Methadone
Description:
Presently, methadone is the recommended treatment for opioid-dependent pregnant women, but is associated with neonatal abstinence syndrome (NAS). NAS is characterized by opioid withdrawal symptoms in the newborn, which often requires longer hospitalization and treatment. Buprenorphine, FDA-approved in 2002 for the treatment of opioid dependence in non-pregnant individuals, hasn't been extensively studied during pregnancy. Yet, a new study in the New England Journal of Medicine (NEJM) found that buprenorphine offers an alternative to methadone in the treatment of opioid-dependent pregnant women. The study compared buprenorphine to methadone in 131 mothers and their newborns at eight international sites.
Source:
New England Journal of Medicine
Tags:
Description:
This article provides guidance on the treatment of alcohol and drug abuse, and discusses various treatment plans.
Source:
National Institute on Drug Abuse (NIDA)
Tags:
Description:
The ASI Self-Report Form asks questions about the following topics: your background and employment, your health and family relationships, your legal situation, and your drug and alcohol use.
Source:
Center for Health Care Evaluation (CHCE)
Tags:
Description:
This article provides guidance on the management and treatment of acute pain in patients receiving buprenorphine/naloxone.
Source:
Physician Clinical Support System (PCSS)
Tags:
- General information - buprenorphine
- Induction and dosing
- Stabilization and maintenance
- Special populations
- Logistics of buprenorphine treatment
- Addiction
- Dependence
- Discontinuation
- Dosing
- Induction
- Maintenance
- Methadone
- Pain
- Pharmacology
- Relapse
- Special populations
- Suboxone
- Withdrawal
- Treatment Algorithm
- Experienced prescriber
- Just became waivered
Description:
This 2007 article study examined the quality of life of heroin-dependent patients being treated with methadone vs. heroin-dependent patients being treated with buprenorphine.
Source:
American Journal of Drug and Alcohol Abuse
Tags:
Description:
This 2003 study found that buprenorphine and methadone were equally as effective in heroin-dependent patients; however, treatment retention was lower for buprenrophine.
Source:
Addiction (1 vote)
Tags:
Description:
This website provides online access to findings from three national studies of drug abuse treatment effectiveness funded by the National Institute on Drug Abuse. The information is usefully organized by population (adults and adolescents) and modality (outpatient methadone, outpatient drug-free, short-term inpatient, and long-term residential).
Source:
Texas Christian University
Tags:
Description:
PDF that explores the undertreatment of opioid addicts for pain and gives guidelines for how to maintain addiction treatment while also relieving pain.
Source:
Drug Policy Alliance Network (2 votes)
Tags:
Description:
Document written to assist physicians in deciding which patients receiving methadone are good candidates for transfer to buprenorphine, and how to go about making this transition.
Source:
Physician Clinical Support System (PCSS) (3 votes)
Tags:
Description:
This website, funded by SAMHSA, is designed to help physicians to implement office-based buprenorphine treatment using a national network of trained physician mentors.
Source:
Physician Clinical Support System (PCSS) (2 votes)
Tags:
- General information - buprenorphine
- Getting a waiver/setting up your practice
- Logistics of buprenorphine treatment
- Addiction
- Behavioral therapy
- Billing
- Complicated patients
- Contraindications
- CPT
- Diversion
- Dosing
- Drug interactions
- HCPCSs
- Hepatitis
- HIV/AIDS
- Induction
- Methadone
- Pain
- Pregnant
- Psychiatric
- Psychosocial
- Special populations
- Suboxone
- Just became waivered
- Setting up a practice
