2005
DOI: 10.1016/j.jsat.2005.08.002
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Patterns of heroin, cocaine, and alcohol abuse during long-term methadone maintenance treatment

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Cited by 82 publications
(60 citation statements)
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“…Follow-up patients in the specialized centres reported a higher rate of ongoing injection drug use (18.2% for heroin, 19.8% for cocaine) compared to our sample (current IDU 9.8%) supposing that our GP patients were more stable in comparison to patients attending a specialised clinic. However long-term OMT patients (minimum follow-up of 2 years) in a specialised outpatient clinic providing low-threshold substitution in Zurich, Switzerland, showed 3 different patterns of concomitant heroine, cocaine and alcohol abuse in an individual longitudinal analysis 19 . This clinical relevant information cannot be supplied by cross-sectional data only.…”
Section: Discussionmentioning
confidence: 96%
“…Follow-up patients in the specialized centres reported a higher rate of ongoing injection drug use (18.2% for heroin, 19.8% for cocaine) compared to our sample (current IDU 9.8%) supposing that our GP patients were more stable in comparison to patients attending a specialised clinic. However long-term OMT patients (minimum follow-up of 2 years) in a specialised outpatient clinic providing low-threshold substitution in Zurich, Switzerland, showed 3 different patterns of concomitant heroine, cocaine and alcohol abuse in an individual longitudinal analysis 19 . This clinical relevant information cannot be supplied by cross-sectional data only.…”
Section: Discussionmentioning
confidence: 96%
“…Multiple illicit drug use (i.e., use of illegal drugs and prescription drugs without a prescription), often used concurrently or sequentially with alcohol, is normative among opioid-addicted patients admitted to MMT (Srivastava, Kahan & Ross 2008;Backmund et al 2005;Dobler-Mikola et al 2005;Rittmannsberger et al 2000). Continued use, misuse, and dependence on a broad spectrum of licit and illicit drugs during treatment poses a major clinical challenge to substance-specific pharmacotherapies like MMT Backmund et al 2005;Best et al 2000).…”
Section: Continued Drug Use In Mmtmentioning
confidence: 99%
“…Data from the British National Treatment Outcome Research Study (NTORS) suggest that almost half of the patients in residential programs drink alcohol and just over a third of those in community programs drink above the recommended levels [6]. A Swiss 2-year longitudinal study found occasional alcohol abuse in 38-47% of methadone patients and daily abuse in 20-24% [44]. A recent Australian study reported that 41% of opioid substitution clients were ‘AUDIT positive', indicating excessive alcohol use [45], but only half of them believed they drank too much.…”
Section: Prevalence Of Aud In Opioid Dependencementioning
confidence: 99%