Is methadone too dangerous for opiate addiction?: Issue is one of toxicity v acceptability

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7532.53 (Published 05 January 2006) Cite this as: BMJ 2006;332:53
  1. Adam Bakker, general practitioner (bakker@nhs.net),
  2. Vanessa Sibanda, clinical nurse specialist (substance misuse)
  1. Lisson Grove Health Centre, London NW8 8EG

    Editor—We disagree with Luty et al's suggestion that burpenorphine should replace methadone.1 Doctors and patients need different treatment options in different phases of treatment, and buprenorphine does not suit everyone. Since January 2004, 54% of the patients who started maintenance treatment with us chose buprenorphine initially. However, 64% of them asked to switch to methadone within two months because buprenorphine did …

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