PMID: 15387382Sep 25, 2004Paper

Initiation of methadone replacement therapy in the hospital, prescribing guidelines

La Presse médicale
David PonsMartine Compagnon

Abstract

The fight against drugs and the prevention of addiction is one of the principle aims of the information sheet DGS/DHOS n(o)2002-57 dated January 30, 2002. This text authorises any practitioner working in a health centre to initiate treatment with methadone. This strategy was set-up in order to make methadone more accessible to drug addicts. It is within this context that the drug and sterile medical device commission of the Philippe Pinel hospital centre of Amiens (80) developed guidelines for the prescription and initiation of replacement therapy with methadone. They specify the conditions prior to the prescription as well as the regimen that must be applied during the initiation phase. The modalities of prescription, follow-up and precautions to be taken also figure in the document. Moreover, within the framework of an efficient town-hospital cooperation, the relay conditions to be applied on the release of the patient are detailed. Other than simple prescribing recommendations, these guidelines are aimed at improving the global management of drug addicts within the heart of an effective sanitary network.

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