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EDITORIAL Editorials represent the opinions of the authors and JAMA and not those of the American Medical Association. Methods of Detoxification and Their Role in Treating Patients With Opioid Dependence

By Patrick G. O’connor and See Also P


mortality, and social costs continue to plague societies around the world. Opioid dependence is characterized by physical dependence as evidenced by tolerance and withdrawal and by behavioral problems, including the inability to control opioid use, opioid use despite adverse consequences, and social dysfunction. The 2003 National Survey on Drug Use and Health reported that 3.7 million Americans had used heroin at some time in their lives. 1 The Monitoring the Future Survey noted that approximately 1.2 % of 10th- and 12th-graders reported ever using heroin in 2004. 2 In addition, the recent trend of increasing abuse of prescription opioids including oxycodone, propoxyphene, hydrocodone, hydromorphone, and meperidine has been a major concern since the late 1990s. The National Survey on Drug Use and Health1 estimated that as of 2003, more than 31.2 million American

Year: 2011
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