Opioid Agonist Treatment for Patients With Dependence on Prescription Opioids

被引：46

作者：

Nielsen, Suzanne ^{[1
]}

Larance, Briony ^{[1
]}

Lintzeris, Nicholas ^{[2
]}

机构：

[1] Univ New South Wales, Natl Drug & Alcohol Ctr, Sydney, NSW, Australia

[2] Univ Sydney, Discipline Addict Med, Sydney, NSW, Australia

来源：

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 2017年 / 317卷 / 09期

关键词：

UNITED-STATES; GUIDELINE;

D O I：

10.1001/jama.2017.0001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

CLINICAL QUESTION Are different opioid agonist treatments (eg, methadone vs buprenorphine) associated with differences in efficacy for treating prescription opioid dependence, and is long-term maintenance of opioid agonist treatment associated with differences in efficacy compared with opioid taper or psychological treatments alone? BOTTOM LINE For patients who are dependent on prescription opioids, long-term maintenance of opioid agonists is associated with less prescription opioid use and better adherence to medication and psychological therapies for opioid dependence compared with opioid taper or psychological treatments alone. Methadone maintenance was not associated with differences in therapeutic efficacy compared with buprenorphine maintenance treatment. Evidence quality was low to moderate.

引用

页码：967 / 968

页数：2

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