Dr Andrew Byrne
Aboriginal Health
Drugs and Alcohol
Campral - the drunkard's friend?
Summit Strives for new approach to drug use.
Confessions of an English Opium Eater
Common Questions about Methadone
Methadone Maintenance Treatment
Naltexone prescription for heroin addiction
In another study by Miotto and Ling, of 81 patients who began naltrexone after traditional detox, 13 had overdosed, four fatally, at the end of a 12 month trial.
Dr O'Neil from Perth has reported that there have been six deaths in 600 heroin addicts taken into treatment over a nine month period.
It would appear that mortality is far higher than with patients who are on methadone treatment (>1% pa for naltrexone and <1% pa for methadone prescribed patients). The place of naltrexone in the scheme of things is therefore becoming clearer.
It should never be recommended in preference to methadone and it is unsuitable for pregnancy, HIV, active hepatitis, infectious endocarditis or severe injury cases in opioid dependent people. Naltrexone is only indicated for patients who have already detoxified from opioids.
Where all other treatment options are exhausted and/or methadone is unacceptable or contraindicated in a non-depressive patient who desires a chemical treatment of their dependency, naltrexone is an option. Since it is an unregistered drug, there should be no other therapeutic alternative and the patient should have detoxified completely before starting treatment. Before individual approval, the TGA in Canberra (02 6232 8444) requires patients be informed of this and of the possibility of side effects or even death.
For novel treatments, ethical practice would dictate that any outcomes of note such as particularly good or particularly bad results should be reported to colleagues in the usual ways.
There are an increasing number of methadone failures who still need assistance and naltrexone may help some of these (we know that buprenorphine and possibly long acting morphine will also help a proportion). I believe that any doctor who has sufficient knowledge of dependency (and therefore who prescribes methadone for appropriate cases) should be permitted to prescribe naltrexone for patients who have already proven to have detoxified. The drug is unlikly to be registered in Australia until mid-1999 under normal processes.
It would be inappropriate for a doctor prescribing naltrexone to have to transfer a patient elsewhere for methadone, a simple treatment that can be given in any suitably accredited general practice. It would be like one doctor prescribing insulin, but referring patients elsewhere for oral hypoglycaemic agents, basic dietary advice or other simple diabetes treatments.
Rapid and ultra-rapid opioid detox using naltrexone is another matter entirely and, I believe, should be avoided altogether in general practice. It may be appropriate in formal, funded research protocols in the specialist setting. Doctors who are currently charging large sums of money for this 'service' are taking risks both with their practices and with their patients lives in my opinion.
Dr Andrew Byrne
Ph (02) 9319 5524
Email: ajbyrne@ozemail.com.au
Andrew Byrne is a medical writer and practising GP, specialising in drug and alcohol medicine. He practises in Redfern, Sydney. He is author of: "Methadone in the Treatment of Narcotic Addiction" and "Addict in the Family".
Discussion
|
Oxycodone Miles P. Mack, milespm@aol.com Posted 9/7/2001 4:11 AM I am in no way trying to be negative, but it seems to me everyone wants a somewhat dangerous alternative and the best solution in my opinion is the real thing. Naltrexone is dangerous. Methadone works but realistically I know for sure that most methadone patients still use opoids. The reason is that these substancews don't fill the void like heroin or oxycodone. Drug addicts are dangerous and felons not from the drugs but from being denied them. Oxycodone in the form of crushed up oxycontin tablets now has a greater customer base than Coca-Cola. You can't brush off such a large segment of society and deem them criminals or misfits. We have large emotional voids that only completely straight existence or opoids can fill. Most of us cannot become totally straight and no doctor should preach ' just be strong ' or somesuch at us - they don't Know. Trying to go straight can lead to some very negative addictions such as alchohol that lead to more depression andbad aggressive anti-so I am very sincere and serious about this! Thank you |
|
where do we go for treatment in australia michelle paulson, highroller@one.net.au Posted 24/2/2001 10:52 PM my daughter is a heroin addict and i think you would know the terrible heartbraking time we have had a nightmare she dosnt inject she smokes it but she has been on methadone now for about a month where do we go? is there a clinic in sydney we can talk to and thankyou for the info you provide in your site it helps people like my husband and I who just dont know where to go |
|
Rapid Detox using Naltrexone Phil, Philjayw@aol.com Posted 5/11/2000 9:27 AM I was an addict for nearly three years and underwent rapid detox. I can only say that it was the most horrific experence of my life. For nearly a year after the treatment I felt I would rather have died then to have experienced what I went thru. I don't know what percentage of people react the way I did, but anyone should be warned of the possibility... I wasn't. Lee Hammon, leehammon@cygnethealth.co.uk Posted 15/11/2000 9:25 PM Dear Sir/Madam,
Rilp Balcon, lydiak@earthsharing.com Posted 22/11/2000 3:14 PM In 4 weeks my partner and i are trying the rapid naltrexone detoxification program. Both of us are frightened that all is not what it seems (as is usually the case for us worthless non-consumers). If anybody has any suggestions a reply would be much appreciated. We have been addicted to heroin for about 4 years and have tried numerous detox. programs, including methadone. If we are still taking methadone (approx. 40ml per day) when we do the naltrexone treatment what are all the possible side effects? Prior to being an addict i was a confident, happy and successful person with a legitimate place in this fucked up society but now most people think me a moronic deadbeat with no acceptable place to breath. Change is a requirement, a must. Opioids are great for a while but then they ruin your mindset. I started while on holiday in Laos and could never stop. I was always an addictive person though, so not surprising (given family history as well) that i am struggling nowadays. To pay for our habit we must earn (legit. as well) $2000 per week, which is difficult for people like us ( relatively unskilled). Soon i will be clean and i hope to help people with opioid addictions because it is no way to survive when you must pay tax to a dodgy dealer for your daily breath. If anyone has info. about naltrexone please reply to this e-mail. Thanks loads of toads. Cecilia Santiago, ceciliasantiago1@hotmail.com Posted 28/11/2000 4:39 PM My mother is a heroin addict for the last two years, and we have lost everything. I'm 15 yeras old, pregnant and in foster care. I ended up in foster care as a result of my mother being a heroin addict. My mother is interested in getting treatment but is affraid of the painful withdrawls. She doesn't have insurance, please help me help my mother. I want to live a normal life again with my mother. Would the Naltexone help my mother? My mother would rather go thru Rapid Detox, but again we don't have the money. She says she will go right into an inpatient treatement center which she really needs. Please someone send me some suggestions AS SOON AS POSSIBLE, BEFORE I LOSE MY MOTHER. I live in Milwaukee, Wisconsin. Thank you....Cecilia Shiela, jand00@aol.com Posted 18/1/2001 4:36 AM My daughter was treated by Dr Coleman in Richmond, Virginia. When we went in for the initial interview the day before the rapid detox procedure my daughter told him she didn't want the implant. Keep in mind, she was determined to be detoxed because she was afraid of overdosing. Since they had already collected $400 (nonrefundable) she was ready to go through with this procedure. All of the literature that she read said that she could have her choice of the implant or oral treatment, but when we were interviewing with Dr. Coleman, he emphatically told her that he wouldn't do the procedure without implanting the pellet. She felt she had no choice but to go through with it. The next day after the procedure...actually that evening, Dr. Coleman left for Australia and told us we would be in good hands with his associate. My daughter spent the next 24 hours in the hospital with me by her bedside. She was so weak she could barely lift her head and the nurses did little to help. I changed her diapers, bed, etc. Occasionally they came to administer drugs and take blood pressure. The following day we waited for the substitute doctor to arrive to discharge her. I was very concerned because we were told that we needed to be out of the hospital by noon or we were to be billed for another day. My daughter was still miserable, but was determined to get home to her 21 month old baby. The doctor finally arrived at 11.50, barely enough time to get her dressed and out of there. He came in to the room, didn't even examine her, told her she was doing great and left. Well she was far from great, but I was told this (agitation, nausea, weakness, etc.) was normal and would only last a few days. We got her home, and I stayed with her, took care of her and the baby while her husband was working. This continued for the next 2 days without any change for the better. The procedure was done on Wednesday; she was discharged Thursday and Friday we called Dr. Coleman's office to see if they could prescribe something for the diarrhea. It took all day to have someone return our call, and finally the doctor that was filling in for Dr. Coleman prescribed something. She finally slept 5 hours straight that night and we were grateful thinking maybe this would turn things around. Saturday we were getting really concerned with her weakness. She new something wasn't right and kept saying she wanted the pellet out, and I kept telling her that the doctor said this was all normal. She grew weaker and weaker and finally on Saturday, she collapsed. She fainted dead away; thankfully her husband was there to catch her. We called the rescue squad and took her to the hospital. Half way there, they turned on the siren, the lights and went like a bat out of hell racing through traffic. Her pulse had dropped to 30, her blood pressure was 68 over 0 and her respirations were 12 per minute. For the next few hours her husband was by her side poking and prodding her to stay awake so she wouldn't go into coma. The idea was to get her made enough to bring her blood pressure up. In the meantime they ran all kinds of tests and tried to get in touch of the doctors in Richmond so they could learn more about this procedure. When they finally did reach them, they acted as if they never knew her. They had washed their hands so to speak and said they new nothing about the procedure and that it was Dr. Coleman's patient and they had nothing to do with it. We later found out that the medication that was prescribed to her for the diarrhea contained a narcotic! When her blood work came back they found that she had very little potassium in her system so they administered it interveniously, but still her blood pressure remained very low. She spent the next two days in the hospital and they removed the implant. When they finally released her, her postasium levels were up to normal and her blood pressure had risen to 58 (still low but not enough to kill her). She was still very weak. Here we are two weeks later and I thank God she is on the road to recovery! We have since learned of people dying from this procedure. If you know anyone with similar experience please e-mail us. Shiela John Affleck, draffleck@bigpond.com Posted 23/1/2001 3:14 PM When you speak to (non addicted) people who live with narcotic addicts you hear how much they want to control them - to make them stop using. Understandable, but unrealistic. The same is evident in their wishful willingness to embrace 'rapid detox'. It is perceived as a magic remedy, 'the answered prayer'. It is not. There are instances of success, and instances of failure, expensive failure usually. It is fair to say that most (perhaps all) addicted people did not set out to become addicts. They commenced use of a substance to which they became addicted. They may have been naive, stupid, abused, rebellious, 'in bad company' etc. Many 'experimented' quite certain that they WOULD NOT become addicted. The point is that the problem - to medicate feelings with chemical substances - is rooted in the personal experience and past history of the addict, in society, parental models, shame, inability to deal with anger, often but not always deprivation or abuse. It is often aggravated by social systems requiring retribution/punishment (time in jail) that makes it difficult to find a new life, let alone succeed in one. So yes you have to want to quit, really earnestly. And, in my view, you are less likely to succeed if you can't listen, take advice and accept help offered appropriately. N.A. helps many, but many are reluctant to give it a go. I have heard so many say they will 'do it their way' - most fail. Narcotic blockade, such as with naltrexone, may help some, but it is not the 'magic bullet', and if imposed on an addict who is not entirely committed to abstinence is likely to fail, sometimes with disasterous results if the addict attempts to overcome the blockade with megadoses of heroin. Commercial exploitation of this perceived magic is cruel. The addict needs to have come to the point where s/he wants to quit much more than s/he wants to use, and wants to quit for his/her own sake, not for someone else's. For all that I do understand why desparate friends and relatives put up big money for hoped for magic cures. Unfortunately, as with cancer patients, some will try anything that is new. In fear rational thought gives way to magic beliefs. Newspapers headline such stories to enhance their own circulation and profit. More research is needed, validated information and compassion. Legislation and enforcement never worked. Inappropriately sensational and ill-informed journalism operates on the same 'anti-ethic' as the drug dealer. amanda, cybergirl52@hotmail.com Posted 21/3/2001 1:57 PM hello thankyou very much for the site being so easy to undersatnd listen i was just wondering if anyone has some more info about Naltrexone could they please send it to my addy it's: cybergirl52@hotmail.com thankyou so much but please dont ignore this letter it is very important CARMEN, DRLAWRY@bigpond.com Posted 7/4/2001 10:15 AM i did the rapid detox and i was not told enough about it. they made it out to be something so fantastic but it wasn't i would never recomend it to anyone. barbara, mountjoyb@carthage.k12.mo.us Posted 13/4/2001 1:43 AM I live in Missouri. Where is the nearest rapid detox clinic. My son is desparate. JOSH, smith_joshua60@hotmail.com Posted 27/4/2001 7:12 PM PLEASE HELP ME IAM 26 YRS OLD I USE 4 GRAMS OF TAR HEROINE A DAY I CANT STOP PLEASE SEND ME HOPE Scott, sbyre888@hotmail.com Posted 22/5/2001 1:31 PM At one point I used everyday heavily at the end for 3 years. Was clean for 5. Then started using H again. Within 2 months I was using 10 bags of high purity a day. I did a Naltrexone 4 day detox and I had zero pain, valium was used to sleep at night. There was 1 week of painless anxiety and time for the digestive system to work properly again. This was daily out patient and cost a total of $300. This was the best kicking I ever did and have been clean for 6 months now. |
|
Where can I score the GOOD stuff? Danny Thomas, huffpaint@hotmail.com Posted 18/10/2000 2:06 AM I'm looking to make a big score. Trust me - it will be worth your while. Even if you're fighting that useless battle of trying to kick, why not make a bit of money on the side. Anyone from the South Jersey/Philadelphia area, if you're reading this, please help. I got about 3G's to play with so please respond and we'll talk shop. |
|
Detox / Naltrexone veloci per i giovani nika, gricin@tin.it Posted 16/7/2000 3:42 AM what are the european country which to use the ultra rapid methode for the drtoxifation to heroin? cinzia, gricin@tin.it Posted 16/7/2000 3:38 AM In quali stati europei viene applicato? Tracy, tracycole@sympatico.ca Posted 28/7/2000 1:00 AM Hello, I am a former heroin addict with almost 7 years clean. I have been in in-patient treatment about 6 times, prison and psych wards many times. Also on methadone. Bottom line is you have to want to stop. You need to be sick and tired of being sick and tired. I have lost many friends including a husband to an overdose. I think one of the things that hold addicts back is that society wants us to change but really does not allow us too ! |
|
Rapid Detox / Naltrexone for young people Nicola Ferguson, enigma030@hotmail.com Posted 17/5/00 8:41 PM I am currently working with a young person who is 16 and has been a heroin addict for at least 18 months. She has completed numerous detox programs but never manages to stay clean. She has indicated an interest in Naltrexone. I am not convinced that this is what will work for her and wondered if you would know somewhere I could take this young person so we could talk and see what is required of her. Thankyou. nicky, erezzion@netvigator.com Posted 22/6/00 2:19 AM nicky, erezzion@netvigator.com Posted 1/7/00 6:20 PM please remove my information from the above pages Jackie O'Brien, oocjax@ozemail.com Posted 4/7/2000 7:18 PM My ex husband has been on Methadone Maintainence for several years and is still currently on a high dose. After some very severe reality checks over the past couple of months it seems that he has finally had enough. His prescibing Doctor has refused to bring him down as he feels Shane is not ready. My current partner and I have spent the last month monitoring Shanes intake and have managed to bring him down by 70mls a day. We have made many unsuccessful phone calls to try and get Shane into a suport program where he can get professional assistance, unfortunately even though we are constantly told how the government is keen to assist drug addicts, we have had no luck. Shane has finally realised the destruction that methadone has caused and is crying out for help.He is extremely depressed and is having trouble sleeping so his Doctor prescribed Largactil which I believe will turn him into a zombie. I truly believe that a switch in Shanes head has finally gone off and he is determ Jackie O'Brien, oocjax@hotmail.com Posted 4/7/2000 7:11 PM My ex husband has been on Methadone Maintainence for several years and is still currently on a high dose. After some very severe reality checks over the past couple of months it seems that he has finally had enough. His prescibing Doctor has refused to bring him down as he feels Shane is not ready. My current partner and I have spent the last month monitoring Shanes intake and have managed to bring him down by 70mls a day. We have made many unsuccessful phone calls to try and get Shane into a suport program where he can get professional assistance, unfortunately even though we are constantly told how the government is keen to assist drug addicts, we have had no luck. Shane has finally realised the destruction that methadone has caused and is crying out for help.He is extremely depressed and is having trouble sleeping so his Doctor prescribed Largactil which I believe will turn him into a zombie. I truly believe that a switch in Shanes head has finally gone off and he is determ Jackie O'Brien, oocjax@hotmail.com Posted 4/7/2000 7:05 PM My ex husband has been on Methadone Maintainence for several years and is still currently on a high dose. After some very severe reality checks over the past couple of months it seems that he has finally had enough. His prescibing Doctor has refused to bring him down as he feels Shane is not ready. My current partner and I have spent the last month monitoring Shanes intake and have managed to bring him down by 70mls a day. We have made many unsuccessful phone calls to try and get Shane into a suport program where he can get professional assistance, unfortunately even though we are constantly told how the government is keen to assist drug addicts, we have had no luck. Shane has finally realised the destruction that methadone has caused and is crying out for help.He is extremely depressed and is having trouble sleeping so his Doctor prescribed Largactil which I believe will turn him into a zombie. I truly believe that a switch in Shanes head has finally gone off and he is determ Jackie O'Brien, oocjax@hotmail.com Posted 4/7/2000 6:49 PM Hi, My ex husband is currently and has been on methadone maintainence for several years now. He is with a clinic in Fairfield that I do not believe has neither his nor the other patients best interest at heart. He is on a very high dose and has been asking his Doctor to bring him down which the Doctor has refused as he decided that Shane is not ready. The past year Shane has become extremely depressed and has attempted overdosing many times. Last month things came to a head when he realised that he had behaved badly in front of our son and this seems to have been the last straw for Shane. Myself and my partner are trying very hard to support Shane in reducing his methadone without the Doctors permission as he has had enough. He has lost everything including his senses. We have made many phone calls to try have Shane admitted to a Rapid Detox Program with not much luck I'm afraid. Shane has said many times before that he wants out but has slipped back down again. My problem is that this Jackie O'Brien, oocjax@hotmail.com Posted 4/7/2000 6:45 PM Hi, My ex husband is currently and has been on methadone maintainence for several years now. He is with a clinic in Fairfield that I do not believe has neither his nor the other patients best interest at heart. He is on a very high dose and has been asking his Doctor to bring him down which the Doctor has refused as he decided that Shane is not ready. The past year Shane has become extremely depressed and has attempted overdosing many times. Last month things came to a head when he realised that he had behaved badly in front of our son and this seems to have been the last straw for Shane. Myself and my partner are trying very hard to support Shane in reducing his methadone without the Doctors permission as he has had enough. He has lost everything including his senses. We have made many phone calls to try have Shane admitted to a Rapid Detox Program with not much luck I'm afraid. Shane has said many times before that he wants out but has slipped back down again. My problem is that this dr.barry landa, bazz9@ozemail.com.au Posted 2/9/2000 9:16 PM for information about inpatient rapid detox. from heroin or methadone, contact Addiction Treament Australasia in sydney on (02)93282900 Nazar Kianto MD., SPAS@indosat.net.id Posted 26/9/2000 4:54 PM Shiela, jand00@aol.com Posted 18/1/2001 4:42 AM My daughter was treated by Dr Coleman in Richmond, Virginia. When we went in for the initial interview the day before the rapid detox procedure my daughter told him she didn't want the implant. Keep in mind, she was determined to be detoxed because she was afraid of overdosing. Since they had already collected $400 (nonrefundable) she was ready to go through with this procedure. All of the literature that she read said that she could have her choice of the implant or oral treatment, but when we were interviewing with Dr. Coleman, he emphatically told her that he wouldn't do the procedure without implanting the pellet. She felt she had no choice but to go through with it. The next day after the procedure...actually that evening, Dr. Coleman left for Australia and told us we would be in good hands with his associate. My daughter spent the next 24 hours in the hospital with me by her bedside. She was so weak she could barely lift her head and the nurses did little to help. I changed her diapers, bed, etc. Occasionally they came to administer drugs and take blood pressure. The following day we waited for the substitute doctor to arrive to discharge her. I was very concerned because we were told that we needed to be out of the hospital by noon or we were to be billed for another day. My daughter was still miserable, but was determined to get home to her 21 month old baby. The doctor finally arrived at 11.50, barely enough time to get her dressed and out of there. He came in to the room, didn't even examine her, told her she was doing great and left. Well she was far from great, but I was told this (agitation, nausea, weakness, etc.) was normal and would only last a few days. We got her home, and I stayed with her, took care of her and the baby while her husband was working. This continued for the next 2 days without any change for the better. The procedure was done on Wednesday; she was discharged Thursday and Friday we called Dr. Coleman's office to see if they could prescribe something for the diarrhea. It took all day to have someone return our call, and finally the doctor that was filling in for Dr. Coleman prescribed something. She finally slept 5 hours straight that night and we were grateful thinking maybe this would turn things around. Saturday we were getting really concerned with her weakness. She new something wasn't right and kept saying she wanted the pellet out, and I kept telling her that the doctor said this was all normal. She grew weaker and weaker and finally on Saturday, she collapsed. She fainted dead away; thankfully her husband was there to catch her. We called the rescue squad and took her to the hospital. Half way there, they turned on the siren, the lights and went like a bat out of hell racing through traffic. Her pulse had dropped to 30, her blood pressure was 68 over 0 and her respirations were 12 per minute. For the next few hours her husband was by her side poking and prodding her to stay awake so she wouldn't go into coma. The idea was to get her made enough to bring her blood pressure up. In the meantime they ran all kinds of tests and tried to get in touch of the doctors in Richmond so they could learn more about this procedure. When they finally did reach them, they acted as if they never knew her. They had washed their hands so to speak and said they new nothing about the procedure and that it was Dr. Coleman's patient and they had nothing to do with it. We later found out that the medication that was prescribed to her for the diarrhea contained a narcotic! When her blood work came back they found that she had very little potassium in her system so they administered it interveniously, but still her blood pressure remained very low. She spent the next two days in the hospital and they removed the implant. When they finally released her, her postasium levels were up to normal and her blood pressure had risen to 58 (still low but not enough to kill her). She was still very weak. Here we are two weeks later and I thank God she is on the road to recovery! We have since learned of people dying from this procedure. If you know anyone with similar experience please e-mail us. Shiela |
|
Naltexone prescription for heroin addiction Edgar, edgar@logicworld.com.au Posted Wednesday, August 19, 1998 12:2 I really interested of this prescriptions. I am 22 years old.I live in Brisbane. I have been using heroin for 2 years. Ussualy I used to smoke heroin for A$ 250 daily. Would it be possible if I can fullfil this particular prescription in Brisbane. Please help me. I had detox treatment before for a month, but I am still craving and did not stop of dreaming heroin. My main point is, I have not cured mentally. I really need this prescription for my benefit. Your concern and assistance is much appreciated. I am looking forward for your response. Thank you for your help and understanding.
Edgar, edgar@logicworld.com.au Posted Wednesday, August 19, 1998 12:2 I really interested of this prescriptions. I am 22 years old.I live in Brisbane. I have been using heroin for 2 years. Ussualy I used to smoke heroin for A$ 250 daily. Would it be possible if I can fullfil this particular prescription in Brisbane. Please help me. I had detox treatment before for a month, but I am still craving and did not stop of dreaming heroin. My main point is, I have not cured mentally. I really need this prescription for my benefit. Your concern and assistance is much appreciated. I am looking forward for your response. Thank you for your help and understanding.
Edgar Hutapea
Paula, paularenee32@hotmail.com Posted 3/12/99 3:22 PM My husband is fighting a heroin addiction, we live in Oklahoma, where is the closest rapid detox center, and/or can we get a prescription for the Naltexone? T. Carroll, ICAC,MAC, CRJR8@prodigy.net Posted 7/12/99 4:58 PM I am an addictions professional in central Florida and was hoping to get some information. I am currently working with a 18yo female who has been on a methadone maintenance program since June. Her family is looking for a treatment program that offers rapid opioid detox. This being fairly new, I am unaware of any in Florida. Could you direct me in the right direction to gain the information to present to this family. I would greatly appreciate it. bronwen, basando@hotmail.com Posted 27/12/99 3:11 AM I am currently on Naltrexone and have been so now for 6 months. Dr Stuart Reece in Brisbane is my treating doctor and to be honest, he has helped me to get my life back on track. I used for almost 6 years and now I can gladly say that life has never looked better! I tried everything there was to try, Naltrexone worked for me. It works on the chemicals in your brain and so if you seek counselling to back it up, you can have a new start to life again. If it worked for me then I would hope that the option would be there for every addict. Nobody wants to spend the rest of their lives on addicted to opiates, no-one!! Rehana Begum, BEG2762S@uel.ac.uk Posted 27/1/00 3:29 AM I am a student studying Psychology at the university of East London.I am in my 2nd year and my project is based on the use of Naltraxone. At the moment I am helping a friend who has been addicted to heroin for 2 years. We live in London, England and would like to know whether a 5 day detox programme using Naltraxone is considered to be the same as a 1 day Naltexone treatment. Could you kindly tell me if the side effects are similar. Thank you. Toni , gtoni@primus.com Posted 18/2/00 4:07 PM Dear Dr Byrne, Thanks for the interesting info. on RHD and the role Naltrexone plays. Here,in Tasmania,news & accurate details of recent innovations,implementations or changes to current methods of treatment for cases of opiate-dependency,are either very slow to arrive, or corrupted by exaggerated horrific or miraculous details & results(or just plain old BS). Is it any wonder,when Tas's only source of news on this topic, has been TV's current affairs programs? As a past member (a ministerial appointment) of Tas's Consultative Committee for the pilot Methadone Program in this state & Chairperson of the (successful) Lobby for a Tasmanian methadone maintenance program 1991-1994,I know the value of timely, accurate and detailed information. I appreciate the candour with which you presented this report, especially the unfortunate downsides and details such as: a prerequisite prior detox.
Dr.S.KAN, a3ksm@a3ksm.demon.co.uk Posted 14/5/00 3:41 PM nicky, erezzion@netvigator.com Posted 23/6/00 1:50 PM My husband is a heroin addict, went into a rehab for 28 days, came out and relasped when he got off the plane. He used for 2 weeks and for the past two weeks he has been on methadone; self administered, although I do not know what to believe anymore. He has actually had no clean days of methadone or smack and is actually undergoing a naltrexone implant now. I need some advice on how to handle this situation when he finishes detoxing. ruth, ruth@divinedesign-studios.com Posted 20/7/2000 9:56 PM Hi, my husband has been addicted to herion for 10 years on and off. I've only recently found out, and saw on BBC a programme including Naltexone therapy. Maybe it's just what he needs. I was wanting to hear about the possible dangerous side-effects, liver damage probs. etc, and maybe some suggestions to minimalise those, and where we can get it in the Netherlands? I'd love to hear from anyone with an experience of using Naltexone. Thanks, Ruth Bruno Tallarida LPN, daparnurse@home.com Posted 29/10/2000 10:34 AM I would like more information re: naltrexone. I am a nurse @ a methadone clinic, and would like to pass info to our clients. yanni, u.y@lineone.net Posted 5/11/2000 7:09 AM WALLACE DEBES, vonboy@swbell.net Posted 23/3/2001 7:46 AM I've ben using off and on for one year now.Before this, I used for two years straight, about a gram of tar a day. From 1993 to 1999 I was clean, until I let another user move into my house and the whole episode started over again. I am now using about 1 gram of tar every other day by skin popping, not the I.V. route. Im not in as bad of shape as i could be in, But Im getting there. Can this Naltexone help me and is it avalable in Beaumont,Texas, are some city close by. Thank you much....Wallace
Shelly kerr, Shortybch@aol.com Posted 26/8/01 10:33 PM My daughter went into detox last night and she will be there for 5 days she was on heroin on and off for 6 years and she is only 20 years old I was wondering if you could give me some imformation on where to get naltrexone and what the side effects would be we live in Daytona Beach Fl.Please help Thanks |
|
Return to top of page This page was last built on 28/8/01; 4:42:15 PM. It was originally posted on 18/7/98; 6:42:10 PM. Webmaster:  lemlink@medicineau.net.au |
 |
Index |  |
Campral - the drunkard's friend? |
MedicineAu