NATHAN BEGELMAN, M.D.; ROGER P. TARTER, M.D.
To the editor: The paper by Fultz and Senay about the treatment of methadone and heroin addicts (Ann Intern Med 82:815-818, 1975) is a fine review of a topic in which few physicians have any formal training. However, we believe two points deserve comment.
First, the review states that methadone-maintained patients should be started on the full once-a-day dosage given daily at their drug maintainance program. Such a procedure may be dangerous and result in overdosage. Many methadone-maintained patients skim off part of their total daily dosage for eventual illicit sale on the street. In other cases, less than the
BEGELMAN N, TARTER RP. Treatment of Addicts. Ann Intern Med. 1975;83:580–581. doi: 10.7326/0003-4819-83-4-580_2
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Published: Ann Intern Med. 1975;83(4):580-581.
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