[Buprenorphine for the treatment of opioid dependence: a study on generic substitution conducted in community pharmacies]

Therapie. 2010 May-Jun;65(3):241-7. doi: 10.2515/therapie/2010012. Epub 2010 Aug 11.
[Article in French]

Abstract

Objective: To describe the evolution of buprenorphine prescription form characteristics before and after the application of a measure of the French Social Security system aimed to encourage the use of generic drugs.

Method: All buprenorphine prescription forms issued to sixty-two patients subjected to follow-up in 6 community pharmacies were analysed between October 2007 and February 2008.

Results: Patients maintained on Subutex during the whole follow-up were more numerous (n=39), younger, and received a higher daily dose of buprenorphine (10.5 mg versus 7.8 mg), compared to patients maintained on generic (n=13). For patients receiving again Subutex after have been treated by a generic (n=10), daily doses remained unchanged.

Conclusion: It seems that the patients stabilized on generic present less serious pharmacodependence and less psychiatric comorbidity than those maintained on Subutex. Substituting a buprenorphine speciality with another should not induce any treatment unsettlement.

Publication types

  • Clinical Trial
  • English Abstract
  • Multicenter Study

MeSH terms

  • Adult
  • Buprenorphine / therapeutic use*
  • Female
  • France
  • Humans
  • Male
  • Narcotic Antagonists / therapeutic use*
  • Opioid-Related Disorders / drug therapy*
  • Pharmacies*
  • Therapeutic Equivalency

Substances

  • Narcotic Antagonists
  • Buprenorphine