German scientists synthesized methadone during World War II
because of a shortage of morphine. Although chemically unlike
morphine or heroin, methadone produces many of the same effects. It
was introduced into the United States in 1947 as an analgesic
(Dolophine®). Today, methadone is primarily used for the treatment
of narcotic addiction, although a growing number of prescriptions are
being written for chronic pain management. It is available in oral
solutions, tablets, and injectable Schedule II formulations.

Methadone's effects can last up to 24 hours, thereby permitting
once-a-day oral administration in heroin detoxification and
maintenance programs. High-dose methadone can block the effects of
heroin, thereby discouraging the continued use of heroin by addicts in
treatment. Chronic administration of methadone results in the
development of tolerance and dependence. The withdrawal syndrome
develops more slowly and is less severe, but more prolonged than
that associated with heroin withdrawal. Ironically, methadone used to
control narcotic addiction is encountered on the illicit market. Recent
increases in the use of methadone for pain management have been
associated with increasing numbers of overdose deaths.

Closely related to methadone, the synthetic compound levo
alphacetylmethadol, or LAAM (ORLMM®), has an even longer duration
of action (from 48 to 72 hours) than methadone, permitting a
reduction in frequency of use. In 1994, it was approved as a Schedule
II treatment drug for narcotic addiction. Both methadone and LAAM
have high abuse potential. Their acceptability as narcotic treatment
drugs is predicated upon their ability to substitute for heroin, the long
duration of action, and their mode of oral administration. Recent data
regarding cardiovascular toxicity of LAAM has limited the use of this
drug as a first-line therapy for addiction treatment.

This drug is a semi-synthetic narcotic derived from thebaine.
Buprenorphine was initially marketed in the United States as an
analgesic (Buprenex®). In 2002, two new products (Suboxone® and
Subutex®) were approved for the treatment of narcotic addiction.
Like methadone and LAAM, buprenorphine is potent (30 to 50 times
the analgesic potency of morphine), has a long duration of action, and
does not need to be injected. Unlike the other treatment drugs,
buprenorphine produces far less respiratory depression and is
thought to be safer in overdose. All buprenorphine products are
currently in Schedule III of the CSA.
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Houston defense  lawyer,  Attorney Andy Nolen,  represents people who have been accused of a state crime or Houston  law, including in communities such as League City,
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Counties that Houston criminal attorney Andy Nolen serves include:
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handled include: Possession of Marijuana, Cocaine, Crystal Methamphetamine, Xanax, Prescription Drugs, Probation Violations, Theft, Shoplifting, Drunk Driving, Evading
Arrest, and all other Felonies and Misdemeanors.
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