Pain and Sleep Measures in Methadone and in Suboxone Patients
Author(s):
Article Type:
Brief Report (دارای رتبه معتبر)
Abstract:
Background
Pain and impaired sleep are often reported by patients in opiate substitution therapy.Objectives
We compared sleep and pain ratings by patients treated with methadone to those treated with suboxone (buprenorphine/naloxone combination).Patients and
Methods
Sixty-eight patients (44 men, 24 women) undergoing opiate substitution treatment were treated with methadone (mean dose = 42.2 mg, SD = 24.6) or suboxone (mean dose = 9.7 mg, SD = 5.0). Their ratings of current level of pain on a scale from 0 (no pain) to 10 (extreme pain), their sleep ratings on the Pittsburgh sleep quality index, and outcomes of their urine screening tests for cocaine, oxycodone, opiates, and benzodiazepines were recorded.Results
Sleep quality was rated as fairly bad by 42.0% and as very bad by 8.2% of our patients. Moderate to severe levels of pain (pain ratings > 3 points) were reported by 55.9% of our patients. Neither the dose of suboxone nor the dose of methadone correlated with pain and sleep ratings (rho, P > 0.05). Suboxone patients did not differ from those on methadone in their sleep and pain ratings (Mann-Whitney, P > 0.05).Conclusions
Suboxone and methadone patients did not differ in their ratings of pain and sleep.Keywords:
Sleep , Pain , Methadone , Buprenorphine
Language:
English
Published:
International Journal of High Risk Behaviors and Addiction, Volume:7 Issue: 1, Mar 2018
Page:
9
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