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November 12, 2003

Methadone Maintenance Therapy and Chronic Pain

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290(18):2403. doi:10.1001/jama.290.18.2403-a

In Reply: We agree with Drs Streltzer and Kosten that physicians should not prescribe opioids to patients in MMTPs (or indeed to any patient) merely because of the possibility that their pain might be undertreated. Opioid therapy should be considered only after a careful assessment to determine the nature and impact of pain, and only after considering the risks and benefits for the specific patient compared with other potentially analgesic treatments.1

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