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Authors' reply

Published online by Cambridge University Press:  02 January 2018

Nikolaj Kun⊘e
Affiliation:
Norwegian Centre for Addiction Research, Kirkeveien 166, NO-0407 Oslo, Norway. Email: nikolaj.kunoe@medisin.uio.no
Michael Gossop
Affiliation:
Norwegian Centre for Addiction Research, Oslo, Norway
Helge Waal
Affiliation:
National Addiction Centre, Maudsley Hospital, and Institute of Psychiatry, King's College London, UK
Philipp Lobmaier
Affiliation:
Norwegian Centre for Addiction Research, Oslo, Norway
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Abstract

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Copyright © Royal College of Psychiatrists, 2010 

We are happy to clarify. Of the 667 patients, 265 opioid-dependent patients entered in-patient treatment for induction onto agonist maintenance treatment and were therefore excluded. Also, patients who left their respective clinics prematurely were not eligible for participation (n = 193); 11 were excluded owing to psychotic symptoms, 8 owing to pregnancy, and 17 owing to extreme ALT/AST values.

This left 173 opioid-dependent patients satisfying inclusion criteria. However, the virtually complete novelty of naltrexone implant treatment in Norway at the time of recruitment probably means that these results are a poor basis upon which to base estimates of demand for this form of treatment.

The randomised trial period was followed by an implantation or re-implantation opportunity for all patients, meaning that the proportion of patients who entered in-patient treatment again at the end of the study to detoxify or stabilise is probably higher than it would be in future clinical samples. Reporting it as a result or as part of a figure could be regarded as misleading.

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