By John Strang, Gillian Tober
content material: part A: creation, history and Scope --
Methadone: panacea or poison? / J. Strang and G. Tober --
The background of methadone and methadone prescribing / A. Preston and G. Bennett --
Methadone prescribing within the uk: what will we examine from neighborhood pharmacy surveys? / J. Sheridan --
part B: features of scientific perform and adaptations --
Negotiating a script: the dynamics of staff/client relationships / A. Quirk ... [et al.] --
Linking psychology and pharmacology / D. Raistrick --
review and final result tracking / J. Marsden, M. Gossop and D. Stewart --
Plasma methadone tracking: an reduction to dose overview, tracking compliance and exploration of drug interactions / okay. Wolff --
Withdrawal from methadone and methadone for withdrawal / N. Seivewright and O. Lagundoye --
part C: The detailed Case of Injectables --
Injectable methadone: a unusual British perform / J. Strang and J. Sheridan --
Prescribing injectable methadone: to who and for what goal? / L. promote --
The supervised injecting sanatorium: a drug clinic's adventure of supervising the intravenous self-administration of prescribed methadone / M. Cummins --
part D: the hazards --
Dependence on methadone: the risk lurking in the back of the prescription / G. Tober --
'Using on best' and the issues it brings: extra drug use by way of methadone therapy sufferers / D. top and G. Ridge --
Methadone and opioid-related deaths: altering incidence through the years / M. Farrell and W. corridor --
The play, the plot and the avid gamers: the illicit industry in methadone / J. Fountain and J. Strang --
part E: provider supply --
a major care dependent professional carrier / S. Lawrence --
A imperative review carrier with commonly disseminated supply in basic care / F. Watson, L. Mays and J. Bury --
A centrally co-ordinated urban strategic method / R. Watson, J. Jay and L. Gruer --
Supervised intake of methadone in a group pharmacy / okay. Roberts --
part F: detailed instances --
A methadone programme for substance-misusing pregnant girls / A. Walker and J. Walker --
Methadone use in youth / E. gilvarry, J. McCambridge and J. Witton --
Sectin G: Methadone stories --
Methadone remedy: results and version in remedy reaction with NTORS / D. Stewart, M. Gossop and J. Marsden --
speedy gain, yet what thereafter?: the push and trickle of take advantage of methadone remedy / E. Finch --
Methadone upkeep and relief remedies: the necessity for readability of ambitions and tactics / M. Gossop, J. Marsden and D. Stewart --
part H: In end --
Methadone: attaining the stability / G. Tober and J. Strang.
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Extra info for Methadone matters : evolving community methadone treatment of opiate addiction
Example text
Media focus on issues such as accidental overdose and the sale of methadone to illicit markets served to increase disillusionment with the treatment. At the same time, new treatments such as levo-alpha-acetylmethadol (LAAM), buprenorphine and lofexidine were becoming available and services began to turn to these for a variety of reasons, not only because they have a legitimate place in the drug treatment armoury (Seivewright 2000) but also, sometimes, in the hope of achieving results that could not be achieved with methadone.
Early advertisements claimed that Physeptone (Wellcome’s trade name for methadone) carried ‘little risk of addiction’ and the consensus was that it was a better analgesic than morphine. It is therefore likely that the first people who became dependent on it had either been treated for pain or treated by doctors who thought it to be less dependence-forming than other opiates. 5 mg in 5 ml linctus form is still used for treatment of chronic cough (usually those caused by malignant tumour), it is not generally used as an analgesic in the UK.
Such fears led to requests for dosage to be maintained among those who had no immediate intention of detoxifying: If I’m on 40 mls I can keep on going with my life. The question of reducing never arose again because I said to [my nurse-keyworker] ‘Look just maintain [me and my partner] on what we’re on’ because we were managing. I did initially want to come off because methadone’s a very insidious drug. It’s worse than heroin for sure. I would dread coming off. (Client, DDU). ] Because methadone is so much harder to come off than gear.