Methadone and 12-step

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This blog is a re-run but I’ve published it again because of recent comments it has attracted (at end of blog) Methadone and 12-step Given the dearth of research on NA populations this study from Bill White and colleagues is welcome. Knowing what we do already from the research on mutual aid groups, the researchers made the […]

Methadone improves mental health; what’s next?

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Good to see some research from Aberdeen focusing on mental health in patients on methadone and other opiate replacement therapy. Academics in Primary Care conducted a systematic review looking at twenty-two studies where mental health had been assessed at baseline and again at follow up. What did they find? “Mental health significantly improved for all groups receiving […]

Suboxone or Methadone – what do service users want?

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NHS North Lanarkshire asked 90 of their patients to give their viewpoints on what they thought of Suboxone vs. methadone for opioid replacement therapy (ORT). They found that ‘in comparison to methadone, patients receiving buprenorphine–naloxone were highly positive about their treatment experiences and its advantages over methadone, including the “clear-headed response”, improved well-being and concentration, possibility of […]

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 in […]

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 […]

Methadone and 12-step

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Given the dearth of research on NA populations this study from Bill White and colleagues is welcome. Knowing what we do already from the research on mutual aid groups, the researchers made the reasonable assumption that clients on ORT attending 12-step mutual aid were likely to achieve to higher levels of abstinence (no illicit drugs or alcohol) […]

Abstinence treatment ‘a barrier’ to Opioid Replacement

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In trying to determine routes to abstinent recovery there’s a legitimate debate to be had about whether opioid replacement therapy (ORT) is a catalyst to abstinence or if it slows the process down. Some have suggested that methadone is too ‘sticky’ for recovery. On the other hand, as others have said, ‘dead people don’t recover’. I […]

Methadone improves mental health; what’s next?

Posted · 3 Comments

Good to see some research from Aberdeen focusing on mental health in patients on methadone and other opiate replacement therapy. Academics in Primary Care conducted a systematic review looking at twenty-two studies where mental health had been assessed at baseline and again at follow up. What did they find? “Mental health significantly improved for all groups receiving […]

Suboxone or Methadone – what do patients want?

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NHS North Lanarkshire asked 90 of their patients to give their viewpoints on what they thought of Suboxone vs. methadone for opioid replacement therapy (ORT). They found that ‘in comparison to methadone, patients receiving buprenorphine–naloxone were highly positive about their treatment experiences and its advantages over methadone, including the “clear-headed response”, improved well-being and concentration, possibility of […]

Methadone, Suboxone and Recovery: what really happened?

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Recently I found a paper I wanted to read about the policy shift from harm reduction to recovery in the UK and the impact on attitudes to methadone. It’s a fascinating subject. As I say, I really wanted to read it, but I kept getting distracted by a persistent question: what’s the difference between recovery […]