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Table of Contents

Buprenorphine
Heroin Use: 2000
Opioids: Heroin
Comments
History of Maintenance
2000: Drug Addiction Treatment Act
Goals of Maintenance
Protracted Abstinence Syndrome
Development of Protracted Abstinence Syndrome
Maintenance Treatment
Reductions in Heroin Use
HIV Prevention
Methadone and the HIV+ user
Further Benefits
Methadone: Restricted Access
New Federal Regulations
Buprenorphine
Higher Safety Profile
Opioid Activity Graph
Buprenorphine - partial agonist/antagonist
Analogy – Chocolate bars
Lower Street Value
Requirements
Requirements
Maintenance
Detoxification
Which patients?
The French Experience
Sweden
Drug interactions
Comparing LAAM, Buprenorphine and Methadone
Comparison to Methadone
On-line Resources

Author: Sharon Stancliff, MD

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Home Page: http://www.harmreduction.org