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“There are over a half-million people
on methadone maintenance today,” said Dr. Mary Jeanne Kreek,
director of the Laboratory of the Biology of Addictive Diseases
at Rockefeller University. “That means they are on regular
medication, just like anyone with a chronic disease.”
This view of heroin addiction as a medically
treatable disease was shared by Dr. Dole and led to his frequent
and forceful efforts to open methadone clinics in New York City
and keep them open in the face of sometimes strong opposition.
In 1988, Dr. Dole received the prestigious
Albert Lasker Medical Research Award for his work on methadone.
Vincent Paul Dole was born on May 18, 1913,
the son of Vincent and Anna Dole of Chicago. He received a bachelor’s
degree in mathematics from Stanford in 1934 and a medical degree
from Harvard in 1939. In 1941, after an internship at Massachusetts
General Hospital in Boston, he joined the Rockefeller Institute
as an assistant in kidney research.
In World War II, Dr. Dole served as a lieutenant
commander with the Naval Medical Research Unit at the Rockefeller
Institute’s hospital. In 1947, he was named an associate
member of the institute and, in 1951, a full member. When the
institute became a graduate university in 1955, he was appointed
a professor.
When Dr. Dole began planning to study the
biology of addiction in the mid-60’s, he could find only
one significant book on street addicts, “The Drug Addict
as a Patient,” by Dr. Nyswander, who was then a psychiatrist
treating addicts at a Manhattan storefront clinic. Dr. Dole asked
her to join him in his research project. Within a year, he asked
her to marry him. Dr. Nyswander died in 1986.
Dr. Dole’s first marriage, to Elizabeth
Strange of Montreal, ended in divorce. A resident of Manhattan,
Dr. Dole is survived by his third wife, Margaret MacMillan Cool;
three children from his first marriage, Vincent, of Washington,
Bruce, of St. Louis, and Susan, of Arlington, Va.; four stepchildren,
John Cool, of Pelham, N.Y., Ellen Kwait, of Marblehead, Mass.,
Mary Lee Gupta, of Manhattan, and Adrienne Cool, of Oakland, Calif.;
13 grandchildren; and a great-grandchild.
It was in 1964 that Dr. Dole and Dr. Nyswander
started testing methadone on addicts who had used heroin for at
least 14 years and had been in and out of detoxification centers
and, in many cases, in and out of prison.
Methadone’s origins go back to World
War II, when German scientists synthesized it as a painkiller
for wartime casualties. But in their research, Dr. Dole and Dr.
Nyswander found that 100 milligrams of the drug blocked the effect
of 200 milligrams of heroin — the equivalent of several
highs.
Methadone has several advantages, many
addiction experts say. It affects the brain’s receptors
for 24 hours, blocking heroin’s three-minute euphoric rush.
Its slow onset, as opposed to heroin’s spiky highs, eliminates
mood swings, making an addict feel normal. It can be taken orally
rather than injected, and it has a much lower risk of overdose.
But there are drawbacks. Methadone creates
a physical dependence that can be as strong as heroin addiction,
and many street addicts now also use cocaine, which methadone
cannot block. Also, the purity of street heroin has more than
doubled in recent years, requiring higher doses of methadone to
block its effects.
Still, as Dr. Kreek of Rockefeller University
said, thousands of methadone users “now live normal lives;
they work, they pay taxes and their possibility of getting AIDS
is reduced or eliminated because they are no longer injecting.”
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