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These related to pharmacological aspects of the drug (agonist, pharmacological stability, dose\u2013response, non\u2010toxic) and neurocognitive sequelae (psychiatric, cognitive, craving, salience).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Opioids and nicotine met all eight criteria for a maintenance drug. While nicotine has not been promoted widely or used for maintenance, it has the potential to fulfil that role. Cannabis met five criteria and has potential, but long\u2010term data on cognitive impairment are required. Benzodiazepine maintenance would appear an option for the high\u2010dose chaotic abuser, also meeting five criteria, although clinic dosing appears the safest option. Psychostimulants (three of eight criteria) and alcohol (one of eight) appear poor propositions for maintenance, in terms of both their pharmacological and their neurocognitive characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Drug classes have properties that distinguish them in their suitability for maintenance treatment. Some classes not yet used for maintenance (notably nicotine and cannabis) have potential to fulfil such a role. Others, however, by their inherent nature, appear unsuitable for such a treatment regimen.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.13158","type":"journal-article","created":{"date-parts":[[2015,10,27]],"date-time":"2015-10-27T06:09:21Z","timestamp":1445926161000},"page":"767-774","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Which medications are suitable for agonist drug maintenance?"],"prefix":"10.1111","volume":"111","author":[{"given":"Shane","family":"Darke","sequence":"first","affiliation":[{"name":"National Drug and Alcohol Research Centre University of New South Wales  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Farrell","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre University of New South Wales  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,27]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Methadone Maintenance Treatment and Other Opioid Replacement Therapies","author":"Ward J.","year":"1998"},{"key":"e_1_2_6_3_1","volume-title":"Neurobiology of Addiction","author":"Koob G. 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