Opiate addiction is extremely hard to overcome, with relapse rates in excess of 80% for long term intravenous users. Given that opiate addiction appears to be a form of chronic ‘neurobehavioral’ syndrome, what strategies or lessons can we apply from management of other chronic syndromes (e.g., diabetes, lupus, heart disease) to help reduce the harm (to the person and society) and maximize the quality of life of people addicted to opiates?

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