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                  <text>November

7. 1968

Dr. Pau1 H. B1ach1y

Associate Professor
University of Oregon Medica1 School
3181 S.H. Sam Jackson Park Road
97201

Port1and, Oregon
Dear Pau1 .
As

is typica1 for this time of the year. there are

studies under

many

The naioxone study was begun again and we
have recent1y given as much as 600 mg a day. Protection against
antravenous heroin seems to 1ast, at this dose at least eighteen
way.

ours.

In para11e1 fashion we have continued to expiore the
efficacy of methadone in b1ocking intravenous heroin and find
that at 100 mg per day. the subjects do not obtain a euphoric
response for up to 75 -heroin. at 1east for eighteen hours
after a dose; and for- mg for at 1east 36 hours.
The duration of methadone using this criterion is 1onger
than we anticipated. and we are continuing to exp1ore the
duration and dose response. Neverthe1ess. one of my staff
has proposed a study of acetyi-nethadoi. Hith our present
methods and experience. we shou1d be equipped to assess the
re1ative merit of methadone and acety1~methado1. not only on
the c1inica1 syndrome of addiction. out in the heroin cha11enge
criterion as ue11.

Before progressing with the detai1s of a protoco1. do
think
that suppiies of acetyi-nethado1 may be avai1ab1e
you
and in what re1ative quantity? If the supp1y is very 1imited.
as I think it might be. then we wouid suggest a simp1e heroin
cha11enge study in some subjects in when we have aiready
determined the duration of effect of methadone.
Our present detai1 studies of methadone shouid be comp1eted
by the end of the year and we cou1d undertake a comparison
study in January or ear1y February. Is
realistic for us

to continue this expioration?

supp1ies are indeed 1imited to ask
supp1ies avai1al1e?
My

it
be worthwhi1e if
it
NIMH
make

Hou1d

to

the
additiona1

best regards.
Sincere1y yours.

Fink, M.0.
Professor of Psychiatry
Max

,
w

NF:kp

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              <text>1968 </text>
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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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