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Methadone

German scientists synthesized methadone during World War II because of a shortage of morphine. Although chemically unlike morphine or heroin, methadone produces many of the same effects. Introduced into the United States in 1947 as an analgesic (Dolophine), it is primarily used today for the treatment of narcotic addiction (Methadone). The old name Dolophine comes from the german Dolphium which was the name this substance was given in honour of Adolf Hitler by the German pharmacists who developed it.

The effects of methadone are longer lasting than those of morphine-based drugs. Methadone's effects can last up to 24 hours, thereby permitting administration only once a day in heroin detoxification and maintenance programs. Methadone is almost as effective when administered orally as it is by injection. Tolerance and dependence may develop, and withdrawal symptoms, though they develop more slowly and are less severe than those of morphine and heroin, are more prolonged. Ironically, methadone used to control narcotic addiction is frequently encountered on the illicit market and has been associated with a number of overdose deaths.

Closely related to methadone, the synthetic compound levo-alphacetylmethadol[?] or LAAM (ORLAAM) has an even longer duration of action (from 48 to 72 hours), permitting a reduction in frequency of use. In 1994 it was approved as a treatment of narcotic addiction. Buprenorphine (Buprenex), a semi-synthetic Schedule V narcotic analgesic derived from thebaine, is currently being investigated as a treatment of narcotic addiction.

Another close relative of methadone is dextropropoxyphene[?], first marketed in 1957 under the trade name of Darvon. Oral analgesic potency is one-half to one-third that of codeine, with 65 mg approximately equivalent to about 600 mg of aspirin. Dextroproxyphene[?] is prescribed for relief of mild to moderate pain. Bulk dextropropoxyphene[?] is in Schedule II of the United States Controlled Substances Act, while preparations containing it are in Schedule IV. More than 100 tons of dextropropoxyphene[?] are produced in the United States annually, and more than 25 million prescriptions are written for the products. This narcotic is associated with a number of toxic side effects and is among the top 10 drugs reported by medical examiners in drug abuse deaths.

(cut'n'paste from http://www.dea.gov/concern/abuse/chap2/narcotic/metha.htm)



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