期刊
EUROPEAN ADDICTION RESEARCH
卷 11, 期 4, 页码 193-196出版社
KARGER
DOI: 10.1159/000086401
关键词
opiate dependence; maintenance treatment; methadone; take-home dosage; self-detoxification
Take-home dosages in maintenance treatment are of great therapeutic importance, but they include the risk of the substitute being distributed illegally. We reviewed the extent of consumption of illegally acquired medical opiates by 142 opiate- or poly-addicted patients consecutively admitted to a detoxification ward. 76 (53.5%) of them admitted to taking illegally acquired medical opiates, usually methadone, at least once. The cumulative duration was 30 days (median). Motivation was usually due to difficulties in acquiring heroin, however one third reported use in an attempt at self-detoxification or as transition before entering maintenance treatment. Maintenance patients were usually the source of the opiates. The results prove the necessity of stringent conditions for take-home dosages, and illustrate deficits in the health care system. Copyright (c) 2005 S. Karger AG, Basel.
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