Blattler et al

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  • AIMS: To see if prescribed heroin could reduce the use of cocaine. Investigate the variables affecting cocaine misuse. To see if a drug maintenance programme was successful on poly drug users.
  • Participants were followed up after 18 months in the programme and were taken from an existing treatment programme where they had been addicted for over 2 years.
  • Participants were interviewed every 6 months to measure their illegal substance misuse.
  • Urine tests were used
  • After 18 months: cocaine use decreased from 84% to 48%. 51% self reported not using cocaine- 2% lying. 21% some use. cocaine fell from 30% to 6%. Non users went from 16% to 52%.
  • Results: At the start 75% injected both heroin and cocaine. 1/3 drunk alcohol at 30g or more each day. 23% didn't use cannabis. 31 considered themselves daily cocaine users, 54% occasional and 16% didn't use it.
  • Conclusion: Didn't stop people using cocaine. Large impact if not stopping. Cocaine use had decreased considerably. Effects on behaviour- cocaine users linked to prostitution and illegal income in the drug scene.
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