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Methadyl Acetate and Methadone: Title and subTitle BreakAn Open Comparison FREE

Edward C. Senay, MD; Walter Dorus, MD; Pierre F. Renault, MD
[+] Author Affiliations

Reprint requests to Department of Psychiatry, University of Chicago, 950 E 59th St, Chicago, IL 60637 (Dr Senay).


JAMA. 1977;237(2):138-142. doi:10.1001/jama.1977.03270290038023
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Heroin addicts were recruited for a 14-week open clinical comparison of methadone hydrochloride and methadyl acetate. Patients were randomly assigned to a methadyl acetate clinic in which methadyl acetate was dispensed to patients three times per week or to a methadone clinic in which methadone was dispensed six days per week. No statistically significant differences were observed between groups in retention rates, illicit drug use, employment rates, or arrest rates. The group treated with methadyl acetate had more dropouts in the first seven weeks than the second seven weeks: this pattern was reversed for the methadone-treated group. The differences were significant (P=.01). Spontaneously reported symptoms suggest that induction with methadyl acetate may be a more clinically variable phenomenon than induction with methadone. The reduction of number of clinic visits in the group treated with methadyl acetate was not a source of variance in treatment effectiveness.

(JAMA 237:138-142, 1977)

REFERENCES

Jaffe JH, Schuster CR, Smith BB, et al:  Comparison of acetylmethadol and methadone in the treatment of long-term heroin users . JAMA 211:1834-1836, 1970;.
Jaffe JH, Senay EC:  Methadone and 1-methadyl acetate: Use in management of narcotic addicts . JAMA 216:1303-1305, 1971;.
Jaffe JH, Senay EC, Schuster CR, et al:  Methadyl acetate vs methadone: A double-blind study in heroin users . JAMA 222:437-442, 1972;.
Senay EC, Jaffe JH, diMenza S, et al:  A 48-week study of methadone, methadyl acetate, and minimal services , in Fisher S, Freedman AF (eds): Opiate Addiction: Origins and Treatment , Washington, DC, VH Winston & Sons, 1973;, pp 185-201.
Zaks A, Fink M, Freedman AM:  Levomethadyl in maintenance treatment of opiate dependence . JAMA 220:811-813, 1972;.
Goldstein A:  On the role of chemotherapy in the treatment of heroin addiction . Am J Drug Alcohol Abuse 2:279-288, 1975;.
Goldstein A:  Heroin addiction . Arch Gen Psychiatry 33:353-358, 1976;.
Bourne PG, Slade JD:  Methadone: Mechanism of its success . J Nerv Ment Dis 159:371-375, 1974;.
Senay EC, Wright M:  Critique of theories of methadone use . Int Pharmacopsychiatry 7:64-70, 1972;.
Senay EC, Wright M:  The human needs approach: A theory for the future . Proceedings of the 30th International Congress on Alcoholism and Drug Dependence , Lausanne, Switzerland, International Council on Alcohol and Addictions, 1972;, pp 91-95.

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Jaffe JH, Schuster CR, Smith BB, et al:  Comparison of acetylmethadol and methadone in the treatment of long-term heroin users . JAMA 211:1834-1836, 1970;.
Jaffe JH, Senay EC:  Methadone and 1-methadyl acetate: Use in management of narcotic addicts . JAMA 216:1303-1305, 1971;.
Jaffe JH, Senay EC, Schuster CR, et al:  Methadyl acetate vs methadone: A double-blind study in heroin users . JAMA 222:437-442, 1972;.
Senay EC, Jaffe JH, diMenza S, et al:  A 48-week study of methadone, methadyl acetate, and minimal services , in Fisher S, Freedman AF (eds): Opiate Addiction: Origins and Treatment , Washington, DC, VH Winston & Sons, 1973;, pp 185-201.
Zaks A, Fink M, Freedman AM:  Levomethadyl in maintenance treatment of opiate dependence . JAMA 220:811-813, 1972;.
Goldstein A:  On the role of chemotherapy in the treatment of heroin addiction . Am J Drug Alcohol Abuse 2:279-288, 1975;.
Goldstein A:  Heroin addiction . Arch Gen Psychiatry 33:353-358, 1976;.
Bourne PG, Slade JD:  Methadone: Mechanism of its success . J Nerv Ment Dis 159:371-375, 1974;.
Senay EC, Wright M:  Critique of theories of methadone use . Int Pharmacopsychiatry 7:64-70, 1972;.
Senay EC, Wright M:  The human needs approach: A theory for the future . Proceedings of the 30th International Congress on Alcoholism and Drug Dependence , Lausanne, Switzerland, International Council on Alcohol and Addictions, 1972;, pp 91-95.
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