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                  <text>Novcmbcr 22, 1971

ﬁarold Mciselas, H.D.
Commissionor

Narcotic Addition Control Commission
1855 Broadway
York, ﬂew York 10323

New

Dear narold:

I

have road the

list

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

effects. It is not clear whether this list

(1)

Clinical exam: routine medical, and usually unchanged
by methadone. The "mental status”, of course, can be

very detailed and

euphorigunic,

(2)

(3)

(4)

is the basic for exhaustive studies of

memory,

perceptual, 355, effects of methadone.

ouch a routine EEG is of very limited value. In the
studies that have dissected the EEG effects of methadone,
quantitative measurlncnts were necessary. These did not
show significant regional differences and from our past cx~
variance, such differences are rare with drugs.
EEG:

few

Ancillary

interesting theoretic speculation, with
Despite many studies of drugs, the
changes only ct very high dosages, and tho-o
hcvc usually been non-contributing to our understanding.
EEG:

little foundation.
AER shows

20M: interesting, but probably of little relevance to
nothadonc‘s mode of action. Again, only changes at very
high doccc of drugs or with those which specifically affect

labyrinth: or vcstibulor nuclei (0.3., barbiturates,

esthctica).

an~

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              <text>Correspondence to: Meiselas, Harold</text>
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              <text>1971 </text>
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              <text>&lt;a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank"&gt;Fink, Max, 1923-&lt;/a&gt;</text>
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              <text>&lt;a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank"&gt;IN COPYRIGHT - EDUCATIONAL USE PERMITTED&lt;/a&gt;</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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