July 9, 2019 – One reason: “People say you’re just changing one drug for another,” said Dr. Nora Volkow, director of the National Institute on Drug Abuse, who is leading that first-of-its-kind study. “The brain responds differently to these medications than to heroin. It’s not the same.” Science has made clear that three medicines — methadone, buprenorphine and extended-release naltrexone — can effectively treat what specialists prefer to call opioid use disorder. Patients who stick with methadone or buprenorphine in particular cut their chances of death in half, according to a report by the National Academies of Sciences, Engineering and Medicine that explored how to overcome barriers to that care.
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