Historique
Périodique
Substance (Ab)use during methadone and naltrexone treatment: interest of adequate methadone dosage
(Usage et abus de drogues au cours du traitement à la méthadone et à la naltrexone : l'importance d'un dosage méthadone adéquat.)
Auteur(s) :
MAREMMANI, I. ;
BALESTRI, C. ;
SBRANA, A. ;
TAGLIAMONTE, A.
Année
2003
Page(s) :
19-36
Langue(s) :
Anglais
Refs biblio. :
18
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
POLYCONSOMMATION
;
ALCOOL
;
PRODUIT ILLICITE
;
METHADONE
;
NALTREXONE
;
TRAITEMENT DE MAINTENANCE
;
POSOLOGIE
;
EFFICACITE
Note générale :
Journal of Maintenance in the Addictions, 2003, 2, (1/2), 19-36
Note de contenu :
tabl.
Résumé :
ENGLISH :
In a cross-sectional study aiming to explore various clusters of substance (ab)use, in 77 heroin addicts, during methadone or naltrexone maintenance, three multivariate dimensions were found. The first was saturated by items related to cocaine and unprescribed benzodiazepines ab(use)s the second dimension referred to items related to alcohol, opioid and cannabinoid ab(use)s the third was saturated by items related to the abuse) of hallucinogens and cannabinoids without the abuse) of alcohol. Polyabuse is most serious in methadone maintained patients with negative compliance. Higher methadone dosages seem to attenuate this phenomenon. Hereby, the search for an appropriate methadone dosage is crucial to the success of the treatment, because it reduces the risk of polydrug use during treatment, and allows an improvement in social rehabilitation. (Author' s abstract)
Affiliation :
Addict. Psychiatry Unit, Santa Chiara Hosp., Dept Psychiatry, Univ. Pisa-Via Roma, 67-56100 Pisa
Italie. Italy.
Italie. Italy.