title: Use of illegally acquired medical opioids by opiate-dependent patients in detoxification treatment.
abstract: Take-home dosages in maintenance treatment are of great therapeutic importance, but they include the risk of the substitute being distributed illegally. We reviewed the extent of consumption of illegally acquired medical opiates by 142 opiate- or poly-addicted patients consecutively admitted to a detoxification ward. 76 (53.5%) of them admitted to taking illegally acquired medical opiates, usually methadone, at least once. The cumulative duration was 30 days (median). Motivation was usually due to difficulties in acquiring heroin, however one third reported use in an attempt at self-detoxification or as transition before entering maintenance treatment. Maintenance patients were usually the source of the opiates. The results prove the necessity of stringent conditions for take-home dosages, and illustrate deficits in the health care system.
authors.affiliation: Department of Addictive Behavior and Addiction Medicine, Rheinische Kliniken Essen, University Hospital Essen, Essen, Germany. norbert.scherbaum@uni-essen.de
authors.forename: N
authors.initials: N
authors.lastname: Scherbaum
authors.forename: J
authors.initials: J
authors.lastname: Kluwig
authors.forename: C
authors.initials: C
authors.lastname: Meiering
authors.forename: M
authors.initials: M
authors.lastname: Gastpar
mesh_terms: D000328:Adult; D005260:Female; D005858:Germany; D006556:Heroin Dependence / Q000523:psychology / Q000628:therapy*; D006801:Humans; D013287:Illicit Drugs / Q000331:legislation & jurisprudence*; D008297:Male; D008691:Methadone / Q000008:administration & dosage / Q000627:therapeutic use*; D009294:Narcotics / Q000627:therapeutic use*; D012646:Self Administration / Q000706:statistics & numerical data; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data
chemical_list: D013287:Illicit Drugs; D009294:Narcotics; D008691:Methadone