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Outpatient Treatment of Prescription Opioid DependenceComparison of Two Methods
Forest S. Tennant, Jr, MD, Dr PH;
Richard A. Rawson, PhD
Arch Intern Med. 1982;142(10):1845-1847.
Abstract
Twenty-one patients dependent on prescription opiolds were treated by 21-day detoxification followed by psychotherapeutic counseling (D/C), and 21 patients were detoxified 21 days and provided opioid maintenance if detoxification was unsuccessful (D/M). Only five of 21 (23.8%) patients in the D/C group compared with 20 of 21 (95.2%) in the D/M group completed three weeks of treatment. No patient initially perceived that chronic pain due to a medical condition would be an impediment to withdrawal from opioids, but pain that was masked by opioid dependency and that emerged during detoxification proved to be an insurmountable barrier to total withdrawal in the majority of patients. Treatment of outpatients with dependence on prescription opioids is best provided by opioid maintenance therapy and adjunctive pain therapy.
(Arch Intern Med 1982;142:1845-1847)
Author Affiliations
From the Division of Epidemiology, UCLA School of Public Health, UCLA Center for Health Sciences, Los Angeles (Dr Tennant); and the Research and Education Division, Community Health Projects, Inc, West Covina, Calif (Drs Tennant and Rawson).
Footnotes
Accepted for publication June 11, 1982.
Reprint requests to Community Health Projects, Inc, Research and Education Division, 3361/2 S Glendora Ave, West Covina, CA 91790 (Dr Tennant).
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