RELUCTANCE TO PROVIDE DIVIDED DOSES METHADONE:
(Am J Psych 165:10. Oct 2008) While recognizing that some patients require divided doses of methadone for optimal therapeutic outcome, a physician writes that "...the most compelling obstacle in employing this strategy relates to an increase in methadone deaths in various regions of the US." It seems folks just can't accept the clear and compelling finding of a nationwide expert panel convened by SAMHSA: "methadone from clinics is not the culprit" responsible for the increase in deaths attributed to methadone in recent years (SAMHSA News, vol. 12, no. 2, 2004). Meanwhile, how many methadone maintenance patients will drop out, how many will relapse and how many will die because they are all judged likely to divert their medication and thus denied the dosage regimen that might be optimal?