Background: Substance abuse treatment is challenging in pregnancy, and methadone maintenance therapy (MMT) a therapeutic choice. Methadone can cross the placenta poorly secreted breast milk. Given these inconsistent findings of effect on neonatal outcomes, this study was done to investigate results neonates mothers treated with Mashhad. Methods: In retrospective cohort study, referring two acad...

background and objective: today, opioids are used to control and relieve acute and chronic pain. however, the incidence of both tolerance and dependence phenomena for these drugs is a major problem. so, in this study, the combination effect of haloperidol and methadone on the acquisition and expression of morphine dependence and tolerance was examined.    materials and methods: ninety-eight mic...

Methadone maintenance therapy (MMT) is the most widely prescribed and most effective treatment for opioid dependence. Methadone is a long-acting synthetic opioid that is a potent blocker of the delayed rectifier potassium ion channel, which may result in QT interval prolongation (QTP) and increased risk of torsades de pointes (TdP) in susceptible individuals. MMT-associated TdP is rare; however...

Buprenorphine has become of increasing interest to be an alternative to methadone in the treatment of heroin addicts. The aim of the paper is to review, from a clinical perspective, the current status of what is known about the pharmacology of buprenorphine, with a particular emphasis on the issues of maintenance therapy in heroin addiction. A systematic review of published follow-up data, from...

Legislation has enabled physicians to treat opioid-dependent patients with an office-based maintenance program using buprenorphine, a partial mu-opioid receptor agonist. Clinical studies indicate buprenorphine effectively manages opioid addiction. Buprenorphine is more effective than placebo for managing opioid addiction but may not be superior to methadone if high doses are needed. It is compa...

BACKGROUND Clopidogrel is a prodrug that converts in the liver to an active thiol metabolite, which irreversibly inhibits the platelet P2Y12 adenosine diphosphate receptor. It seems that methadone as CYP2C19 inhibitor affects ticlopidine activity in vivo. This study aimed to test the ability of methadone in changing ticlopidine pharmacokinetics. METHODS We conducted a case-control study in 10...