Mad About Methadone
...there are now some 300,000 Americans on methadone maintenance, and I’m assuming many of them will not want to transition to buprenorphine.
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Two Perspectives on Pain
We may be stuck relying on the soft stuff– therapy, support, behavior change, even spiritual growth– all those icky-squicky things that neuroscientists struggle to quantify.
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Searching for a Substitute
If addiction really is a brain disorder based in complex adaptations to a substance, then who’s to say those adaptations won’t occur with a different drug?
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Naltrexone versus Opioids
Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.
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Methadone Maintenance Plus
It’s the basic unit of most drug-free approaches. What would happen if it could be incorporated into the OTP curriculum?
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In the News: Disasters and Opioid Treatment
That’s why I’d welcome more research into the tapering process, with an eye to improving success rates.
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Is MAT Enough?
Of course with additional treatment responsibilities, a counselor couldn’t be expected to manage a caseload of up to 75.
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Heroin Assisted Treatment
The benefits of the program are framed mostly in terms of harm reduction– what doesn’t happen.
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The Cannabis Cure?
An answer such as vigorous exercise or meditation or going to a meeting will never be as universally attractive to someone a few weeks sober as “well, here, why don’t you toke this?”
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Maintenance Dilemma
Would you respond to this information with a concerted effort at self-examination and profound behavior change?
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In Again, Out Again
I’ve come to view it more as a tool for harm reduction than a path to long term recovery, with some notable exceptions.
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In the News: Kaos Around Kratom
It may be that kratom is a drug that some can use without much difficulty, while for others, it becomes pathological.
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Methadone Maintenance and Crime
So even if drug use decreases, and clients continue on methadone, they don’t necessarily make the other much-desired (by society) changes — such as giving up crime.
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