EDITOR,—We are not surprised that John Strang and colleagues found that prescribing of injectable methadone was widespread and was prevalent in non-specialist settings.1 At our practice we receive many requests from drug users to prescribe injectable methadone as well as other replacement drugs at higher doses than those recommended by the specialist service protocols or, indeed, the prescribing guidelines suggested by the Department of Health. This position is partly forced on us by the limited …