METHADONE ADDICTION
Methadone is a synthetic opiate that was originally developed
by German scientist during World War II. The German doctors
needed morphine for the injured troops, but the Allied forces
had cut the supply lines that forced them to develop this
alternative. Methadone was later introduced to the United
States in 1947 by Eli Lilly and Company as an analgesic under
the commercial name of Dolophine. Its long half-life was
its advantage in medical settings over other natural or synthetic
opiates. The analgesic effects of methadone can last two
to three times longer than other opiates. 
Because of its slow metabolic breakdown, it was later used
to block or decrease the cravings and withdrawal symptoms from
persons that were addicted to opiates generally and heroin
in particular. In the 1960's the government sponsored clinical
research to demonstrate the benefits of methadone administration
as a substitute for heroin and from this research it was determined
that methadone could be used as a substitute for heroin.
All states were given the opportunity and choice to develop
regulations to govern methadone clinics to treat opiate addicts.
Some states declined this option and today there are states
where the sale of methadone for opiate substitution treatment
is still illegal, however, most states now have clinics in
their bigger cities.
Methadone has its place, but, there is a strong downside to using methadone as a substitute
for other opiate addictions. The main objection is the fact
that methadone addiction is more difficult to recover from
than heroin or any other narcotic. Methadone effects can last
up to 24 hours, thereby permitting once-a-day oral administration
for heroin withdrawals, however, it is quite ineffective as
a "cure" for addiction since it merely transfers
the addiction from a heroin addiction to a methadone addiction.
Those persons that subscribe to the notion that "once
an addict, always an addict,” have little trouble with
this type of reasoning, but the majority of addiction professionals
realize that addiction can be arrested and cured and to sentence
someone to a life of methadone addiction under the guise of
a cure is irresponsible, or even, “immoral”.
Most states limit the maximum dosage of methadone at a level
under 200mgs/day; however, a few states do not impose a limit
on daily amounts since they believe that some persons may require
more than 200mgs/day to curb their cravings for other opiates.
The pharmaceutical companies are naturally lobbying for this
cap to be eliminated under the pretense of providing better
addiction care for their patients.
Patients that are using methadone replacement therapy are
only doing so because they have had little to no success in
earlier attempts to handle their addiction, in fact, 97% of
patients reported that they would quit using methadone if they
could be assured that they would not have to experience the severe
withdrawal symptoms that accompany this drug. Many professionals
feel that this fear is what keeps these patients "chained" to
their methadone clinics with a lack of hope for any drug free
existence.
When methadone patients were asked if they would like to stop
using methadone if they didn't feel any withdrawal symptoms,
97% reported that they would end their use of methadone except
from this fearful consequence.
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