HARCP

HEROIN ADDICTION AND
RELATED CLINICAL PROBLEMS

The official journal of
EUROPAD - European Opiate Addiction Treatment Association
WFTOD - World Federation for the Treatment of Opioid Dependence
Editor: Icro Maremmani, MD - Pisa, Italy, EU
Associate Editors:
Thomas Clausen, MD - Oslo, Norway
Pier Paolo Pani, MD - Cagliari, Italy, EU
Marta Torrens, MD - Barcelona, Spain, EU
Statistical Editor:
Mario Miccoli, PhD - Pisa, Italy, EU

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Heroin Addiction and Related Clinical Problems: 2004, 06, 1 (pages: 35 - 42)

Methadone Treatment. Safe induction techniques

Payte T. J.

Summary: The motivation to develop a simple guideline for safe induction with methadone came largely from methadone-related deaths occuring during the induction phase of treatment. Clinical pearls for a safe induction are the following: 1) Very severe withdrawal signs/symptoms do not mean very high tolerance or the need for higher doses of methadone. 2) Consider use of instant opiate screens on admission with 2000 ng cut-off. 3) Document signs/symptoms of withdrawal with at least 2 objective signs. 4) Document daily assessment during induction includding basis for decisions to increase dose.

 

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