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ARTICLE |

Pentazocine in Methadone Hydrochloride Maintenance

Dale K. Lindberg, MD
JAMA. 1973;224(2):247. doi:10.1001/jama.1973.03220150055022.
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ABSTRACT

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

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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.
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