Dáil debates

Thursday, 9 November 2006

4:00 pm

Photo of Noel AhernNoel Ahern (Dublin North West, Fianna Fail)

Methadone is the main substitute form of treatment for heroin users. The National Advisory Committee on Drugs produced a major report on a form of medication called Subutex, which is a form of buprenorphine, two years ago. Subutex is used in a number of countries — it is almost as popular as methadone in some countries. The report was referred to the Minister for Health and Children at the time. She has been examining the matter, but the drug has not been made fully available. The Irish Medicines Board is responsible for approving all forms of medication — I do not have that responsibility. Buprenorphine, which is generally made available in tablet form, is deemed to be good for people who are fairly focused and stable. As it takes 15 or 20 minutes to dissolve buprenorphine under one's tongue, many people in the Health Service Executive feel it offers a fairly large opportunity for diversion. Therefore, it has not become widely used here. It can be prescribed by individual doctors, but it is not in mainstream use. It is legal, but it is not used on a wide scale because of the fears of the authorities in respect of it.

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