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                  <text>Jun. 7,

Jean Paul Smith and Alisa Runs

To:

1972

,

national Institute of Hental gtzicn

5600 Fishers Lane
Rockvilla, Maryland 20852
ﬂax Fink, ﬁ.D.

PROM;

SUBJEDv4

4

Drug Use:

harcotic Addiction

Program

During 1972-73, the SUNY~Stony Broot Drug Abusa ptogram.will

examine tha usefulness of cyclazocinc in their treatment of opiate
to methadone and leVumethadyl. In this
dependence, and compare
study. diacetylmorphine will be used in “heroin h lleuges” to mea—
sure tha degrea-of blockade (to éefine adequacy, duration) and to
demonstrate the potency of these substances as a 3tep in the decon*

it

.

ditianing process.

(1) nglggggigg. After detoxification, patianta will be
1ndt¢tod to h—6 mg. cyclazocine in 4~6 days. As an antagonist to
the agent-tic features of cyclaxocine, naloxone hydrochloride (0:31)
600 mg. q3h; prr.n. will be availabln for the 4»6 days of the in—

duction period.

�Jean Paul Smith

8

Allan

2

June 7, 1972

Romany

Following the ptovailing high dose roginono,
on will induct patients in 20—40 days to 100 mg. oral daily. (Should
it peeve hooful, we may adfpt a low dose (50 mg/dly] schedule).
(2)

Mothodono.

0

Induction to 80 n3. thrac
in plannod.vith tho induction poriod of 6 weeks.
(3)

v. will

Levomothadz .

tin“

a week

(b) Heroin Chgllongo . Following our doocribod nethoda,
use intravonouo heroin (20,30 ng/lcc onlino/luiinutc) when

subjects at. drug-fro. (to dotino heroin response) and whom induction
to cyclnxocinc, levooethadyl, or nothodoln 13 achiavod, to define
efficacy and duration of blockade, and b» {novide a basis for do—
conditioning.

mueaﬁﬁeﬁem
Based on 50 patients receiving cyclazociné, and 45 each on
methadone and levomethadyl.

6: 90

liters,

Cyclazocine:

36

Naloxonoﬁ

240 grams (800

Methadone:

500 grams (powder)

Levomethadyl:

150 grams (powder)

Heroin;

10

grams

grams

tablets,

(powder)

2 mg/Scc)
300 mg each)

/

�Joan Paul Smith

&amp;

3 _

Allen Ramsay

Juno 7. 1972

CITAIIOHS

Haloxonn Paloata: A Long~Act1n3 Opiate Antlgoniut, (submitted for
publication). (R. Lavina, A. 23kt. I, A. Frudlun).

Luvoanthadyl 1n Haintenanco Trcatncut of Opiatc Dopendcnna.
(A. Zaka, f, A. Froodnnn).
Duration of Hathadon. Induced Crocc~Toleranca to attain.
Addict. 66: zoswzos. (A. 2m, 9. A. M. Kama-nu).

84.

J.A.%.A.,

'“

I

J.

Cyclaxocina Therapy of Opiate Uepcndcnca w &amp; Progress Report.
Compachenb. Psych£a£., 12: 491‘502, (R. Rasnick, 3, and A. M. Freedman).
A

Rational Therapy of Opiate Dependence:

Amen.
and R.

J.

NuAéLug, 71:

Maniac) .

1359-1363.

Harcotic Antagonists.

(with A. H. Frocdmsn, A. inks,

Naloxone Traatment of Opiate Dependence.
(A. Zaks, T. Jonas, A. ﬂ. Fraedmnn) 5).

J.A.M.A., 215:

2108*2110.

Cyclarocins Typology in Opiate Dependence. Amen. J. 7&amp;ychiat.,
1256-1260. (B. ﬁesnick, # and A. H. Freedman).

126:

Intravenous Qiacetylmorphina (Heroin) in Studies of Opiate Dependauco.
Ned». Syét. Supp£., 33: 89~92, 1969. (A. Zaka, A. Brunet, 5.

die.

A. Freedman).

aaloxone in heroin Depcndence, C££n. Phanm. Thenap., 9: 568~577.
(with A. Zaks, R. Sharoff, A. Mora, A. Brunet, S. Levi: and A. H.
Freedman).

Clintcal Studies of Cyclazocine in Narcot1c Addiction. AmeA. J.
P3gchiat., 124: 1499~1504. (A. a. Frcedman, #. ﬁ. Sharoff, and
A. Zikl).

V/

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