0
September 25, 1972, Vol 221, No. 13 >
ARTICLE | September 25, 1972

Treatment of Morphine-Type Dependence

John N. Chappel, MD
JAMA. 1972;221(13):1516. doi:10.1001/jama.1972.03200260052022.
Text Size: A A A
Published online
Article

ABSTRACT

To the Editor.—  The AMA Council Report "Treatment of Morphine-Type Dependence by Withdrawal Methods" (219:1611, 1972) is an excellent treatment of the subject. No references are given, which leads to the impression that the report is intended to stand as a definitive position by the AMA at this time. Clinical experience with large numbers of heroin addicts in the Illinois Drug Abuse Program provides the basis for the following suggested alterations in the Council's report.

  1. Deep aches, described as "being in my bones," are a common symptom of the methadone withdrawal syndrome. In addition, insomnia, often of the depressive type with early morning awakening, may persist for months following withdrawal from methadone hydrochloride.

  2. Decreasing the daily dose of methadone by 50% when the level of 20 mg is reached is too drastic a reduction. Subjective distress may be severe and lead to a discharge against medical advice.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Letters

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs

More Listings at
JAMACareerCenter.com >

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems