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A 12-year follow-up of a sample of patients dependent upon heroin

Published online by Cambridge University Press:  02 January 2018

Saima Niaz ,
Nadia Arshad ,
Mariam Haroon ,
Fahd A. Cheema ,
Khalid A. Mufti  and
Haroon Rashid Chaudhry
Saima Niaz
Affiliation:
Department of Psychiatry, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore, Pakistan, email [email protected]
Nadia Arshad
Affiliation:
College of Physicians and Surgeons, Pakistan
Mariam Haroon
Affiliation:
Department of Psychiatry, Services Hospital, Lahore, Pakistan
Fahd A. Cheema
Affiliation:
Department of Psychiatry, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore, Pakistan
Khalid A. Mufti
Affiliation:
Ibadat Hospital, Peshawar, Pakistan
Haroon Rashid Chaudhry
Affiliation:
Department of Psychiatry, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore, Pakistan
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Heroin addiction is a chronic, relapsing and remitting condition. Each year 2–5% of addicts discontinue drug use permanently and 1–2% die, mostly of overdose (Robins, 1993). A study of 129 opiate-addicted patients on a monthly maintenance regimen found that those with a family history of opium use had an earlier age at onset (Chaudhry et al, 1991). Long-term follow-up studies of people who misuse opiates have revealed that opioid dependence appears to run a chronic, relapsing and remitting course with a significant mortality (10–15%) over 10 years (Robson, 1992). Metrebian et al (1998) reported that long-term heroin abstinence was associated with less criminality, psychological distress and morbidity; Hser et al (2001) reported it was associated with higher employment rates.

Type
Special Papers
Information
International Psychiatry , Volume 4 , Issue 4 , October 2007 , pp. 94 - 95
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © The Royal College of Psychiatrists 2007

References

Bacchus, L., Strang, J. & Watson, P. (2000) Pathways to abstinence: two year follow up data on 60 abstinent men opiate addicts who had been turned away from treatment. European Journal of Addiction, 11, 141–147.Google Scholar
Chaudhry, H. R., Arria, A. & Tarter, R. (1991) Familial history of opium use and reported problems among opium addicts in Pakistan. British Journal of Addiction, 86, 785–788.Google Scholar
Hser, Y. I., Hoffman, V. & Grella, C. E. (2001) A 33 year follow up of narcotic addict. Archives of General Psychiatry, 58, 503–508.Google Scholar
Loimer, N., Hofmann, P. & Chaudhry, H. R. (1992) Nasal administration of naloxone for detection of opiate dependence. Journal of Psychiatric Research, 26, 39–43.Google Scholar
Metrebian, N., Shanahan, W. & Wells, B. (1998) Feasibility of prescribing injectable heroin and methadone to opiate-dependent drug users: associated health gains and harm reductions. Medical Journal of Australia, 168, 596–600.Google Scholar
Perneger, T. V., Giner, F. & Del Rio, M. (1998) Randomized trial of heroin maintenance programme for addicts who fail in conventional drug treatments. BMJ, 317, 13–18.Google Scholar
Robins, L. N. (1993) Vietnam veterans' rapid recovery from heroin addiction: a fluke or normal expectation? Addiction, 88, 1041–1054.CrossRefGoogle ScholarPubMed
Robson, P. (1992) Opiate misusers: are treatments effective? In Practical Problems in Clinical Psychiatry (eds Hawton, K. & Cowen, P.), pp. 141–158. Oxford University Press.Google Scholar
Rasheed, A., Chaudhry, H. R., Lali, M. S., et al (1992) Identification and quantitative determination of morphine in urine of heroin dependents. Pakistan Journal of Pharmacy, 5, 101–109.Google Scholar
Zhang, Z., Friedmann, P. D. & Grestein, D. R. (2003) Does retention matter? Treatment duration and improvement in drug use. Addiction, 98, 673–684.Google Scholar
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