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A
number of colleagues and patients have contacted our offices
concerning the use and efficacy of Ultra Rapid Opiate Detoxification.
It has been used in different parts of Europe and the United
States as a technique of withdrawing opioid dependent individuals
through anesthesia and the use of narcotic antagonist agents.
Our Association
has asked agencies within the federal government to conduct studies,
evaluating the clinical safety and long term efficacy of Ultra
Rapid Opiate Detoxification. Interested parties are in the process
of forming treatment networks to expand access to Ultra Rapid
Opiate Detoxification services and a recent episode of "ER" focused
on the use of this technique in withdrawing a methadone dependent
baby. Green Spring, Inc., a major managed care organization in
the United States, issued a policy directive to its provider network,
indicating that Ultra Rapid Opiate Detoxification services are
viewed as experimental and will not reimburse for such services
until they receive better guidance from the federal government
including objective research studies that establish clinical efficacy.
We will not take
any official position regarding the use of Ultra Rapid Opiate
Detoxification services until we have access to such studies.
At best, we agree with the opinion stated by Green Spring, Inc.,
that it is an experimental model.
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