Even as methadone use expanded in America during the pandemic, methadone-overdose deaths did not spike and addicts were more likely to stay in treatment
have been used in one form or another for half a century in lots of countries and they are effective. Studies find that they reduce the risk of a fatal overdose by 80% and help addicts avoid relapse,and hepatitis. But just 22% of Americans with an opioid problem got medication for the condition in 2021.have spiked, from around 50,000 a year before the pandemic to 80,000 in 2021.
It is currently annoying to get methadone, as the Bronx residents fighting a bitter wind to get to St Barnabas can attest. Clinicians fear misuse. Methadone is still an opioid and has a street value. Too much can cause an overdose. Sohas been tightly controlled, at clinics with observed dosing . But in March 2020, as people stayed home and tried to avoid medical facilities, federal regulations were relaxed to allow stable patients to take home enough to last 28 days.
The federal government is also proposing changes to regulations covering buprenorphine, another drug used for opioid addiction. Unlike methadone, buprenorphine is less liable to abuse and can be prescribed by a range of clinicians and doled out in pharmacies. The new rules would make, another pandemic-era liberalisation, permanent. “This is a really big deal,” says Keith Humphreys, of Stanford University.
More providers will be available soon: for years, clinicians have needed extra training and a specific waiver to use buprenorphine to treat addiction . But, folded into the Omnibus Spending Bill, passed by Congress at the end of 2022, was a provision scrapping that waiver.
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