Methadone Maintenance Program: Clinical Pracce Guideline

College of Physicians and Surgeons of British ColumbiaMethadone Maintenance Program: Clinical Practice GuidelineFebruary 2014 Revised July 2014 | Updated September 2015 Methadone Maintenance Program: Clinical Practice Guideline College of Physicians and Surgeons of British Columbia i September 2015 CONTENTS Preface .. 1 Introduction .. 2 1. The History of Methadone .. 2 2. Authorization to Prescribe Methadone .. 2 Full Authorization .. 3 Temporary Authorization .. 4 Hospitalist Authorization .. 4 3. Pharmacology of Methadone .. 4 Absorption .. 5 Duration of Action/Metabolism .. 5 Tolerance .. 5 Admission to the Methadone Maintenance Program .. 6 1. Criteria for Admission to the Methadone Maintenance Program .. 6 2. DSM-IV-TR Diagnostic Definition of Opioid Use Disorder .. 7 3. Treatment Considerations .. 8 Detoxification .. 8 Outpatient and Day Treatment Programs .. 8 Residential and Support Recovery Programs .. 8 Alternative Pharmacotherapies .. 8 Mutual Support Groups.

These clinical guidelines are evidence-based, represent the expert opinion of the Methadone Panel, and are intended for physicians in British Columbia who are prescribing methadone for opioid dependence. Physicians should exercise careful clinical judgment when considering whether it is appropriate to deviate from these guidelines.

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