Opioids: heroin, methadone, and buprenorphine

Soraya Mayet, Adam R. Winstock and John Strang

in New Oxford Textbook of Psychiatry

Second edition

Published on behalf of Oxford University Press

Published in print February 2012 | ISBN: 9780199696758
Published online October 2012 | e-ISBN: 9780191743221 | DOI:
Opioids: heroin, methadone, and buprenorphine

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Opioid dependence is a chronic relapsing and remitting disorder affecting a large proportion of people throughout the world with severe physical, psychological, and social consequences. Opioid overdose and spread of blood borne viruses are major causes of morbidity and mortality. Assessment of opioid use and dependence should be systematic and confirmation of dependence is of paramount importance before initiating treatment. The prescription of substitute opioids should be managed carefully to prevent harm, diversion to others and improve safety. Management of opioid dependence can greatly improve outcomes and may be based on opioid maintenance stabilization or detoxification combined with psychosocial interventions.

Chapter.  8908 words.  Illustrated.

Subjects: Psychiatry ; Addiction Medicine

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