In a compelling study from Dublin, Paula Mayock and Shane Butler (Trinity College) make the point that little is known about the stigma experienced by individuals attending drug treatment services over prolonged periods. They explored this through the lived-experience narratives of 25 people prescribed long-term methadone. Their findings ‘reveal the intersection of stigma with age … Continue reading Growing older and more stigmatised on methadone
DJ Mac reviews a recent German paper looking into why patients stay on methadone. His review is easily the best post I've read on the complicated relationship between methadone and recovery. Read the whole post. The paper's starting point: The paper outlines that retention in ORT is not great, with just over half of patients … Continue reading Stuck on Methadone
This will be my post in response to the NY Times' series on Suboxone. This post originally ran on 7/19/13 and addressed a lot of our concerns. * * * I've been catching a lot of heat recently for posts about Suboxone and methadone. (For the sake of this post, lets refer to … Continue reading What makes treatment effective?
A new study of buprenorphine implants find that implants work as well as oral dosing and outperform placebo. What does that mean? If I'm reading it correctly, it means that the average subject receiving the implant tested positive for opioids 68.8% of the time compared to 86.6% for the placebo subjects. (If I'm misreading it, … Continue reading “It works!”, Ctd
I've been catching a lot of heat recently for posts about Suboxone and methadone. (For the sake of this post, lets refer to them as opioid replacement therapy, or ORT, for the rest of this post. One commenter who blogs for an ORT provider challenged my arguments that we should offer everyone the same kind … Continue reading What makes treatment effective?
PeaPod highlights a recent study looking at methadone's blunting of emotions: Does methadone blunt your feelings? If you work in abstinence-oriented treatment, you’ll not have to think too closely about the answer to that question, you’ll have heard many testimonies to that effect and you will have seen the evidence with your own eyes. But … Continue reading Methadone’s effect on affect