Does methadone really block fentanyl and heroin?

Positive Trends: Declining Fentanyl and Heroin Use in Methadone Treatment, Challenges Remain

A recent study led by a researcher from the Johns Hopkins Bloomberg School of Public Health sheds light on positive outcomes in the battle against opioid use disorder. The research, spanning from 2017 to 2021, reveals significant reductions in fentanyl and heroin usage noted in opioid use disorder patients undergoing methadone treatment in the initial year. However, the study also emphasizes the persistent challenges posed by methamphetamine and cocaine use in this population.

Decline in Fentanyl and Heroin Use

The study, published in the journal Addiction, involved the analysis of urine specimens from over 16,000 individuals across 10 states. The results indicated a noteworthy decrease in fentanyl positivity rates, dropping from 21.8 percent in week one to 17.1 percent in week 52 of methadone treatment. Similarly, the average heroin positivity rate decreased from 8.4 percent to 4.3 percent during the same period. The most significant reductions for both substances were observed within the initial 10 weeks of treatment.

Methamphetamine and Cocaine Positivity Rates

Contrastingly, the study found that the positivity rates for methamphetamine and cocaine remained relatively stable over the course of the 52-week treatment. This suggests that methadone treatment may not have the same impact on these substances as observed with fentanyl and heroin.

Study Methodology

Researchers analyzed anonymized urine samples from Millennium Health's comprehensive database, drawing from patients diagnosed with opioid use disorder who were undergoing methadone treatment. The study covered diverse regions, including Alaska, Arizona, Florida, Illinois, Kentucky, Minnesota, New Mexico, Ohio, Virginia, and Washington, analyzing 194,333 specimen samples from 16,386 individual patients.

Challenges and Complexities

While the positive results regarding fentanyl and heroin are encouraging, the study highlights the increasing prevalence of methamphetamine and cocaine use in this population. The findings underscore the complexity of polysubstance use, indicating that addressing multiple substances is crucial for effective treatment.

Methadone Treatment Has Demonstrated Success

Methadone treatment has demonstrated success in reducing fentanyl and heroin use among individuals with opioid use disorder. However, the study emphasizes the need for a nuanced approach to address the challenges posed by methamphetamine and cocaine use. Recognizing the evolving landscape of substance use trends, the findings prompt a call for additional tools and support to comprehensively address the complexities of polysubstance use in individuals undergoing methadone treatment.

We are here to help.

North Tampa Executive Health Clinic is directed by Dr. Jack McGeachy. He provides confidential and comfortable addiction treatments and therapy for opioid and alcohol use disorder. Rather than a rehab or detox, meaning that each patient is cared for one-on-one by a medical doctor, in contrast to other treatment programs. Heed Help? Book your in office appointment in the Tampa office or via video conferencing today.

Helping patients with addictions in Tampa Florida, Temple Terrace, Brandon, Bloomingdale, Carrollwood, Thonotosassa, Town N Country, Lutz, Wesley Chapel, Land O Lakes, St. Pete, Clearwater, Oldsmar, Westchase, Palm Harbor, Tarpon Springs and surrounding areas.