Letters

Treatment of heroin users

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6930.718c (Published 12 March 1994) Cite this as: BMJ 1994;308:718
  1. J Strang,
  2. M Farrell
  1. National Addiction Centre, Maudsley Hospital and Institute of Psychiatry London SE5 8AF.

    EDITOR, - It is unhelpful for John Marks to continue to force an artificial polarisation of the debate on prescribing.1 In distancing ourselves from the suggestion that we are “pandering to American prohibitionist fundamentalism” we do not wish to be forced to embrace a similarly extreme opposite position of, for example, providing insufficiently controlled supplies of the “drug of choice” or “state-rationed drugs”2,3 or becoming “a dealer by appointment to Her Majesty's Government.”4 We wish to be allowed to continue to explore the more fertile intermediate terrain.

    In our original letter we expressed concern that excessive reliance on individual clinical judgment may jeopardise …

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