Letters

Prescription of heroin to treatment resistant heroin addicts

BMJ 2004; 328 doi: https://doi.org/10.1136/bmj.328.7433.229-a (Published 22 January 2004) Cite this as: BMJ 2004;328:229

Authors' reply

  1. Wim van den Brink (w.vandenbrink@amc.uva.nl), professor,
  2. Peter Blanken, researcher,
  3. Vincent M Hendriks, senior researcher
  1. Central Committee on the Treatment of Heroin addicts (CCBH), Stratenum, 5e verdieping, Universiteitsweg 100, 3584 CG Utrecht, Netherlands
  2. Central Committee on the Treatment of Heroin addicts (CCBH), Stratenum, 5e verdieping, Universiteitsweg 100, 3584 CG Utrecht, Netherlands
  3. Parnassia Addiction Research Centre, PO Box 53002, 2505 AA Den Haag, Netherlands

    EDITOR—Dehue thinks that our study was a nerve racking test for the patients because considerable sanctions were connected with participants' treatment responses. This is based on the false assumptions that patients would be expelled from the experiment if they deteriorated while receiving heroin and that patients in the control condition would lose their opportunity to enter heroin assisted treatment if they improved during the treatment with methadone alone. Measures on illicit drug use and criminal activities showed excellent agreement with urine analysis and police register data, indicating that patients in the trial were accurate and reliable in their reporting.

    Reed et al assume that patients …

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