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Vincent P. Dole, 93; Doctor’s Research Led to Use of Methadone to Treat Heroin Addiction

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From the Associated Press

Dr. Vincent P. Dole, whose research in the 1960s established that methadone could be used to treat heroin addiction, died Tuesday. He was 93.

Dole had suffered from complications of a ruptured aorta, family members said.

A clinician at Rockefeller University in Manhattan, Dole studied a wide range of human biological processes. But it was his pioneering work with methadone that earned the most attention. He won the Lasker Award in 1988 for his work on the subject.

In 1964, Dole and research partner Dr. Marie Nyswander experimented with shifting addicts from heroin and morphine to methadone, a synthetic drug far less damaging to the body.

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At the time, methadone was known primarily as a painkiller. First synthesized in the late 1930s, it wasn’t widely used, because it was highly addictive.

Dole and Nyswander, however, noted that methadone didn’t disable its users as heroin and morphine did. Methadone satisfied the physical cravings of addiction but didn’t make users high or subject them to violent mood swings.

Their studies suggested that addicts could be put on “maintenance” doses of methadone -- meaning they would remain physically dependent on the drug but be able to conduct otherwise normal lives. Those findings sparked the creation of hundreds of methadone programs worldwide.

Jules Hirsch, a professor emeritus at Rockefeller who worked with Dole for nearly 50 years, said the research also fostered thinking that drug addiction should be treated as a medical problem, rather than a purely moral one.

Methadone’s addictive properties continue to make it a controversial treatment.

Hirsch said Dole was always surprised at how methadone persisted as a political issue. “I think he was sort of perplexed by it, because he saw some of the plain logic of helping people in distress,” Hirsch said.

Born in Chicago in 1913, Dole earned degrees from Stanford and Harvard universities before joining the Rockefeller Institute for Medical Research in 1941. During World War II, he was a lieutenant commander in the Naval Medical Research Unit at Rockefeller University Hospital.

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Nyswander, who was Dole’s second wife, died in 1986.

His survivors include his wife, Margaret Dole; three children; and four stepchildren.

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