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                  <text>‘3'.

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7, l968

Dr. Paul H. Blachly

Associate Professor
University of Oregon Medical School
3l81 s.w. Sam Jackson Park Road
Portland, Oregon 97201
Dear Paul,
As is typical for this time of the year, there are many
studies under way. The naloxone study was begun again and we
have recently given as much as 600 mg a day. Protection against
intravenous heroin seems to last, at this dose at least eighteen

hours.

we have continued to explore the
methadone
in
of
blocking intravenous heroin and find
efficacy
that at lOO mg per day, the subjects do not obtain a euphoric
response for up to 75 mg heroin. at least for eighteen hours
after a dose; and ford‘bm’g for at least 36 hours.

In parallel fashion

duration of methadone using this criterion is longer
anticipated, and we are continuing to explore the
duration and dose response. Nevertheless. one of my staff
has preposed a study of acetyl-methadol. With our present
methods and experience. we should be equipped to assess the
relative merit of methadone and acetyl—methadol, not only on
the clinical syndrome of addiction, but in the heroin challenge
than

The

we

criterion as well.

Before progressing with the details of a protocol, do
think
that supplies of acetyl-methadol may be available
you
and in what relative quantity? If the supply is very limited,
as I think it might be, then we would suggest a simple heroin
challenge study in some subjects in whom we have already
determined the duration of effect of methadone.
Our present detail studies of methadone should be completed
by the end of the year and we could undertake a comparison
realistic for us
study in January or early February. Is
Would
be
worthwhile
to continue this exploration?
if the
it

it

supplies are indeed limited to ask
supplies available?

NIMH

to

make

additional

.ve'x

My

www-

best regards.

uni-re

Sincerely yours,
mmavww

Fink, “.0.
Professor of Psychiatry

Max
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