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Outpatient Non-Opioid Detoxification for Opioid Withdrawal: Who is Likely to Benefit?

NCJ Number
166670
Journal
American Journal on Addictions Volume: 6 Issue: 3 Dated: (Summer 1997) Pages: 218-223
Author(s)
M J McCann; K Miotto; R A Rawson; A Huber; S Shoptaw; W Ling
Date Published
1997
Length
6 pages
Annotation
This study examined characteristics of successful completers of an outpatient clonidine/oxazepam detoxification procedure for opioid dependence.
Abstract
Opioid-dependent, treatment-seeking applicants were recruited from the treatment community, drug hotlines, and emergency rooms and by self-referral. The initial 215 applicants were predominantly male, white, and single and were heroin users. All participants designated a partner who could drive them to the clinic for daily visits. Opioid dependence was confirmed by a physician based on history and current signs and symptoms. All subjects visited the clinic daily on weekdays for blood pressure monitoring and medication. Detoxification episodes were scheduled for a duration of 5 to 7 days. Of 215 applicants for treatment, 167 started medication and 65 completed detoxification and received naltrexone. Completers represented 30 percent of the entire group of 215 applicants and 39 percent of those who actually began the detoxification episode. Those who completed were more likely to have last used an opioid other than heroin, to be heroin smokers rather than intravenous users, to have used benzodiazepines during the 30 days before treatment, and to have abstained from opioids for a longer time before presenting for treatment. New users (less than 2 years) did no better than those using longer than 2 years. The authors conclude their findings may help in the continued refinement of patient placement criteria. 14 references and 1 table