Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/17672
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dc.contributor.authorDigiusto, E.en
dc.contributor.authorLintzeris, N.en
dc.contributor.authorBreen, C.en
dc.contributor.authorKimber, J.en
dc.contributor.authorMattick, R.en
dc.contributor.authorBell, J.en
dc.contributor.authorAli, R.en
dc.contributor.authorSaunders, J.en
dc.date.issued2005en
dc.identifier.citationAddictive Behaviors, 2005; 30(3):443-456en
dc.identifier.issn0306-4603en
dc.identifier.issn1873-6327en
dc.identifier.urihttp://hdl.handle.net/2440/17672-
dc.description.abstractThis study included 380 participants in five heroin detoxification trials whose data were pooled to enable direct comparison of five detoxification methods in the Australian National Evaluation of Pharmacotherapies for Opioid Dependence (NEPOD). Rapid detoxification achieved similar initial abstinence rates with either anaesthesia or sedation (average 59%), which were higher than was achieved by inpatient detoxification using clonidine plus other symptomatic medications (24%), which in turn was higher than outpatient detoxification using either buprenorphine (12%) or clonidine plus other symptomatic medications (4%). Older participants and those using more illicit drugs were more likely to achieve abstinence. Entry rates into ongoing postdetoxification treatment were as follows: buprenorphine outpatient (65%), sedation (63%), anaesthesia (42%), symptomatic outpatient (27%), and symptomatic inpatient (12%). Postdetoxification treatment with buprenorphine or methadone was preferred over naltrexone. Participants with more previous detoxification attempts were more likely to enter postdetoxification treatment. Given that outpatient detoxification was more effective with buprenorphine than with symptomatic medications and that rapid detoxification was more effective than the symptomatic inpatient method, the roles of the symptomatic methods should be reconsidered.en
dc.description.statementofresponsibilityDigiusto, Erol ; Lintzeris, Nicholas ; Breen, Courtney ; Kimber, Jo ; Mattick, Richard P. ; Bell, James ; Ali, Robert ; Saunders, John B.en
dc.language.isoenen
dc.publisherPergamon-Elsevier Science Ltden
dc.subjectNEPOD Research Group; Humans; Heroin Dependence; Methadone; Buprenorphine; Naltrexone; Analgesics, Opioid; Hypnotics and Sedatives; Narcotic Antagonists; Treatment Outcome; Ambulatory Care; Hospitalization; Anesthesia; Metabolic Detoxication, Drug; Adolescent; Adult; Middle Aged; Female; Maleen
dc.titleShort-term outcomes of five heroin detoxification methods in the Australian NEPOD projecten
dc.typeJournal articleen
dc.identifier.rmid0020051843en
dc.identifier.doi10.1016/j.addbeh.2004.06.002en
dc.identifier.pubid54048-
pubs.library.collectionPharmacology publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidAli, R. [0000-0003-2905-8153]en
Appears in Collections:Pharmacology publications

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