The first methadone programme in Malaysia: overcoming obstacles and achieving the impossible
- Author:
Jesjeet Singh Gill
;
Ahmad Hatim Sulaiman
;
Mohd Hussain Habil
- Publication Type:Journal Article
- Keywords:
opioid dependence, methadone, harm reduction
- From:ASEAN Journal of Psychiatry
2007;8(2):64-70
- CountryMalaysia
- Language:English
-
Abstract:
Objectives: To determine the best possible programme that suits our local setting, to determine
the average dose required, and to determine possible problems that can arise from implementing
such a programme locally and how best to address them. Methods: The inclusion
criteria were those above 18, a positive urine test, the presence of a supportive carer and
willing to engage in the programme. Methadone was initiated and observations relating to
dose, adverse events, relationship with carers, work performance, crime and high risk behaviours
were monitored for 18 weeks. Results: Two thirds of the 45 subjects completed the trial
over the 18 week period. No significant adverse events occurred and improvement in relationship
with carers and work performance were noted with reduction in crime and high risk
behaviours. Conclusion: Methadone is a safe and effective drug that can be used in the local
Malaysian setting.