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                  <text>‘

Judith

June 20, 1979

H. Quattlebaum

President and Executive Director
National Committee on the Treatment
of Intractable Pain

P.O. Box 3h571

Washington,

D. C . 2003‘:

Dear Mrs. Quattlebaum,
My experience with Opioids in limited to experimental studies
of.the central effects of heroin, methadone and levomethadyl. and
their antagOnists, naloxone and cynlaaooine. These studies were done
between 1966 and 1972, at the New York Medical College. Some reprints
derived from these studies are attached. It is not clear to me how

;

othese experiences, which are focussed on EEG, pupillary response,
gheart rate, respiration and mood, would be helpful to your mission.
In our experience, we did find that intravenous heroin could

produce a seizure. This effeet'could be blocked by naloxone. We
‘also found_that tolerance to methadone and levomsthadyl developed
rapidly (balk days), as did tolerance to the agonist (opioid) effects

ﬁftcyclazocine.

concluded that the narcotic antagonists could be a useful
therapy'of opioid dependence, if drug delivery could be assured; but
opme to no conclusions regarding the usefulness of heroin.
1;

1
§

we

I

J],

e.

K."

-

‘

As

1.

Evidence of heroin

2.

No

effects.

See

reports.

special knowledge.

‘3, h, 5.

Not

studied.

6.

Hot as therapy; only as a "challenge"

7.

Ho.

__

‘w.
.:—‘/¢fy

.

to your specific questions;

activity of antagonists.

to determine

�J.

H. Quattlebenm

8.

2.

June 20, 1979

I could testify to the experience noted in the references.
Scheduling e drug is an aﬂminiatretive and political act,
not medicel. Nothing in our experience would suggest that
heroin is uniquely different from other opioide, except in

rate of entry to the brain and in half-life. The present
restrictions are not based on the pharmacology of heroin; but
on political considerations. Similarly, the suggestions that
heroin is a "uniquely" mofe effective analgesic than other
opioids, is not clearly pfoven.

9.
10.

No.

Probably not.

history, and my con experience from 1966—1967.
You may wish to write also to Dr. John Kramer (University or
California at Irvine) and Dr. Arthur Zeke (971 Madison Ave., N.£.I.).
11.

who haVe

Only by

extensive experience and knowledge of the pharmacology and

history of heroin use.

I trust these reports ere of

game

help.
Sincerely yours,
Fink. M.D.
Profeeeor of Peychiexry
Mex

MF:bo

Att.

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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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