Increasing diversion of methadone in Vancouver, Canada, 2005–2015

Original research
by
Reddon, Hudson et al

Release Date

2018

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

Recent studies have found that methadone was identified in more than a quarter of prescription opioid-related deaths among people who use illicit drugs in Vancouver, Canada. Thus, we sought to longitudinally examine the availability of diverted methadone among people who inject drugs (PWID).

Findings/Key points

We observed a significant increase in the reported availability of diverted methadone among PWID over a ten-year follow-up period. Further research is needed to identify strategies to limit methadone diversion and assess the impact of alternative medications that are equally effective but safer, such as buprenorphine/naloxone.

Design/methods

n=2092 Data were collected from three prospective cohorts of PWID in Vancouver, Canada between December 2005 and May 2015.

Keywords

Evidence base
Harm reduction
Safer supply
About prescribers
Substitution/OAT
Diversion