We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Pentazocine in Methadone Hydrochloride Maintenance

Dale K. Lindberg, MD
JAMA. 1973;224(2):247. doi:10.1001/jama.1973.03220150055022.
Text Size: A A A
Published online


To the Editor.—  In a letter in the Jan 29, issue of The Journal (223:557, 1973), Degnan and Haupt stated that pain medications for methadone hydrochloride maintenance patients can be prescribed as for the general population with the normal precautions taken when doing minor (or major) surgery. I would like to give a few warnings to this advice.First of all, pentazocine (and I think it is a good analgesic) is a narcotic antagonist and will cause a methadone maintenance patient to suffer acute withdrawal symptoms shortly after administration. Also, we must always remember that the addict, prior to his stabilization with methadone, was always trying to hustle the doctor into prescribing such drugs as morphine, meperidine hydrochloride, hydromorphone hydrochloride. These traits remain and the physician might be asked to prescribe these drugs in excessive amounts by his patient.My advice in this regard is to be cautious and to


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
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.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved 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.


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

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

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