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                  <text>March 5, 1971
Dr. Jack Freund
Robins Company
1407 Cummings
Richmond, Virginia

A. H.

Dear Jack,
have been very interested in the use of narcotic antagonists
in treating opiate dependence, and since 1966 have carried out clinical
studies with cyclazocine, naloxone, methadone, and £~alpha~acetylnethadol.
Last fall I was asked to summarize our data, and in conclusion, I
attempted a justification of the logic of the need for a long-acting
formulation of an antagonist.
We

I believe that the methadone maintenance ”solution” to opiate
dependence is politically expedient but not a long~term solution. I
am concerned with the question of, "After a patient is on methadone,

what next?”

"Is he committed for life?"

The antagonist model is theoretically elegant and clinically feasible.
are committed to continuing our studies, have contracted with Food and
Drug Research for some help; and would encourage others to experiment with
other antagonists and long~acting formulations.
wi
We

Incidentally. our experience with narcotic antagonists has led us to
think of antagonists to other drugs of abuse, notably alcohol: and we have
recently carried out some studies to determine the degree and duration of
alcohol antagonism of propranolol.
I trust the enclosed reprints are helpful.
Sincerely yours,
Fink, M.D.
Professor of Psychiatry

Max

MF:kt

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