Treatment of polydrug-using opiate dependents during withdrawal: towards a standardisation of treatment
2006

Standardized Treatment for Opiate Dependents During Withdrawal

Sample size: 62 publication Evidence: moderate

Author Information

Author(s): Øistein Kristensen, Terje Lølandsmo, Åse Isaksen, John-Kåre Vederhus, Thomas Clausen

Primary Institution: Sørlandet Hospital, Kristiansand, Norway

Hypothesis

Will a standardized treatment regimen of Buprenorphine and Valproate result in fewer withdrawal symptoms during detoxification of opiate-polydrug users than the existing treatment regimen?

Conclusion

The combination of Buprenorphine and Valproate appears to be a safe and effective method for treating withdrawal symptoms in polydrug users.

Supporting Evidence

  • 67% of patients in the BPN/VPA group completed treatment compared to 50% in the CLN/CBZ group.
  • Withdrawal symptoms were reduced in both groups, but only the BPN/VPA group showed improvement from day one.
  • The BPN/VPA group had a better adverse effect profile and was well tolerated.

Takeaway

This study tested a new treatment for people who are addicted to multiple drugs, and it found that a combination of two medications helped them feel better during withdrawal.

Methodology

A non-randomised, open-label in-patient detoxification study comparing Buprenorphine/Valproate to Clonidine/Carbamazepine.

Potential Biases

Differences in motivation and characteristics between the treatment and control groups may introduce bias.

Limitations

The small sample size and the use of a historical control group limit the conclusions that can be drawn.

Participant Demographics

Mean age of BPN/VPA group was 28, and the control group was 38; 42% of the BPN/VPA group were male compared to 76% in the control group.

Statistical Information

P-Value

0.15

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-244X-6-54

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