But Dr. Tyndall’s deliberate move away from a clinical model has put him on a lonely path. Existing programs that allow for injectable OAT typically require patients to present at a clinic two or three times a day, at set times, to inject under supervision.
The program works like this: After an initial assessment by a physician, a participant is prescribed a set amount of hydromorphone tablets that a pharmacy pre-packages and delivers to a patient representative on site. The packages, which each bear the participant’s name, are then loaded into the machine.
For Mr. Walker, the first participant, the program’s impact has been drastic. An opioid user of nearly 20 years, Mr. Walker said he had recently fallen into “a really dark place." His days had been consumed by his addiction, running errands for drug dealers in exchange for small amounts of drugs to stave off withdrawal.
In her program, tablets are dispensed daily and patients visit with a physician about once a week. Collectively, they have “dramatically” decreased illicit fentanyl use and engagement in sex work and petty crime, Dr. Sereda said. There has been an increase in uptake in primary care and HIV treatment, and about half are no longer homeless. There have been no overdose deaths.
Conventional options to treat opioid use disorder such as methadone, buprenorphine and slow-release oral morphine have been rigorously studied and their benefits are incontrovertible, Dr. Bromley wrote. For those who don’t benefit with these options, supervised injectable OAT with heroin and hydromorphone, while intensive, have also been proven safe and effective.
GlobeBC Lmao. Its amazing to me that people have no idea that the whole reason why we invaded Afghanistan is for opium fields that to this day they still protect. Hello
GlobeBC Pharma & government looking how to make money.
GlobeBC So keep people addicted rather that get them off drugs? i didn't offer to pay for this.
GlobeBC drugs, narcotics, ISIS terrorists. illegal Muslim immigrants....anything else?
GlobeBC We should just put it in the water supply and get it over with
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