학술논문

The Cannabis-Dependent Relationship Between Methadone Treatment Dose and Illicit Opioid Use in a Community-Based Cohort of People Who Use Drugs.
Document Type
article
Source
Cannabis and Cannabinoid Research. 8(1)
Subject
cannabis
cohort study
methadone
opioid agonist treatment
opioid use disorder
opioids
Humans
Adolescent
Methadone
Analgesics
Opioid
Cannabis
Opiate Substitution Treatment
Opioid-Related Disorders
Narcotics
Hallucinogens
Cannabinoid Receptor Agonists
Substance Withdrawal Syndrome
Cannabinoids
Language
Abstract
Background: Methadone maintenance treatment (MMT) is an effective treatment for opioid use disorder. However, subtherapeutic dosing may lead to continued opioid use by failing to suppress opioid withdrawal and craving. Preclinical and pilot experimental research suggests that cannabinoids may reduce opioid withdrawal and craving. We sought to test whether the association between low methadone dose and illicit opioid use differs according to concurrent cannabis use patterns. Methods: Data for this study were derived from two community-recruited cohorts of people (≥18 years old) who use illicit drugs in Vancouver, Canada. We used generalized estimating equations to estimate the adjusted association between lower daily MMT dose (