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 |

Ineffective Use of Psychoactive Drugs Methadone Treatment Is No Exception

James R. Cooper, MD
JAMA. 1992;267(2):281-282. doi:10.1001/jama.1992.03480020091039.
Text Size: A A A
Published online


The provision of ineffective methadone doses and the premature termination of methadone maintenance treatment have been well-recognized problems for many years in the treatment of opioid addiction. In 1980, 41% of the approximately 64 000 patients receiving methadone maintenance treatment had their dosages stabilized at less than 40 mg/d. Concern over the clinical implications of these treatment data was

See also p 253. a major reason my colleagues and I at the National Institute on Drug Abuse (NIDA) in 1983 asked a group of drug abuse researchers and clinicians to review the wealth of drug abuse treatment research data compiled over the previous 15 years.1 The issue of appropriate methadone dose was reviewed in detail. The review resulted in a consensus that the dose of methadone should be individualized for each patient and that, for the majority, the most effective dose is between 50 and 100 mg. Furthermore, the


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.