conclusions results showed that sexual dysfunction is a prevalent disorder in opioid-dependent males. addiction withdrawal centers should be warned about the dysfunction caused by opioids and, from a clinical perspective, it is imperative that patients misusing opiates and those treated with methadone are routinely asked about their sexual functioning so that, if indicated, appropriate investig...

Methadone maintenance therapy for the treatment of opioid dependence continues to carry a social stigma. Until recently, patients on methadone were not considered for liver transplantation. We describe the first case of a patient on methadone who received a liver transplant for end stage liver disease and was successfully treated for recurrent hepatitis C. More than five years post transplant a...

OBJECTIVES To assess the quality of life (QoL) of heroin users starting and following 4 and 8 months of maintenance treatment program using buprenorphine vs. methadone. METHODS Participants received maintenance treatment with oral methadone or sublingual buprenorphine for the treatment of heroin dependence. Participants' QoL was measured using the Quality of Life Enjoyment and Satisfaction Qu...

background as one of the most important components of harm reduction strategy for high-risk groups, following the hiv epidemics, methadone maintenance treatment (mmt) has been initiated in prisoners since 2003. in this paper, we aimed to assess the advantages and shortcomings of the mmt program from the perspective of people who were involved with the delivery of prison healthcare in iran.   me...

Background: This study aimed to investigate the initial dosage of methadone and factors affecting it in maintenance therapy.Methods: This cross-sectional, descriptive-analytic study was conducted on 157 individuals referring to a methadone maintenance therapy (MMT) clinic. The initial dosage of methadone was 20-45 mg which was adjusted during the treatment based on each patient's evaluation. Th...

background opium abuse significantly affects the nutritional status of users and frequently leads to undernourishment. methadone maintenance therapy has been used as one of the possible ways to prevent of infection diseases such as hiv and hepatitis b and c and improve the quality of life in opioid-dependent patients. objectives the aim of this study was to assess the anthropometric and socio-d...

Sir—Ritter et al .’s [1] claims their results show ‘LAAM maintenance has equivalent efficacy to methadone’ and ‘both treatments were equally effective in retaining clients in maintenance treatment’ are misleading. Their retention results actually favour methadone and their study was too small to identify confidently a clinically significant difference between the two maintenance drugs. The tria...

conclusions sleep quality showed a poorer profile than sexual function. therefore, more emphasis should be laid on treatment of sleep disparity during follow up of mmt patients comparing to their sexual function. patients should be reassured that probable sexual dysfunctions should not be regarded as a consequence of mmt. results mean ± sd age of the subjects was 41.2 ± 7.9 years and 93.4% of t...

BACKGROUND Methadone maintenance treatment (MMT) is a key element in treatment for opiate addiction; however concerns about the diversion of methadone remain. More current empirical data on methadone diversion are required. This research investigated the market for diverted methadone in Merseyside, UK, in order to provide a case study which can be transferred to other areas undertaking methadon...

AIMS Hepatitis C virus (HCV) infection is a common chronic complication of injection drug use. Methadone maintenance programs contain large numbers of patients infected with HCV. This paper reviews HCV infection with emphasis on the medical care of HCV-infected, or HCV and human immunodeficiency virus co-infected, patients on methadone or buprenorphine maintenance. METHODS Literature searches...