Pubdate: Sat, 18 Oct 2008 Source: Ottawa Citizen (CN ON) Copyright: 2008 The Ottawa Citizen Contact: http://www.canada.com/ottawacitizen/letters.html Website: http://www.canada.com/ottawacitizen/ Details: http://www.mapinc.org/media/326 Author: Canwest News Service Bookmark: http://www.mapinc.org/heroin.htm (Heroin) Bookmark: http://www.mapinc.org/find?131 (Heroin Maintenance) Bookmark: http://www.mapinc.org/find?136 (Methadone) COUGH DRUG HELPS ADDICTS MORE THAN METHADONE, STUDY FINDS VANCOUVER- A commonly prescribed drug used in cough medicine is more effective than methadone -- and as effective as heroin itself -- at stabilizing the lives of heroin addicts and reducing their use of street drugs, a new study says. Since March 2007, the North American Opiate Medication Initiative has been prescribing 115 addicts in Vancouver and Montreal with medical-grade heroin to see if they would fare any better than a control group of 111 on methadone. The results, released yesterday, concluded addicts on heroin stuck with treatment longer and had more success than the methadone group. What was surprising, however, is that a smaller group of 25 addicts given Dilaudid -- a legal drug used as a painkiller and cough suppressant -- fared just as well as those on heroin. It was such a convincing substitute that all but one of those on Dilaudid thought they were on heroin. While giving addicts free heroin would require political stickhandling, Dilaudid is simply an off-label use of a legal drug. "There is a stigma attached to heroin," said lead investigator Dr. Martin Schechter. "That would make (Dilaudid) particularly attractive in places where the concept of using heroin would be untenable as a public policy." - --- MAP posted-by: Larry Seguin