More opioid dependence treatment needed

August 6, 2013, Simon Fraser University

A new report from Simon Fraser University researcher Bohdan Nosyk calls for the expansion of heroin and opioid medical treatment to stem the increase of overdose deaths.

"Prescription opioid abuse and overdose is on the rise throughout North America," says the SFU Health Sciences associate professor and lead author of the study that was published in Health Affairs. "Opioid overdose is now the second-leading cause of accidental death in the U.S., behind only motor-vehicle accidents.

"People from all walks of life, including youths, are accessing these drugs and the consequences are deadly."

The report highlights increases in the prevalence and hazards related to the use of opioids, such as heroin, and prescription opioids like oxycodone, in Canada and the United States, and the gap in treatment availability in both countries.

Evidence shows that methadone and buprenorphine, two forms of opioid , are effective at retaining clients in treatment. Prolonged retention in treatment can lead to reductions in , overdoses, behaviours that increase the risk of contracting HIV, and criminal activity. As a result, treatment has been shown to be highly cost-effective.

The study makes several recommendations to expand access to evidence-based medical treatment, including:

  • Eliminating restrictions on methadone prescribing
  • Reducing financial barriers to treatment
  • Reducing reliance on opioid detoxification treatment
  • Integrating emerging treatments

There is serious concern for the consequences that may result if effective opioid continues to be limited, says Nosyk, who is also a with the B.C. Centre for Excellence in HIV/AIDS.

"In the absence of readily-available treatment, some of the prescribed who are becoming dependent will switch from pills to injecting heroin in search of a more potent high," he says.

"This would compound the challenges we have in the fight against HIV/AIDS and Hepatitis C at a time when new technology and treatment options for these conditions are turning the tide."

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dankgus
not rated yet Aug 19, 2013
Hmmm. The article says that opioid related deaths are on the rise and one of the suggested changes be "Eliminating restrictions on methadone prescribing".

A "related story" suggested by this website is an article titled "Methadone linked to 30 percent of painkiller overdoses".

Hmmm.

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