Most methadone clinics are hard to access and thus

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Most methadone clinics are hard to access and thus the impact on the public becomes mitigated THIRTEEN IN 2K10 "Close to Home Online - Policy: The Politics of Methadone." THIRTEEN . Web. 29 June 2010. < ;. But there are many obstacles in the way of heroin addicts who seek methadone treatment . The dispensing of methadone is rigidly regulated. Only a handful of physicians in the U.S. are registered to provide methadone treatment in their practices today , since , to dispense the drug and be approved for treatment, physicians have to make a special application to the FDA and the Drug Enforcement Agency. The Department of Health & Human Services and the FDA also decide dosage regimens and how, and under what circumstances, methadone maintenance may be used to treat opiate addiction. Most methadone is dispensed from clinics that must obtain an extra license and comply with a mountain of both federal and state regulations. The result is that, for many heroin addicts , getting methadone treatment is a tremendous burden . There are approximately 737 active methadone clinic programs in the U.S., according to the FDA. Although programs vary with regard to methadone dosing and take-home policies, most dispense medication as well as provide counseling and other medical services. But many states don't allow methadone clinics, forcing some patients to drive hundreds of miles each day to get their required daily dosage. Idaho, Mississippi, Montana, North Dakota, South Dakota, West Virginia, Vermont, and New Hampshire don't allow methadone clinics . Clinics in states that do allow methadone often have strict morning hours that make it difficult for patients to stick to the regimen. Methadone clinic aid in creating a black market for selling of illicit drugs THIRTEEN 2K10 "Close to Home Online - Policy: The Politics of Methadone." THIRTEEN . Web. 29 June 2010. < ;. Some of these burdensome regulations stem from concerns that addicts will sell their methadone on the black market . But while some drug enforcement experts believe the practice is common and contributes to health problems, the data believe that . " While methadone has some potential for abuse when diverted from normal channels, the extent of the abuse associated with diverted methadone is small relative to heroin and cocaine," reports a 1995 Institute of Medicine report on methadone . Dr. Lewis Judd, psychiatric department chair at the University of California at San Diego and chair of a National Institutes of Health panel that examined methadone's utility, describes the black market for methadone as a "negligible" problem. Most of those who take diverted methadone are seeking to stabilize themselves before entering treatment, or want to quit but aren't yet ready to seek help, he says. - - 7
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