Psychophysiological reactions in methadone maintenance patients do not correlate with methadone plasma levels

Autor(en)
Rainer Schmid, Reinhold Jagsch
Abstrakt

In methadone maintenance therapy methadone plasma concentrations of 400 ng/ml are necessary to suppress any further opiate action and to provide stabilized maintenance. In a controlled study we have searched for a differentiation in autonomous activation between patients having low and high methadone plasma levels, using static and dynamic pupillometry and habituation of skin conductance response. Results show that there is no difference in psychophysiological response between patients with high (>400 ng/ml) or low (<400 ng/ml) plasma levels of methadone. This indicates that there is no reduction in behavioral arousal in patients with high plasma methadone levels. On the basis of these findings, there is no rationale to maintain patients on plasma levels below 400 ng/ml.

Organisation(en)
Institut für Klinische und Gesundheitspsychologie
Externe Organisation(en)
Medizinische Universität Wien
Journal
Psychopharmacology
Band
103
Seiten
538-540
Anzahl der Seiten
3
ISSN
0033-3158
DOI
https://doi.org/10.1007/BF02244255
Publikationsdatum
04-1991
Peer-reviewed
Ja
ÖFOS 2012
501010 Klinische Psychologie
Schlagwörter
ASJC Scopus Sachgebiete
Pharmacology
Link zum Portal
https://ucrisportal.univie.ac.at/de/publications/68ebf656-b022-4037-906f-8f4bc8ad01a8