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The purpose of this paper is to examine whether it is possible to switch patients from heroin or methadone to buprenorphine without needing to experience symptoms of withdrawal?
Abstract
Purpose
The purpose of this paper is to examine whether it is possible to switch patients from heroin or methadone to buprenorphine without needing to experience symptoms of withdrawal?
Design/methodology/approach
Review of author’s experience in 1980s where three patients transferred to 4 mg buprenorphine from 40 ml (1mg/ml) methadone without symptoms of withdrawal. Review of literature where patients were transferred to buprenorphine without waiting for withdrawal symptoms to occur. Presentation of six case histories in author’s clinic.
Findings
Provided the buprenorphine is commenced at a very low dosage, is gradually increased and the heroin/methadone is reduced over a period of time, it is possible to change from heroin or methadone without inducing withdrawal symptoms. It is not necessary to stop the heroin/methadone and wait for withdrawal symptoms to occur.
Research limitations/implications
Due to the author’s retirement in October 2015 further research into the production of a template which could be used universally has not yet been possible.
Practical implications
Transferring patients from heroin and methadone to buprenorphine has often been difficult. Waiting for withdrawal symptoms to occur has often resulted in treatment failure. The method described eliminates the problem for patients.
Social implications
Patients find the method is more acceptable and allows normal functioning.
Originality/value
Confirmation that the findings of the original case histories from 1980s were valid. The value to the treatment service should be considerable in simplifying the prescribing practice.
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On the only rainy day of a week in early March, a yellow Rolls Royce pulled up outside a substantial house in North London, the home of Dr Paul Eisler, the inventor of the foil…
Abstract
On the only rainy day of a week in early March, a yellow Rolls Royce pulled up outside a substantial house in North London, the home of Dr Paul Eisler, the inventor of the foil method of printed circuit manufacture. The occasion was the presentation to him of the Graphic Electronics Achievement Award in recognition of his work on the printed circuit.
David Norburn, Kingsley Manning and Sue Birley
Worldwide economic decline, rampant inflation, floating exchange rates and the rise of the Pacific Rim countries mean that businesses in the Western World must adopt a different…
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PMD have appointed David H. Ormerod to the position of printed circuits products manager as part of their marketing organisation.
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The latest industry statistics recently published by the PCIF indicate that the UK printed circuit fabrication industry has emerged from the recession leaner and fitter…
Abstract
The latest industry statistics recently published by the PCIF indicate that the UK printed circuit fabrication industry has emerged from the recession leaner and fitter. Over‐capacity has been slashed, with 60% fewer companies producing 10% more product than three years ago. Productivity is up 58%.
This two‐week course held in May 1987 at Oxford University Department for External Studies comprised an interesting and comprehensive programme of instructive lecture sessions…
Abstract
This two‐week course held in May 1987 at Oxford University Department for External Studies comprised an interesting and comprehensive programme of instructive lecture sessions combined with company visits which gave attendees the opportunity to observe practical aspects of several areas of the course. Examination results are printed below, and details of the course contents are as follows:
The Institute of Circuit Technology's Annual Symposium, which took place on 12–13 May 1987, returned this year to Brunel University, Uxbridge, where it had last been held in June…