DINO-VAMP: A Helpful Acronym in Determining Optimal Methadone Dosing and Brief Review of Dosing Literature

Research output: Contribution to journalArticle

Abstract

Methadone clinics commonly provide inadequate methadone doses for patients in treatment resulting in continuing heroin use and high risk activities. In order to optimize methadone dosing to achieve opiate “blockade,” it has become our policy to apply an acronym, DINO-VAMP, to interview heroin using patients. By asking about the areas represented by each letter, providers can identify and manage issues relating to methadone dosing in a systematic, user-friendly manner. D for drug use and dose, I for drug Interactions, N for neuroleptic (psychiatric) issues, O for opiate withdrawal symptoms, V for vitamin C and hepatitis C, A for home atmosphere (stress), M for menopause and medical issues and P for pregnancy and plasma methadone level allowing providers to cover all major significant areas related to methadone dosing. The clinic that applies this acronym demonstrates repeatedly a 30% lower heroin positivity than others using the same system.

Original languageEnglish (US)
Pages (from-to)29-44
Number of pages16
JournalJournal of Maintenance in the Addictions
Volume2
Issue number4
DOIs
StatePublished - Oct 5 2005

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Methadone
Opiate Alkaloids
Heroin
Substance Withdrawal Syndrome
Hepatitis C
Menopause
Atmosphere
Drug Interactions
Antipsychotic Agents
Ascorbic Acid
Psychiatry
Interviews
Pregnancy
Pharmaceutical Preparations

Keywords

  • Addiction
  • Cocaine
  • Dopamine
  • Reward center

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

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title = "DINO-VAMP: A Helpful Acronym in Determining Optimal Methadone Dosing and Brief Review of Dosing Literature",
abstract = "Methadone clinics commonly provide inadequate methadone doses for patients in treatment resulting in continuing heroin use and high risk activities. In order to optimize methadone dosing to achieve opiate “blockade,” it has become our policy to apply an acronym, DINO-VAMP, to interview heroin using patients. By asking about the areas represented by each letter, providers can identify and manage issues relating to methadone dosing in a systematic, user-friendly manner. D for drug use and dose, I for drug Interactions, N for neuroleptic (psychiatric) issues, O for opiate withdrawal symptoms, V for vitamin C and hepatitis C, A for home atmosphere (stress), M for menopause and medical issues and P for pregnancy and plasma methadone level allowing providers to cover all major significant areas related to methadone dosing. The clinic that applies this acronym demonstrates repeatedly a 30{\%} lower heroin positivity than others using the same system.",
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