國內開始廣泛推動美沙冬替代療法不到3年，尚缺少本土個案使用美沙冬的相關資料。本文為記
錄一位原海洛因使用者在使用美沙冬替代療法四個月後，戒除美沙冬的戒斷過程及個案管理經驗。筆者藉由工作上的觀察陪伴、引導同事及家人的支持，陪同個案度過難忍的戒斷症狀，成功的脫離藥癮的束縛。本文並對目前美沙冬替代療法的相關政策、護理重點等現況提出討論及建議。

As methadone replacement therapy (MRT) has been practiced in Taiwan for only two years, little is known regarding its effects. This case report introduces methadone withdrawal symptoms experienced by a heroin addict who used MRT for a period of four months. The author provided direct counseling and support to the patient as well as worked to empower colleagues and family members to support the patient’s successful break with methadone. Discussions and suggestions relevant to MRT policies
and the care of methadone users are provided at the end of this report.