The "Real" Advantage of Buprenorphine over Methadone for Pregnant Patients and All Others...
...is the Stifling, Dehumanizing, Stigmatizing, Bureaucratic, Community and Provider Hostility Directed Against Methadone in Many Places.
Lots of drug dependent people simply will not go to a "program" where they are observed while urinating, never ever trusted to be and remain in compliance, subject to fragmentation of care between those addressing the addiction and those focusing on all other problems the patient may have, etc. Any treatment that circumvents these commonplace horrors will attract some folks wanting and ending treatment that would stay on the streets rather than subject themselves to such a "system."
See ANDREW BYRNE (Sydney) COMMENTS ON AUSTRIAN DOUBLE BLIND BUPRENORPHINE-METHADONE TREATMENT IN PREGNANCY
http://www.opiateaddictionrx.info/whatsnew.asp?id=1076
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