance treatment are of great therapeutic importance, but they include the risk of the substitute being distributed illegally. We reviewed the extent of consumption of illegally acquired medical opiates by 142 opiate- or poly-addicted patients consecutively admitted to a detoxification ward. 76 (53.5%) of them admitted to taking illegally acquired medical opiates, usually methadone, at least once. The cumulative duration was 30 days (median). Motivation was usually due to difficulties in acquiring heroin, however one third reported use in an attempt at self-detoxification or as transition before entering maintenance treatment. Maintenance patients were usually the source of the opiates. The results prove the necessity of stringent conditions for take-home dosages, and illustrate deficits in the health care system.

© 2005 S. Karger AG, Basel


References

  1. Drogenbeauftragte der Bundesregierung: Drogen- und Suchtbericht (Report on Drug and Dependance). Bundesgesundheitsministerium, 2003. www.bmgs.bund.de.
  2. Senay EC: Opioids: Methadone maintenance; in Galanter M, Kleber HD (eds): Textbook of Substance Abuse Treatment. Washington, American Psychiatric Press, 1999, pp 271–279.
  3. German Federal Regulations for Prescription and Use of Controlled Substances (Betäubungsmittelverschreibungsverordnung, BtMVV), BGB1 2001;28:1180–1200. www.bundesgesetzblatt.de/bgbllf/b1findex.htm.
  4. Chutuape MA, Silverman K, Stitzer ML: Survey assessment of methadone treatment services as reinforcers. Am J Drug Alcohol Abuse 1998;24:1–16.
  5. Preston KL, Umbricht A, Epstein DH: Abstinence reinforcement maintenance contingency and one-year follow-up. Drug Alcohol Depend 2002;67:125–137.
  6. Vormfelde SV, Poser W: Death attributed to Methadone. Pharmacopsychiatry 2001;34:217–222.
  7. Scherbaum N, Specka M, Hauptmann G, Gastpar M: Senkt die Methadonsubstitution die Mortalität Opiatabhängiger? Fortschr Neurol Psychiatr 2002;70:455–461.
  8. Wagner-Servais, D: Kritische Aspekte der derzeitigen Methadon-Behandlung in Deutschland. Dtsch Med Wschr 2001;126:275–278.
  9. Rounsaville BJ, Kleber TR: Untreated opiate addicts: How do they differ from those seeking treatment? Arch Gen Psychiatry 1985;42:1072–1077.

Article / Publication Details

First-Page Preview
Abstract of Research Report

Published online: August 19, 2005
Issue release date: August 2005

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 2

ISSN: 1022-6877 (Print)
eISSN: 1421-9891 (Online)

For additional information: https://www.karger.com/EAR


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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