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                  <text>\J

I"

ﬂovembcr 22, 1971

Harold Moisolao, 8.0.
Commissioner

Narcotic Addition Control Commission

1855 Broadway
New York, New York 10023
Dear Harold:

I have read the

list

of suggested examinations for methadone
was suggested for research
or as the basis for a more complete examination of methadone treated
patients. As a series of research issues, the suggestions are vague
and seem to reflect a general clinical neurologists' approach to a
problem, without appreciation of the complexity of tne interaction of
opiate dependence, its complications, and methadone.

effects. It is not clear whether this list

(1)

Clinical

exam:

by methadone.

routine medical,

Tue "mental

very detailed and

euphorigenic,

and usually unchanged
status”, of course, can be

is the basis for exhaustive studies of

memory,

perceptual.

Egg,

effects of methadone.

(2)

such a routine EEG is of very limited value. In the
studies that have dissected the EEG effects of methadone,
quantitative measurement: were necessary. These did not
show significant refusal differences and from our past exporionceg such differences are rare witn drugs.

(3)

Ancillary EEG: interesting theoretic speculation, with
little foundation. Despite many studies of drugs, the
AER shows changes only at vary high dosages, and these
have usually been non~contributing to our understanding.

(4)

EEG:

few

Bode:

interlacing, but probably of little relevance to

nothcdone's

mode of action. Again, only chnngcs at very
high doses of drugs or with that: which opecificolly affect

labyrinth: or vestibular nuclll (2.3.. barbiturates,
actuation).

an—

�Harold Mbisolnn, M.D.

Novonhot 22, 1971

similar to 3, 4.

(5)

Blood flow:

(6)

significant test, which is under study in many
laboratottes. Thar: at: at least 3 important issuau:
Rt undo: oinulntod conditions (9.3., drowsy); simple
R.T. and complex R.T. Also, intranodnlity and internodslity issuas are critical. If done preperly, such a
program could be of interest (oopecially simulated R.T.).

(7)

Conduction volocity: as prepared, a test of limited
value. This in a highly complex procedure that may (like
R.T.) warrant intensive study by exports, using sophis~

Rt:

A

ticated methods.

For each item, 1~7, there is
methadone treated aubject.

in each
I

ﬂy

trust those

comments

little

merit as a ”routine" test

are responsive.

If not, please call.

best.
Sincerely yours,
Max

Fink, H.D.

Professor of Psychiatry
MF:ig

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