Heroin maintenance for chronic heroin-dependent individuals.

@article{Ferri2011HeroinMF,
  title={Heroin maintenance for chronic heroin-dependent individuals.},
  author={Marica Ferri and Marina Davoli and Carlo A. Perucci},
  journal={The Cochrane database of systematic reviews},
  year={2011},
  volume={12},
  pages={
          CD003410
        }
}
BACKGROUND Several types of medications have been used for stabilizing heroin users: Methadone, Buprenorphine and levo-alpha-acetyl-methadol (LAAM.) The present review focuses on the prescription of heroin to heroin-dependent individuals. OBJECTIVES To compare heroin maintenance to methadone or other substitution treatments for opioid dependence regarding: efficacy and acceptability, retaining patients in treatment, reducing the use of illicit substances, and improving health and social… Expand
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Assessment of the efficacy and acceptability of heroin maintenance versus methadone or other substitution treatments for opioid dependence, in retaining patients in treatment; reducing the use of illicit substances and improving health and social functioning and no definitive conclusions are possible. Expand
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Heroin-assisted treatment is more effective for people with opioid dependence who continue intravenous heroin while on methadone maintenance or who are not enrolled in treatment, and should be considered for treatment resistance under medical supervision. Expand
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Heroin can be seen as maintaining the status quo, with the majority continuing to inject heroin regularly and to supplement their maintenance prescription from other sources; it was associated with a continuing intermediate level of involvement with the drug subculture and criminal activity. Expand
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Heroin-assisted substitution treatment might be an effective option for chronically addicted patients for whom other treatments have failed and showed positive effects with respect to health and social outcomes. Expand
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A heroin maintenance programme is a feasible and clinically effective treatment for heroin users who fail in conventional drug treatment programmes and may be successful and help the patient to stop using injectable opioids. Expand
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