The 1980s and 1990s have witnessed a worldwide epidemic of heroin addiction and countries around the world have moved to put in place opiate replacement therapy programs to deal with this problem while most of these programs use methadone as a substitute drug of choice most recently buprenorphine laam levo acetyl methadol and heroin have been employed for this purposea comprehensive . In 2009 more than 100000 individuals who had struggled with heroin addiction were regularly taking methadone as an opiate replacement medication according to harvard medical schools harvard health publications methadone treatment is also known as a substitution therapy or a treatment that enables the individual who struggles with opiate addiction to effectively manage cravings and . The effectiveness of other opioid replacement therapies laam heroin buprenorphine naltrexone and injectable maintenance richard p mattick et al 7 delivering effective methadone treatment james bell 8 assessment for opioid replacement therapy jeff ward richard p mattick and wayne hall 9. Opiate replacement therapy is a treatment option for opioid addiction that has existed since the early 1970s doctors and researchers have improved the program over time and while two types of opiate replacement therapy medications now exist for the treatment of this addiction syndrome every patient is different in their requirements for care and should be considered for their specific needs . Methadone is a synthetic opioid used as a replacement drug in the medical treatment of opioid addiction methadone is used for short term treatments of opioid withdrawal and long term opioid replacement therapy methadone is longer acting when compared to other opioids such as heroin morphine and codeine and can be administered once a day
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