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Cost-Effectiveness Analysis of Modafinil Therapy for Psychostimulant Dependence

NCJ Number
230990
Journal
Drug and Alcohol Review Volume: 29 Issue: 3 Dated: May 2010 Pages: 235-242
Author(s)
James Shearer; Marian Shanahan; Shane Darke; Craig Rodgers; Ingrid Van Beek; Rebecca McKetin; Richard P. Mattick
Date Published
May 2010
Length
8 pages
Annotation
This study examined the cost-effectiveness of modafinil (200 mg daily) plus counselling compared with placebo for the treatment of psychostimulant dependence.
Abstract
The incremental cost-effectiveness ratio indicated that it would cost an additional $AUD79 to achieve an extra stimulant-free day with modafinil compared with placebo. This result was not statistically significant, but appeared to be a robust estimate after sensitivity analysis. Counselling, whether received within program or from other services, improved the cost-effectiveness of modafinil relative to placebo. Strategies to improve the uptake of counselling are recommended as cost-effective. Cost and outcome data were collected alongside two randomised controlled trials of modafinil 200 mg daily over 10 weeks for methamphetamine (n = 74) and cocaine dependence (n = 8), respectively. Incremental cost-effectiveness ratios representing the additional costs to achieve a given outcome were calculated for both the change in the number of stimulant-free days and quality-adjusted life years 12 weeks post-treatment. (Published Abstract)

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