Adherence to Buprenorphine Maintenance Treatment Program in Western Nepal

  • Leepa Vaidya Pokhara Academy of Health Sciences, Pokhara, Nepal
  • Rajan Sharma Pokhara Academy of Health Sciences, Pokhara, Nepal
  • Lumeshwor Acharya Kaski Model Hospital, Nepal
  • Nirmal Lamichhane Gandaki Medical College, Kaski, Nepal
  • Ravi Raj Timasina Gandaki Medical College, Kaski, Nepal
Keywords: Buprenorphine, Treatment programme

Abstract

Background: Opioid use is a serious global problem and the problem is increasing over years. Buprenorphine has been approved as a substitution therapy in Nepal, but there are few long-term studies of its effectiveness.

Aim: This study aimed to assess the 1-year efficacy of buprenorphine and reasons for dropout.

Materials and Methods: This study was conducted at Western Regional Hospital, Pokhara from 29th August 2016 to 31st August 2017. The Buprenorphine Maintenance Treatment Program (BMT) was started on 29th August 2016 and all the clients enrolled in the program within 1 year of starting BMT were included in the study.

Results: 75% of the enrolled clients dropped out in 1-year period.

Conclusion: Adherence to Buprenorphine was better in flexible dose adjustment group. Combination of buprenorphine and psychosocial treatment would have been related with better outcome.

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Author Biography

Leepa Vaidya, Pokhara Academy of Health Sciences, Pokhara, Nepal

Senior Consultatnt Psychiatrist

Published
2019-12-31
Section
Articles