new JAMA stuff on opiod dependency

Eye of the Bhogi freedomroot at
Tue Aug 23 23:44:59 EDT 2005

The AP wire is running a story on this article that boils down to...
rapid detox is dangerous.

JAMA. 2005;294:875.

Anesthesia-Assisted vs Buprenorphine- or Clonidine-Assisted Heroin
Detoxification and Naltrexone Induction: A Randomized Trial
Eric D. Collins, Herbert D. Kleber, Robert A. Whittington, and Nicole E. Heitler
JAMA. 2005;294:903-913. 

There's also an interesting looking editorial... here's the first 150
words... does anyone have full-access and know if it mentions our
favorite jungle de-joneser?

Methods of Detoxification and Their Role in Treating Patients With
Opioid Dependence

Patrick G. O'Connor, MD, MPH

JAMA. 2005;294:961-963.

"Opioid dependence and its associated morbidity, mortality, and social
costs continue to plague societies around the world. Opioid dependence
is characterized by physical dependence as evidenced by tolerance and
withdrawal and by behavioral problems, including the inability to
control opioid use, opioid use despite adverse consequences, and
social dysfunction. The 2003 National Survey on Drug Use and Health
reported that 3.7 million Americans had used heroin at some time in
their lives.1 The Monitoring the Future Survey noted that
approximately 1.2% of 10th- and 12th-graders reported ever using
heroin in 2004.2 In addition, the recent trend of increasing abuse of
prescription opioids including oxycodone, propoxyphene, hydrocodone,
hydromorphone, and meperidine has been a major concern since the late
1990s. The National Survey on Drug Use and Health1 estimated that as
of 2003, more than 31.2 million Americans had used narcotic pain
relievers in . . "

Be well, be safe, be happy.  lots of love, rachel

"Ibogaine is not, and never will be, a recreational drug."  Eric Taub

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