Times Online : declared in Bartolotta bill mandates 'patient-centered' treatment of opioid addiction

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Hidden problem may hinder opioid addiction treatment

Forty-three percent of addiction patients filled a prescription for a full-strength opioid like oxycodone while undergoing treatment, which was typically three months. Methadone was long the low-dose opioid of choice for medication-assisted treatment, but increasingly patients have turned to buprenorphine. Opioid addicts who undergo "medication-assisted treatment" are often using other narcotics before long, a new study cautions. For the new CDC-funded study, the Hopkins researchers focused on non-buprenorphine prescriptions filled between 2006 and 2013. But researchers from Johns Hopkins Bloomberg School of Public Health checked pharmacy records for 38,000 new buprenorphine patients in 11 states and found cause for concern.

Many in treatment for opioid addiction are prescribed more opioid painkillers
Buprenorphine is commonly prescribed as a maintenance drug for treatment of opioid addiction. Many people receiving the most common medication to treat opioid addiction are being prescribed opioid painkillers at the same time, a surprising finding that helps explain why even the most effective substance-abuse therapies don't work nearly as well as experts say they should. It is popular because unlike methadone, a stronger maintenance drug, it does not require daily visits to a clinic. Both findings illustrate the challenges of treating drug addiction in a world full of distractions, temptations, and competing incentives for profit among both patients and physicians. Most buprenorphine for treatment is prescribed as Suboxone, which includes another drug intended to resist tampering.



collected by :Lucy William

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