Abstract
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Highlights
An updated Cochrane review (Gowling et al, 2005) investigated the effectiveness of buprenorphine in managing opioid withdrawal/detoxification and concluded that buprenorphine was more effective than clonidine but that there was no significant difference compared with methadone in terms of completion of treatment
We read with interest the paper by Drs Oluwatayo & Friedman on the provision of specialist perinatal mental health services in England (Psychiatric Bulletin, May 2005, 29, 177-179)
Our audit findings add to the evidence that the current differing perspectives of child and adolescent mental health services (CAMHS) and adult mental health services create gaps in services through which vulnerable young people fall
Summary
Taikato et al (Psychiatric Bulletin, June 2005, 29, 225-227) provide a useful summary of the benefits of buprenorphine as a treatment for heroin misuse. The Cochrane review (Mattick et al, 2004) referred to by White and Adams compares these two drugs for opioid maintenance/substitution. The conclusion reached is that buprenorphine is an effective intervention for use in the maintenance treatment of heroin dependence but that it is no more effective than methadone at adequate doses. This result hardly ‘clearly came down on the side of methadone’as declared by White and Adams. An updated Cochrane review (Gowling et al, 2005) investigated the effectiveness of buprenorphine in managing opioid withdrawal/detoxification and concluded that buprenorphine was more effective than clonidine but that there was no significant difference compared with methadone in terms of completion of treatment.
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