Effectiveness of tapering from methadone or buprenorphine maintenance treatment compared to traditional maintenance treatment for people with opiate addiction systematic review

In Norway we offer opioid maintenance treatment with methadone or buprenorphine for people with opioid dependence. For most people who use methadone or buprenorphine the maintenance treatment has a lifelong perspective. We summarized the research on the effect of tapering the dosage of methadone or...

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Bibliographic Details
Main Authors: Dalsbø, Therese Kristine, Steiro, Asbjørn (Author), Strømme, Hilde (Author), Reinar, Liv Merete (Author)
Corporate Author: Folkehelseinstituttet (Norway)
Format: eBook
Language:English
Published: Oslo Norwegian Institute of Public Health 2017, March 2017
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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245 0 0 |a Effectiveness of tapering from methadone or buprenorphine maintenance treatment compared to traditional maintenance treatment for people with opiate addiction  |h Elektronische Ressource  |b systematic review  |c Dalsbø, Therese Kristine, Steiro, Asbjørn, Strømme, Hilde, Reinar, Liv Merete 
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653 |a Opiate Substitution Treatment 
653 |a Buprenorphine / therapeutic use 
653 |a Systematic Reviews as Topic 
653 |a Methadone / therapeutic use 
653 |a Opioid-Related Disorders / drug therapy 
653 |a Treatment Outcome 
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700 1 |a Strømme, Hilde  |e [author] 
700 1 |a Reinar, Liv Merete  |e [author] 
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500 |a English summary excerpted from full report in Norwegian: Effekt av nedtrapping av metadon eller buprenorfin for personer med opioidavhengighet i legemiddelassistert rehabilitering: systematisk oversikt. - Excerpt from report no. 2017-12 
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520 |a In Norway we offer opioid maintenance treatment with methadone or buprenorphine for people with opioid dependence. For most people who use methadone or buprenorphine the maintenance treatment has a lifelong perspective. We summarized the research on the effect of tapering the dosage of methadone or buprenorphine compared with continued opioid assisted maintenance treatment. We found only one randomized controlled trial (published in 2015) that evaluated the effect of tapering from methadone. The study was set in the USA and included 223 people who were sentenced to serve a relatively short prison sentence. The study we found had included too few people. It had high risk of bias due to lack of blinding. We cannot say anything for certain what the effect of tapering methadone is on the use of methadone maintenance treatment, illicit drugs, crime, adverse events such as hospitalization, disease and drug overdose, and mortality. The study did not measure outcomes such as adverse events, user satisfaction or work participation