Pubdate: Sun, 09 Feb 2003 Source: Sun Herald (MS) Copyright: 2003, The Sun Herald Contact: http://www.sunherald.com Details: http://www.mapinc.org/media/432 Author: Pam Belluck, New York Times News Service Bookmark: http://www.mapinc.org/find?136 (Methadone) ONCE A WAY OUT, METHADONE GROWS AS KILLER DRUG PORTLAND, Maine - Methadone, a drug long valued for treating heroin addiction and for soothing chronic pain, is increasingly being abused by recreational drug users and is causing an alarming increase in overdoses and deaths, federal and state officials say. In Florida, methadone-related deaths jumped from 209 in 2000 to 357 in 2001 to 254 in just the first six months of 2002, the latest period for which data are available. There are no national numbers available for methadone deaths. "Out of no place came methadone," said James McDonough, director of the Florida Office of Drug Control. "It now is the fastest-rising killer drug." The increase in methadone overdoses and deaths has floored many drug experts because methadone, which does not provide a quick or potent high, has long been considered an unlikely candidate for substance abuse. It can be hours before a user feels any effect, and it works more like a sedative than a stimulant. And because methadone is considered such an important and affordable tool for treating addiction and pain, health and law enforcement officials are facing a quandary: how to stop methadone abuse without curtailing its valuable uses, and especially without driving addicts back to drugs like heroin. "We realize that lives are being lost and we're trying to stop that," said Dr. H. Westley Clark, director of the federal Center for Substance Abuse Treatment. "But we're trying not to do quick fixes that will cause us more problems." - --- MAP posted-by: Jay Bergstrom