title: Medically induced drug addiction.
abstract: Iatrogenic, or medically induced, drug addiction is a problem affecting both patients and physicians. We describe the function of a new center devoted solely to managing iatrogenic addiction. The center accepts patients on physician referral only. The addiction usually arises as a complication of a medical disorder that is accompanied by pain and requires comprehensive and multidisciplinary evaluation and treatment. Detoxification from the offending medication, provision of chronic analgesia, and maintenance are managed with methadone. All appropriate modalities of treatment including psychotherapy, physical therapy, and relaxation techniques are employed.
authors.forename: J M
authors.initials: JM
authors.lastname: Portnow
authors.forename: H D
authors.initials: HD
authors.lastname: Strassman
mesh_terms: D000328:Adult; D000368:Aged; D000701:Analgesics, Opioid / Q000009:adverse effects; D003131:Combined Modality Therapy; D003376:Counseling; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease / Q000209:etiology / Q000534:rehabilitation / Q000628:therapy*; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D059408:Pain Management; D019966:Substance-Related Disorders / Q000209:etiology / Q000534:rehabilitation / Q000628:therapy*
chemical_list: D000701:Analgesics, Opioid; D008691:Methadone