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A preliminary study comparing methadone and buprenorphine in patients with chronic pain and coexistent opioid addiction.


ABSTRACT: Patients with opioid addiction who receive prescription opioids for treatment of nonmalignant chronic pain present a therapeutic challenge. Fifty-four participants with chronic pain and opioid addiction were randomized to receive methadone or buprenorphine/naloxone. At the 6-month follow-up examination, 26 (48.1%) participants who remained in the study noted a 12.75% reduction in pain (P = 0.043), and no participants in the methadone group compared to 5 in the buprenorphine group reported illicit opioid use (P = 0.039). Other differences between the two conditions were not found. Long-term, low-dose methadone or buprenorphine/naloxone treatment produced analgesia in participants with chronic pain and opioid addiction.

SUBMITTER: Neumann AM 

PROVIDER: S-EPMC3604999 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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A preliminary study comparing methadone and buprenorphine in patients with chronic pain and coexistent opioid addiction.

Neumann Anne M AM   Blondell Richard D RD   Jaanimägi Urmo U   Giambrone Amanda K AK   Homish Gregory G GG   Lozano Jacqueline R JR   Kowalik Urszula U   Azadfard Mohammadreza M  

Journal of addictive diseases 20130101 1


Patients with opioid addiction who receive prescription opioids for treatment of nonmalignant chronic pain present a therapeutic challenge. Fifty-four participants with chronic pain and opioid addiction were randomized to receive methadone or buprenorphine/naloxone. At the 6-month follow-up examination, 26 (48.1%) participants who remained in the study noted a 12.75% reduction in pain (P = 0.043), and no participants in the methadone group compared to 5 in the buprenorphine group reported illici  ...[more]

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