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An overview on medication-assisted treatment (MAT) for opioid dependence

Tanay Maiti, DPM, DNB, Saibal Das, MD, Anand Ramasamy, MPharm, Alphienes Stanley Xavier, MD, DM, DNB, Sapan Kumar Behera, MD, DM, Sandhiya Selvarajan, MD, DM, DNB

Abstract


In this article, a broad overview of medication-assisted treatment (MAT) for opioid dependence has been provided. Significant benefits of commonly used drugs (buprenorphine, methadone, and naltrexone-based regimens) along with the therapeutic aspects of other available options are highlighted. Salient points on each or individual drug therapy, comparison of pharmacological profiles of different drugs, effective clinical practice in different scenarios, relevant drug interactions, and safety issues in various populations have been emphasized. Finally, special issues, such as cost-effectiveness of different medication regimens, community-based approach, dealing with a special population, and upcoming new treatment modalities of MAT have been discussed.


Keywords


buprenorphine, dependence, drugs, methadone, opioid

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References


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DOI: https://doi.org/10.5055/jom.2020.0560

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