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Case 2: Heroin Use and HIV

You answered:

C The use of buprenorphine in the out-patient setting is limited by its very short half-life and the required four times a day administration.

This answer is incorrect. Buprenorphine has a long half and is usually taken once daily.

A In the United States, any physician can administer methadone maintenance to an HIV-infected patient after completing a three-hour training course regarding appropriate use of methadone for treatment of heroin addiction.
B For a chronic heroin user, medical detoxification with methadone is more likely than methadone maintenance therapy to successfully reduce long-term heroin use.
D In the United States, buprenorphine may now be provided legally through outpatient medical clinics, but physicians who intend to prescribe buprenorphine are required to undergo special training and receive a waiver from the SAMHSA Center for Substance Abuse Treatment.

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