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Article
Publication date: 5 December 2016

David Kingsley Payler

The purpose of this paper is to examine whether it is possible to switch patients from heroin or methadone to buprenorphine without needing to experience symptoms of withdrawal?

Abstract

Purpose

The purpose of this paper is to examine whether it is possible to switch patients from heroin or methadone to buprenorphine without needing to experience symptoms of withdrawal?

Design/methodology/approach

Review of author’s experience in 1980s where three patients transferred to 4 mg buprenorphine from 40 ml (1mg/ml) methadone without symptoms of withdrawal. Review of literature where patients were transferred to buprenorphine without waiting for withdrawal symptoms to occur. Presentation of six case histories in author’s clinic.

Findings

Provided the buprenorphine is commenced at a very low dosage, is gradually increased and the heroin/methadone is reduced over a period of time, it is possible to change from heroin or methadone without inducing withdrawal symptoms. It is not necessary to stop the heroin/methadone and wait for withdrawal symptoms to occur.

Research limitations/implications

Due to the author’s retirement in October 2015 further research into the production of a template which could be used universally has not yet been possible.

Practical implications

Transferring patients from heroin and methadone to buprenorphine has often been difficult. Waiting for withdrawal symptoms to occur has often resulted in treatment failure. The method described eliminates the problem for patients.

Social implications

Patients find the method is more acceptable and allows normal functioning.

Originality/value

Confirmation that the findings of the original case histories from 1980s were valid. The value to the treatment service should be considerable in simplifying the prescribing practice.

Details

Drugs and Alcohol Today, vol. 16 no. 4
Type: Research Article
ISSN: 1745-9265

Keywords

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Article
Publication date: 1 March 1990

Chris Garnett

On the only rainy day of a week in early March, a yellow Rolls Royce pulled up outside a substantial house in North London, the home of Dr Paul Eisler, the inventor of the…

Abstract

On the only rainy day of a week in early March, a yellow Rolls Royce pulled up outside a substantial house in North London, the home of Dr Paul Eisler, the inventor of the foil method of printed circuit manufacture. The occasion was the presentation to him of the Graphic Electronics Achievement Award in recognition of his work on the printed circuit.

Details

Circuit World, vol. 16 no. 4
Type: Research Article
ISSN: 0305-6120

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Article
Publication date: 1 April 1988

David Norburn, Kingsley Manning and Sue Birley

Worldwide economic decline, rampant inflation, floating exchange rates and the rise of the Pacific Rim countries mean that businesses in the Western World must adopt a…

Abstract

Worldwide economic decline, rampant inflation, floating exchange rates and the rise of the Pacific Rim countries mean that businesses in the Western World must adopt a different strategy.

Details

Management Decision, vol. 26 no. 4
Type: Research Article
ISSN: 0025-1747

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Abstract

Details

Microelectronics International, vol. 17 no. 2
Type: Research Article
ISSN: 1356-5362

Keywords

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Article
Publication date: 1 September 2000

David Kingsley

Abstract

Details

Circuit World, vol. 26 no. 3
Type: Research Article
ISSN: 0305-6120

Keywords

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Article
Publication date: 1 January 1989

PMD have appointed David H. Ormerod to the position of printed circuits products manager as part of their marketing organisation.

Abstract

PMD have appointed David H. Ormerod to the position of printed circuits products manager as part of their marketing organisation.

Details

Circuit World, vol. 15 no. 2
Type: Research Article
ISSN: 0305-6120

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Article
Publication date: 1 April 1994

Matthew Macariou

The latest industry statistics recently published by the PCIF indicate that the UK printed circuit fabrication industry has emerged from the recession leaner and fitter…

Abstract

The latest industry statistics recently published by the PCIF indicate that the UK printed circuit fabrication industry has emerged from the recession leaner and fitter. Over‐capacity has been slashed, with 60% fewer companies producing 10% more product than three years ago. Productivity is up 58%.

Details

Circuit World, vol. 21 no. 1
Type: Research Article
ISSN: 0305-6120

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Article
Publication date: 1 April 1987

This two‐week course held in May 1987 at Oxford University Department for External Studies comprised an interesting and comprehensive programme of instructive lecture…

Abstract

This two‐week course held in May 1987 at Oxford University Department for External Studies comprised an interesting and comprehensive programme of instructive lecture sessions combined with company visits which gave attendees the opportunity to observe practical aspects of several areas of the course. Examination results are printed below, and details of the course contents are as follows:

Details

Circuit World, vol. 14 no. 1
Type: Research Article
ISSN: 0305-6120

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Article
Publication date: 1 March 1987

The Institute of Circuit Technology's Annual Symposium, which took place on 12–13 May 1987, returned this year to Brunel University, Uxbridge, where it had last been held…

Abstract

The Institute of Circuit Technology's Annual Symposium, which took place on 12–13 May 1987, returned this year to Brunel University, Uxbridge, where it had last been held in June 1984.

Details

Circuit World, vol. 13 no. 4
Type: Research Article
ISSN: 0305-6120

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Article
Publication date: 2 August 2010

Abstract

Details

Social Care and Neurodisability, vol. 1 no. 2
Type: Research Article
ISSN: 2042-0919

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