1) Methadone maintenance patients who continue to use illicit opiates should have their dose of methadone reduced.
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1) Marijuana should be legalized.
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1) Methadone, in a stable dose as partof a maintenance regime, blocks the euphoric effects of heroin and prescription opioids.
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2) Maintenance patients who ignore repeated warning to stop using illicit opiates should be gradually withdrawn off methadone.
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2) Modern society is too tolerant toward drug addicts.
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2) Withdrawing from methadone ‘cold turkey’ is definitely worse than withdrawing from heroin.
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3) No limits should be set on the duration of methadone maintenance.
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3) Drug addiction is a vice.
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3) Methadone maintenance can cause chronic constipation.
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4) Methadone should be gradually withdrawn once a maintenance patient has ceased using illicit opiates.
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4) Marijuana use among teenagers can be healthy experimentation.
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4) Methadone Maintenance can cause disturbance of sexual function.
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5) Methadone services should be expanded so that all narcotic addicts who want methadone maintenance can receive it.
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5) Drug addiction is a menace to society.
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5) Methadone maintenance can cause kidney damage.
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6) Methadone maintenance patients whocontinue to abuse non-opioid drugs (e.g. benzodiazepines) should have their dose of methadone reduced.
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6) Persons convicted of the sale of illicit drugs should not be eligible for parole.
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6) Methadone maintenance can cause liver damage.
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7) Abstinence from all opioids (including methadone) should be the principal goal of methadone maintenance.
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7) To the unborn child, methadone is more dangerous than heroin.
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8) Left to themselves, most methadone patients would stay on methadone for life.
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8) Methadone given in a stable dose aspart of a maintenance regime significantly interferes with the ability to dive a car.
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9) Maintenance patients should only be given enough methadone to prevent the onset of withdrawals.
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9) Methadone maintenance reduces addicts’ criminal activities.
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10) It is unethical to maintain addicts on methadone indefinitely.
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10) Methadone maintenance decreases addicts’ risk of dying.
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11) The clinician’s principal role is to prepare methadone maintenance patients for drug-free living.
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11) Methadone maintenance reduces addicts’ consumption of illicit opiates.
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12) It is unethical to deny a narcotic addict methadone maintenance.
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12) Methadone maintenance increases the severity of preexisting depression.
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13) Confrontation is necessary in the treatment of drug addicts.
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13) Methadone maintenance reduces the risk of transmission blood borne diseases.
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14) The clinician should encourage patients to remain in methadone maintenance for at least three to four years. |
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