The Drug Policy Website of the Hungarian Civil Liberties Union

Why Russia Says No To Methadone?

22 September, 2008 - 13:24
News
HCLU Films
содержание на русском
Russian Drug Policy
Human Rights Abuses

Watch our video and find the answer(s)!
 

The HCLU video advocacy team attended the Second Eastern Europe and Central Asia AIDS Conference (EECAAC) in Moscow, 3-5 May, 2008. Our main priority was to interview narcologists (addiction specialist doctors) and create a short advocacy movie on the lack of methadone substitution treatment in Russia. We believe that it is one of the biggest scandal of the world of drug treatment that substituion treatment is banned in a country with 1,5 million people living with HIV – the majority of them infected through the sharing of injecting equipment. Methadone substitution treatment is one of the best available tools of HIV prevention among injecting drug users according to all relevant international organizations (e.g. WHO, UNODC, UNAIDS), the scientific literature proving its positive impacts on public health and security can fill a whole library: it improves the health and social well-being of users, it prevents them from committing crimes, it decreases illicit drug use and needle and syringe sharing among them. Together with the majority of drug treatment specialists from all over the world we are confident that the lack of access to methadone maintenance treatment in Russia is a basic violation of the human rights of people who use drugs.

So, why Russia says no to methadone after all?

Watch our video to find the answer(s)!

Posted by Peter Sarosi

Comments

Submitted by Jury Kalikov, D... (not verified) on 22 September, 2008 - 15:07
in interview with expert from Kyrgystan he says that drug users receive the dose EVERY day, but in english translation it was "once a week"

Submitted by sarosip on 23 September, 2008 - 10:04

Thank you Jury, we also realised that there was a mistranslation - we will try to fix it up.

 

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Submitted by Morshed Bilal Khan (not verified) on 23 September, 2008 - 05:20
This film is a good advocacy material. I strongly believe the concerned persons may visit other neighboring countries that got success in introducing methadone as a substitute drug… Bangladesh has recently decided to introduce Methadone (Pilot phase) which was one of our long waited dream!

Submitted by Dr.Hermon Mihranian (not verified) on 29 September, 2008 - 18:17
I strongly beleive that in some cases methadone treatment is essential.But we must not forget that methadone treatment doesnot solve the drug abuse problem.If methadone treatment is implanted, the required dose must be given daily under control of staff. In no way methadone must not be given to the drug abuser for weeks in advance. For the simple reason that the drug abuser is unable to contol his intake and or will past methadone to other drug abusers. This means that the market will be filled with legal methadone. In my oppinion methadone treatment can only be introduced if the necessary control is athand. Dr. Hermon Mihranian internist-addictologist

Submitted by J.R. Neuberger (not verified) on 30 September, 2008 - 01:38
You would be better served if you stopped using the term "substitution" to describe methadone treatment. It is NOT replacing one drug with another, but is rather endorphin REPLACEMENT therapy. This is the reason for its efficacy in addiction treatment. Your description only gives inaccurate ammunition to the opposition. From the United Nations on down, this inaccurate description of methadone maintenance therapy only fuels that which you lament.

Submitted by sarosip on 1 October, 2008 - 07:50

I've never heard about "endorphin replacement therapy" - all relevant organizations I know use opiate substitution treatment (OST), so it seems there is quite low awareness about the term suggested by you. So before attacking us for using this term maybe you need to make your point to the international organizations and networks, for example IHRA.

Actually I find "endorphin replacement therapy" misleading and inaccurate. Methadone treatment IS replacing an illegal drug with a legal drug, and I don't see the arguments why should it be changed.

Submitted by Anonymous (not verified) on 4 February, 2009 - 20:29
Well if you ask me every nation should say no to methadone, but considering this drug is used to help drug addicts. Russia should consider this aspect, there are too many people who need the drug, too many lives at stake and I strongly believe Russia should reconsider this decision. http://www.forterus.com/2009/02/rehabilitation.html

Submitted by Anonymous (not verified) on 31 March, 2009 - 23:34
Many international experts say methadone treatment is critical to controlling the epidemic. Coupled with needle exchange (already in use in some Russian cities), the therapy could largely stop the spread of H.I.V. among injecting drug users. ________________________ http://nikkifontaine.com/2009/03/06/my-ex-boyfriend-is-finally-going-into-drug-rehab/

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Submitted by commonsense4301 (not verified) on 14 March, 2013 - 22:25

Wow Russia is truly full of idiot "Narcologists", dumb name too. You know what I love about America?! I can sit here with freedom of speech and the Russian government can fricken try and shut me up! This is morally wrong, its been proven that both Methadone, Buprenorphine and even Heroin maintenance therapy's are highly effective! If you look at something with a narrow mind of course your not going to see it any other way. The thing that they don't understand is that no matter what true junky's are gonna get there drugs, with "Krokodil" aka illicit Desomorphine with horrendous contaminants causing necrosis and massive tissue damage I would think they would give the boot to their ancient "Narcologists". Oh well I guess Russia will rot of HIV, TB, Necrosis, and overall self-destructive behavior for a while longer. I feel bad though.