Self-administration of clonidine, oxazepam, and hydromorphone by patients undergoing methadone detoxification

Clin Pharmacol Ther. 1985 Aug;38(2):219-27. doi: 10.1038/clpt.1985.162.

Abstract

The extent to which hydromorphone, clonidine, and oxazepam alleviate the symptoms of opioid withdrawal and the extent and pattern of self-administration of these drugs during methadone detoxification were examined within a residential laboratory in three groups of patients dependent on methadone. Six times over the course of detoxification, acute effects of orally administered placebo and a single active drug (hydromorphone HCl, 3 mg, clonidine HCl, 0.3 mg, or oxazepam, 30 mg, all given twice daily) were tested, followed by an opportunity for subjects to self-administer the drug and dose of their choice. Hydromorphone significantly decreased opioid withdrawal symptoms and was more preferred for self-administration than the placebo. Clonidine and oxazepam did not significantly decrease withdrawal symptoms, nor was either drug self-administered significantly more than placebo. Clonidine, however, did induce side effects.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Clonidine / administration & dosage*
  • Clonidine / adverse effects
  • Drug Administration Schedule
  • Humans
  • Hydromorphone / administration & dosage*
  • Hydromorphone / adverse effects
  • Male
  • Methadone / administration & dosage
  • Opioid-Related Disorders / rehabilitation*
  • Oxazepam / administration & dosage*
  • Oxazepam / adverse effects
  • Psychomotor Performance / drug effects
  • Self Administration
  • Substance Withdrawal Syndrome / prevention & control*
  • Substance-Related Disorders / etiology*
  • Surveys and Questionnaires

Substances

  • Oxazepam
  • Clonidine
  • Hydromorphone
  • Methadone