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Agonist maintenance drug treatment
Medications have been used for more than three decades in the agonist maintenance drug treatment. Although some people continue to deny their use for such purposes, the value of medications in drug abuse treatment has been well established over time. Even if opium is not such an used drug at the end leads to drug addiction and the person who developed the dependency has to enter a rehab program.
Those drug treatment programs are usually conducted in outpatients facilities, so called methadone treatment programs and use LAAM (levo-alpha-acetyl-methadol), a synthetic opioid agonist medication. Like methadone, LAAM creates a pharmacologic cross-tolerance to other opioids and therefore blocks the euphoric effects of those drugs while also controlling opiate craving. Methadone suppresses opiate withdrawal symptoms for 24 hours or longer, whereas LAAM achieves this effect for 48 to 72 hours or longer.
Patients under those programs can hold jobs, avoid the crime and violence and reduce their exposure to HIV at least by decreasing injection drug use and the sexual behavior related to drug use. Like methadone, LAAM is similar in action to morphine. Its' effects include analgesia, sedation and respiratory depression.
Under medication, patients can engage more committed into counseling and other behavioral interventions essential to recovery and rehabilitation. The optimal opiate agonist maintenance drug treatment program include individual and/or group counseling, as well as other medical, psychological and social services.
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