Methadone tapering plus amantadine to detoxify heroin-dependent inpatients with or without an active cocaine use disorder: two randomised controlled trials

被引:16
|
作者
de los Cobos, JP [1 ]
Duro, P [1 ]
Trujols, J [1 ]
Tejero, A [1 ]
Batlle, F [1 ]
Ribalta, E [1 ]
Casas, M [1 ]
机构
[1] Univ Barcelona, Sch Med, Hosp Santa Cruz & San Pablo, Dept Psychiat, Barcelona 08025, Spain
关键词
amantadine; cocaine use disorder; detoxification; heroin dependence; methadone; opioid withdrawal;
D O I
10.1016/S0376-8716(00)00206-4
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
The efficacy of methadone tapering plus amantadine to detoxify heroin-dependent patients with or without an active cocaine use disorder was studied in a closed unit with two successive double-blind, placebo-controlled, Ip-day trials. In the first trial, 40 heroin-dependent inpatients with an active cocaine use disorder were treated using methadone tapering, as well as amantadine (200-300 mg per day) or placebo. In the second trial, 40 heroin-dependent inpatients without an active cocaine use disorder received the same treatment. In both the trials, amantadine did not have a statistically significant effect on treatment completion, nor did it contribute, in completers, to a more rapid reduction in craving and opiate withdrawal. In the first trial, women were six times more likely than men to be non-completers, and on the last day of treatment, the first trial's completers and non-completers presented a comparable clinical state. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.
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页码:187 / 195
页数:9
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