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October 22, 1997

Opiate Detoxification Under Anesthesia

Author Affiliations

CITAmericas, Inc New York, NY

JAMA. 1997;278(16):1318. doi:10.1001/jama.1997.03550160038030

To the Editor.  —In the Medical News & Perspectives1 article regarding opiate detoxification, an otherwise fair and balanced survey of the matter was marred by several instances of misleading information and factual errors.CITA International and its subsidiary, CITAmericas, Inc, have treated more than 4000 patients with no instances of mortality and no substantial morbidity. Clinical outcomes of naturalistic studies conducted by CITA have been published2 and in other instances are under review by several peer-reviewed journals. Unlike other organizations that may tout painless opiate detoxification services, CITA does not offer an easy cure for addiction and does not condone drive-through outpatient detoxification. The CITA Method comprises 2 inextricably related components—Ultra Rapid Opiate Detoxification and the Flexible Intensity Treatment program, a comprehensive psychotherapeutic program designed to minimize the incidence of relapse following detoxification.The safety concerns mentioned in the report by Dr Stephenson may well be cited but misrepresent the facts since