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                  <text>Edward Lewis,

MUD

Jt.,

M.D.

Street, a.w.
,

1405 Eye

Washington, 9.0. 20537

near Dr. Lewis,

article in the JAMA is an important contribution
to the clarification of the issues surrounding heroin and the proposed solution of a heroin maintenance dolivary system. In addition
to the cxpcricntial anguments you present so well, we have been
Your recent

impressed with the pharmacologic argumenta which were sufficiently
compelling for us to raconsider cur part in the proposal by the Vera

Institute for‘a heroin delivery project.

-

"facts”

do not know what the truth is about methaﬁone ~ so many
change as they are preaented by different advocates and

-1

critics, but

facts are clear

patient populations requesting
heapital care are sharply reduced (outpatient methadone is satis~«
fying the demand), and the ready availability of methadone at $4—6
for 40 mg ”biscuits" in.ﬂew York City and in Suffolk County.
tWO

Uur own

—

suggestion, should mothsdoae'delivcry continue to

in the public intateat, is to replace it with levomethadyl. Jur
experience is lufficiently favorable, for delivery 3 times a week,
that it is a comprise that the govornmental health agencies are in~
listing on extenoivo additional animal testing so as to delay the
use of lavcunthadyl - which seems more useful than heroin maintenance.
I notgd with intgrcst yon: cautious sentence about the narcotic
antagonists.
be

Again

my

congratulation:

on an important

contribution.

Sincerely yours,

rm Fink, sew;

_

Professor of Psychiatry

�</text>
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              <text>Correspondence to: Lewis, Edward</text>
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              <text>1973 </text>
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