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In both the Republic of Ireland and the United Kingdom, methadone patients may be dispensed a weekly dose of methadone, with prescribeddaily doses then administered at home each day. Harkin, Quinn & Bradley (1999) reported a survey conducted by 9 GPs in Dublin, Ireland regarding their client's use of a baby bottle to measure or store their methadone dose. A surprising 48 of 186 (26%) methadone patients stated that they had used a baby bottle to measure their methadone in the past month,with 21 of 186 (11%) reporting use of a baby bottle to store the methadone in the past month. A follow-up telephone survey of 10 pharmacists in Dublin and Manchester revealed that 8 of 10 offered a measuring device to new clients at a charge of 30-50p. A previously discarded graduated 30ml plastic device was also offered although it was thought to be unsuitable for repeated use. The authors recommend that clients be asked how they measure their daily dose and that a free measuring device be included with each prescription.
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