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methadone clinic
A methadone clinic is a clinic which has been established for the dispensing of methadone (Dolophine), a schedule II opioid analgesic, to those who abuse heroin and other opioids. The focus of these clinics is the elimination or reduction of opioid usage by putting the patient on methadone. Some clinics also offer short- or long-term detoxification services to their patients using methadone. A common term for the type of treatment at a methadone clinic is "replacement therapy". While generally considered successful as a treatment method, the use of this maintenance treatment is often viewed as controversial.
==Regulation and policy==
In the United States, there are generally two types of methadone clinics, public and private. The public clinics are generally cheaper to attend. However, there is usually a waiting list due to limited funding. The private clinics are more expensive to attend but usually have either a short or no waiting list. In many parts of the United States, methadone clinics are few and far between, which presents problems for addicts seeking methadone treatment who live far from a clinic. The greatest concentrations of clinics are in California, Maryland, New York, and New Jersey.
Methadone clinics in the United States operate under close federal observation and regulation. The medication is monitored by nursing staff and is prescribed by a physician. Regulations require that to enter this form of treatment, the person must show current addiction to an opioid. This is generally established by a simple urine sample. A medical examination is given prior to administration of the methadone, and new patients are often tested for certain conditions which are known to be prevalent in addict populations, such as HIV, hepatitis, and tuberculosis.
Getting admitted into a methadone clinic in New York State has several requirements. One must be an opiate user for a minimum of one year. One must not have methadone or suboxone in his/her blood or urine analysis. They also base the amount of methadone given to a patient by the amount of opiates in the person's system. If there are extremely low amounts of opiates in the person's system that individual will be rejected methadone treatment due to the high amount of methadone abuse as well as assuming the person will try to sell their methadone on the streets. This amount is equivalent to using (on a daily basis) 6 bags of 50% pure heroin, or 360 mg of Oxicodone and 240 mg of oxymorphone .
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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