Titre : | Implementation of a clinic policy of client-regulated methadone dosing |
Titre traduit : | (Mise en oeuvre d'une politique clinique de régulation de la dose de méthadone par le patient) |
Auteurs : | E. ROBLES ; F. B. MILLER ; K. K. GILMORE-THOMAS ; D. E. McMILLAN |
Type de document : | Périodique |
Année de publication : | 2001 |
Format : | 225-230 / graph. |
Note générale : |
Journal of Substance Abuse Treatment, 2001, 20, (3), 225-230 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés METHADONE ; MESURES QUANTITATIVES ; COHORTE ; TRAITEMENT DE MAINTENANCE ; AUTOADMINISTRATION |
Résumé : |
ENGLISH : A six-month interval (baseline) during which methadone doses above 99 mg required individual approval by the clinic's physician was compared with the subsequent 16-month period in which a policy of patient-regulated methadone dosing with no preset upper limit was implemented. During the later phase, all patients were required to remain at each selected dose for a minimum of four days, and standard compliance-based take-home dosing procedures were followed. For patients in the study sample (n=57), the daily maximum methadone dose increased from 165 mg during baseline to 300 mg during the self-regulation period, while their average daily methadone dose increased from 76.84 mg to 80.04 mg (W=473, n=57, P=0.01). Monthly percent of opiate-positive urine specimens decreased significantly from 5.26% during baseline to 1.64% during the self-regulated dose period (W=169, n=57, p |
Note de contenu : | graph. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 28 |
Affiliation : |
Dept. Pharmacol. Toxicol., Substance Abuse Treatment Clinic, Univ. Arkansas Med. Sciences, 4301 West Markham st, Little Rock, AR 72205-7199. E-mail : RoblesSoteloElias@exchange.uams.edu Etats-Unis. United States. |
Numéro Toxibase : | 403608 |
Centre Emetteur : | 04 CIRDD-51 |
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