Addiction is like diabetes, so treat it the same way

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Does addiction behave like diabetes? In some ways, yes. The two are common, acquired conditions influenced by genetics and environment. In the UK, diabetes is managed in primary care using the chronic care management model. Changes in legislation in the USA mean that there will be more focus on chronic disease management in the future. […]

Recovery too hard? Methadone for life!

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  Berlin, like many big cities has a heroin problem. People presenting for help are being prescribed opioid replacement therapy (ORT) in greater numbers. That’s a good thing isn’t it? Well it depends on what you think is the end goal of treatment. At the start of this interesting recent German paper  “Why do patients stay […]

Methadone and the Hall of Mirrors

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The International Journal of Drug Policy takes an editorial wander through the ‘hall of mirrors’ that is opioid replacement therapy pointing out that, depending on viewpoint, ORT can be seen as “a medical treatment; a method of harm reduction; an overdose prevention tactic; a crime reduction strategy; a public health measure; a social welfare intervention; an administrative […]