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  Vol. 55 No. 1, January 1998 TABLE OF CONTENTS
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High Interindividual Variability of Methadone Enantiomer Blood Levels to Dose Ratios

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Methadone is used as a maintenance treatment for opiate addiction. A linear relationship with a good correlation coefficient (n=31, r=0.82, P<.001) has been calculated between methadone dose and methadone concentrations in plasma.1 Methadone is marketed as a mixture (50:50) of 2 enantiomers called (R)-methadone and (S)-methadone, but (R)-methadone accounts for nearly all of the opioid effects of racemic methadone.2 We have developed a stereospecific analytical method that allows measurement of the concentrations of (R)-methadone and (S)-methadone.3 It was used to determine the (R)-methadone and (S)-methadone trough concentrations in the serum or plasma samples from 50 addicts receiving racemic methadone therapy in steady-state conditions.

Patients and Methods

Twenty-five patients treated in our addiction ward (Lausanne, Switzerland) and 25 patients from a clinical study in Essen, Germany3 were included. Patients were treated with various doses of racemic methadone, but with an unchanged dose for at least 7 days. Methadone was administered once daily . . . [Full Text of this Article]


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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Drug-Induced Long QT Syndrome in Injection Drug Users Receiving Methadone: High Frequency in Hospitalized Patients and Risk Factors.
Ehret et al.
Arch Intern Med 2006;166:1280-1287.
ABSTRACT | FULL TEXT  

A survey of methadone prescribing at an inner-city drug service and a comparison with national data
Dunn
Psychiatr. Bull. 2003;27:167-170.
ABSTRACT | FULL TEXT  





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