Stephen J.LurieMD, PhD, Contributing EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor
To the Editor: In the study by Dr Sees and
colleagues1 on methadone "treatment" for
opioid dependence it is inappropriate to compare patients receiving a stable
dose of methadone to those either undergoing detoxification or recently detoxified.
The authors point out that 50% of the participants used illicit opioids and
that there was no difference in cocaine use between the groups. They reported
that neither group showed changes in 5 problem areas: employment, family,
psychiatric, legal, and alcohol use. On the other hand, the 12-step recovery
mode has been proven for 65 years. Once sober and totally drug free, the life
of the recovering addict changes dramatically in all areas.
Annitto WJ. Methadone Maintenance for Opioid Dependence. JAMA. 2000;284(6):694-695. doi:10.1001/jama.284.6.691