Intended for healthcare professionals


Clinical judgment is important

BMJ 1996; 313 doi: (Published 07 December 1996) Cite this as: BMJ 1996;313:1482
  1. Colin Brewer,
  2. Catherine Neill
  1. Medical director Senior counsellor Stapleford Clinic, London SW1W 9NP

    EDITOR,—As private providers of oral and injectable methadone maintenance, we read John Strang and colleagues' paper about the prescribing of injectable and oral methadone to opiate addicts with concern but also some irritation at its occasional unrealities.1 Many of our patients have steady and responsible jobs, often in changing locations. For such people, to pick up methadone mixture daily is difficult. Even in the United States, where daily pick up is almost mandatory, some demonstrably stable patients can collect 28 days' supply.2

    Furthermore, although 50 …

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