September 8, 2026 · JAMA internal medicine · DOI: 10.1001/jamainternmed.2026.3904

Timing of Initiation of Methadone Take-Home Dosing

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The authors aimed to determine the impact of different initiation times for methadone take-home dosing on all-cause mortality and treatment discontinuation among individuals undergoing opioid use disorder treatment in British Columbia, Canada. Their findings indicate that initiating take-home doses within 5 to 12 weeks and 13 to 24 weeks after induction significantly reduced both mortality and discontinuation rates compared to no take-home dosing, highlighting the potential benefits of refining clinical guidelines for methadone treatment.

Md Belal Hossain, Jeong Eun Min, Megan Kurz, Shaun Seaman, Paxton Bach, Mohammad Ehsanul Karim, Julie Bruneau, Maria Eugenia Socias, Paul Gustafson, Robert Platt, Sander Greenland, Bohdan Nosyk

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