Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

24 questions · 24 findings · 7 reviews · Drugs and Alcohol

No studies found 3 · 12.5%GRADE not reported 3 · 12.5%Very low 8 · 33.3%Low 4 · 16.7%Moderate 6 · 25%High 0 · 0%

naltrexone vs no pharmacological

Criminal activity dichotomous ‐ Reincarceration official records · patients with drug‐using offenders

Summary of findings for the main comparisons: Antagonost (Naltrexone) probably leads to lower criminal activity dichotomous ‐ Reincarceration official records compared with no pharmacological (moderate certainty).

1 finding from 1 review

Buprenorphine vs clonidine

Initiation of naltrexone treatment Number of participants initiating naltrexone · patients with opiate dependent adolescents

Buprenorphine probably leads to higher initiation of naltrexone treatment Number of participants initiating… compared with clonidine (moderate certainty).

1 finding from 1 review

Intervention not reported

Number commencing naltrexone maintenance treatment ‐ Clonidine comparison · patients with opioid withdrawal

The intervention probably leads to higher number commencing naltrexone maintenance treatment ‐ Clonidine… (moderate certainty).

1 finding from 1 review

Intervention not reported

Number commencing naltrexone maintenance treatment ‐ Buprenorphine comparison · patients with opioid withdrawal

The intervention probably leads to higher number commencing naltrexone maintenance treatment ‐ Buprenorphine… (moderate certainty).

1 finding from 1 review

Intervention not reported

Retained in naltrexone maintenance treatment or abstinent at 12 weeks ‐ Tapered methadone comparison · patients with opioid withdrawal

The intervention showed no clear difference in retained in naltrexone maintenance treatment or abstinent at 12… (low certainty).

1 finding from 1 review

Intervention not reported

Retained in naltrexone maintenance treatment or abstinent at 12 weeks ‐ Clonidine comparison · patients with opioid withdrawal

The intervention probably leads to higher retained in naltrexone maintenance treatment or abstinent at 12… (moderate certainty).

1 finding from 1 review

Intervention not reported

Retained in naltrexone maintenance treatment or abstinent at 12 weeks ‐ Buprenorphine comparison · patients with opioid withdrawal

The intervention showed no clear difference in retained in naltrexone maintenance treatment or abstinent at 12… (moderate certainty).

1 finding from 1 review

Summary of findings table – disulfiram vs naltrexone

Acceptability ‐ total dropouts · patients with the treatment of cocaine dependence

It is very uncertain whether summary of findings table – disulfiram changes dropout for any reason (number of participants who did not complete… compared with naltrexone (very low certainty).

1 finding from 1 review