TY - JOUR PY - 1983// TI - Methadone plasma levels and persistent drug abuse in high dose maintenance patients JO - Substance and alcohol actions/misuse A1 - Tennant, F. S. A1 - Rawson, R. A. A1 - Cohen, A. A1 - Tarver, A. A1 - Clabough, D. SP - 369 EP - 374 VL - 4 IS - 5 N2 - Methadone maintenance patients who maintained on a high daily dose were divided into good performers and poor performers based on whether they demonstrated persistent use of heroin, non-prescription diazepam, and/or excessive alcohol consumption. Mean methadone plasma levels 24 hours after an oral dose of 80 mg were found to be 410.4 ng/ml in good performers compared to 101.8 ng/ml in poor performers (P less than .05). Seven of nine (77.8%) poor compared to two of 15 (13.3%) good performers had 24-hour methadone plasma levels under 50 ng/ml (P less than .01). High dose methadone patients who show evidence of persistent drug or alcohol abuse should have their 24-hour methadone plasma level determined to help assess whether the patient should receive more methadone or find an alternative treatment.

Language: en

LA - en SN - 0191-8877 UR - http://dx.doi.org/ ID - ref1 ER -