Articles Vol. 64 No. 6 21/10/2023

25. STATUS OF METHADONE SUBSTITUTE MANAGEMENT AND TREATMENT FOR DRUG ADDICTS IN HA DONG FACILITY, HANOI IN 2023

Nguyen Anh Tuan1,2, La Ngoc Quang3,4, Dang Thi Nhu Quynh5,6, Dang Duc Nhu7,8
1 Ha Dong Medical Center
2 Trung tâm Y tế Hà Đông
3 Hanoi University of Public Health
4 Trường Đại học Y tế Công cộng
5 DND International Eye Hospital
6 Bệnh viện Mắt Quốc tế DND
7 University of Medicine and Pharmacy - Vietnam National University, Hanoi
8 Trường Đại học Y Dược, Đại học Quốc gia Hà Nội
Corresponding author: dangnhu258@yahoo.com
DOI: 10.52163/yhc.v64i6.830
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Keywords
Methadone, substitution treatment, opioids, treatment adherence, treatment management.
Abstract

Objective: Describe the current status of Methadone replacement therapy in opiate addicts.

Research subjects and methods: Cross-sectional descriptive study based on retrospective 230 medical records of all addicts undergoing Methadone treatment at Ha Dong facility in 2023.

Results: The rate of drug addicts’ information being assessed daily during dosing was 99.6%. Most drug addicts probe for 3 weeks before adjusting the dose (99.6%). Most drug addicts received an increase of 10 mg when adjusting (99.1%). The rate of toxicity assessed when adjusting the dose was only 71.7%. The proportion of people whose urine was monitored monthly is 63.5%, and less than once a month is 36.1%. Most drug addicts have been evaluated and monitored correctly according to the instructions, 98.3%. The rate of side effects evaluated and treated according to instructions is 99%. Drug addicts miss the highest dose during the initiation phase (46.1%) and adjustment phase (38.3%). All cases of missed doses were handled correctly.

Conclusion: Opiate replacement treatment with Methadone has been implemented very well according to regulations at Ha Dong Methadone Treatment Center. However, regular assessment of the addict during the titration and dosage phase should be done with more caution when increasing the dose.

References
[1]
P. Karki, R. Shrestha, T. B. Huedo-Medina et Google Scholar
[2]
al., The Impact of Methadone Maintenance Google Scholar
[3]
Treatment on HIV Risk Behaviors among HighRisk Google Scholar
[4]
Injection Drug Users: A Systematic Review, Google Scholar
[5]
Evid Based Med Public Health, 2, 2016. Google Scholar
[6]
A. Russolillo, A. Moniruzzaman, J. M. Google Scholar
[7]
Somers, Methadone maintenance treatment and Google Scholar
[8]
mortality in people with criminal convictions: A Google Scholar
[9]
population-based retrospective cohort study from Google Scholar
[10]
Canada, PLoS Med, 15(7), 2018, pp. e1002625. Google Scholar
[11]
M. Parpouchi, A. Moniruzzaman, S. N. Rezansoff Google Scholar
[12]
et al., Characteristics of adherence to methadone Google Scholar
[13]
maintenance treatment over a 15-year period Google Scholar
[14]
among homeless adults experiencing mental Google Scholar
[15]
illness, Addict Behav Rep, 6, 2017, pp. 106-111. Google Scholar
[16]
T. T. Nguyen, L. T. Nguyen, M. D. Pham et al., Google Scholar
[17]
Methadone maintenance therapy in Vietnam: an Google Scholar
[18]
overview and scaling-up plan, Adv Prev Med, Google Scholar
[19]
, pp. 732484. Google Scholar
[20]
Bộ Y tế, Quyết định số 3140/QĐ-BYT, ngày Google Scholar
[21]
/8/2010 về việc “Hướng dẫn điều trị thay thế Google Scholar
[22]
nghiện các chất dạng thuốc phiện bằng thuốc Google Scholar
[23]
Methadone”, chủ biên, Hà Nội, 2010. Google Scholar
[24]
Nguyễn Chí Kiên, Thực trạng bỏ điều trị Google Scholar
[25]
Metyhadone và một số yếu tố liên quan trên Google Scholar
[26]
bệnh nhân điều trị Methadone tại Kim Sơn, Ninh Google Scholar
[27]
Bình, Đại học Y Hà Nội, Hà Nội, 2020. Google Scholar
[28]
Bộ Y tế và FHI, Đánh giá hiệu quả chương trình Google Scholar
[29]
thí điểm điều trị nghiện các chất dạng thuốc Google Scholar
[30]
phiện bằng methadone tại Hải Phòng và TP Hồ Google Scholar
[31]
Chí Minh, 2014. Google Scholar
[32]
Bộ Y tế, Quyết định số 493/QĐ-BYT Ban hành Google Scholar
[33]
Hướng dẫn điều trị Methadone trong cơ sở cai Google Scholar
[34]
nghiện ma túy, 2016. Google Scholar
[35]
J. Bao, L. Zhang, Z. Ning et al., Status Google Scholar
[36]
Investigation of Outpatients Receiving Google Scholar
[37]
Methadone Maintenance Treatment (MMT) in Google Scholar
[38]
Shanghai from 2005 to 2016, Shanghai Arch Google Scholar
[39]
Psychiatry, 29(6), 2017, pp. 343-351. Google Scholar
[40]
Hà Mạnh Trung, Phạm Văn Trọng, Đặng Bích Google Scholar
[41]
Thủy, Một số kết quả điều trị thay thế nghiện các Google Scholar
[42]
chất dạng thuốc phiện bằng Methadone tại Bệnh Google Scholar
[43]
viện Nhiệt đới tỉnh Hải Dương năm 2019, Tạp Google Scholar
[44]
chí Y học cộng đồng, 4 (57)(tháng 7-8/2020), Google Scholar
[45]
tr. 15-20. Google Scholar
[46]
Cao XB, Wu ZY, Rou KM et al., Characteristics Google Scholar
[47]
and associated factors of long-term retention Google Scholar
[48]
for methadone maintenance treatment patients, Google Scholar
[49]
(11), 2012, pp. 995-998. Google Scholar