Buprenorphine: a controlled clinical trial in the treatment of opioid dependence.

作者: Pier Paolo Pani , Icro Maremmani , Roberto Pirastu , Alessandro Tagliamonte , Gian Luigi Gessa

DOI: 10.1016/S0376-8716(00)80006-X

关键词: HeroinClinical trialPsychosocialBuprenorphineOpioidAnesthesiaMethadone maintenanceMethadoneMedicinePsychopathology

摘要: Clinical trials carried out to compare methadone and buprenorphine in the treatment of opioid dependence have generally employed an alcoholic solution buprenorphine, which has a bioavailability superior that tablets. Since product available for large scale use is tablet form, one intended verify efficacy this formulation. In multicentre randomised controlled double blind study, 72 dependent patients were assigned with (8 mg/day) or (60 period 6 months. The two compounds did not show any significant difference regard urinalyses: average percentage analyses proving negative was 60.4% 65.5% those methadone. With retention, non-significant trend favour observed. Patients completing trial improved significantly terms psychosocial adjustment global functioning, as ascertained by DSM-IV-GAF symptom checklist-90 (SCL-90) scales, independent group. Finally, case who dropped differed from stayed, higher level psychopathological symptoms, lower functioning. results study further support utility dependence.

参考文章(61)
Comparison of buprenorphine and methadone in the treatment of opioid dependence American Journal of Psychiatry. ,vol. 151, pp. 1025- 1030 ,(1994) , 10.1176/AJP.151.7.1025
John R M Caplehorn, James Bell, Methadone dosage and retention of patients in maintenance treatment. The Medical Journal of Australia. ,vol. 154, pp. 195- 199 ,(1991) , 10.5694/J.1326-5377.1991.TB121030.X
Nyswander Me, Dole Vp, Rehabilitation of heroin addicts after blockade with methadone. New York state journal of medicine. ,vol. 66, pp. 2011- ,(1966)
Maxine L. Stitzer, George E. Bigelow, Mark K. Greenwald, Mark K. Greenwald, Thomas Eissenberg, Rolley E. Johnson, Ira A. Liebson, Buprenorphine's physical dependence potential: antagonist-precipitated withdrawal in humans. Journal of Pharmacology and Experimental Therapeutics. ,vol. 276, pp. 449- 459 ,(1996)
David S Weinberg, Charles E Inturrisi, Bruce Reidenberg, Dwight E Moulin, Tony J Nip, Stanley Wallenstein, Raymond W Houde, Kathleen M Foley, Sublingual absorption of selected opioid analgesics Clinical Pharmacology and Therapeutics. ,vol. 44, pp. 335- 342 ,(1988) , 10.1038/CLPT.1988.159
I. Lizasoain, J.C. Leza, P. Lorenzo, Buprenorphine: Bell-shaped dose-response curve for its antagonist effects General Pharmacology: The Vascular System. ,vol. 22, pp. 297- 300 ,(1991) , 10.1016/0306-3623(91)90452-C
Thomas D'Aunno, Thomas E Vaughn, Variations in methadone treatment practices. Results from a national study. JAMA. ,vol. 267, pp. 253- 258 ,(1992) , 10.1001/JAMA.1992.03480020063032
J.David Leander, Buprenorphine is a potent κ-opioid receptor antagonist in pigeons and mice European Journal of Pharmacology. ,vol. 151, pp. 457- 461 ,(1988) , 10.1016/0014-2999(88)90543-2
Steven M. Mirin, Roger D. Weiss, Margaret L. Griffin, Jacqueline L. Michael, Psychopathology in drug abusers and their families Comprehensive Psychiatry. ,vol. 32, pp. 36- 51 ,(1991) , 10.1016/0010-440X(91)90068-N