Meds for Drinking Problems?
...the main challenge for all these meds is "medication adherence." Translation: patients stop taking them.
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MAT for Meth?
If Medicaid, for instance, expanded approval of naltrexone injections to include methamphetamine, that would make the combination more useful to addiction treatment.
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In the News: Opioid Windfall
It does seem ironic that the industry most responsible for the creation and continuation of our current opioid epidemic could also be the main beneficiary of this next wave of treatment funding.
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The Business of Cures
I’d feel better if I knew some in our brilliant science community were working hard on ways to taper patients, if just the most highly motivated, off the medications with a reduced risk of return to heroin.
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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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