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7/25/2019 Pedoman METADON
1/57
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7/25/2019 Pedoman METADON
2/57
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7/25/2019 Pedoman METADON
3/57
Y 7 Y
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7/25/2019 Pedoman METADON
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7/25/2019 Pedoman METADON
5/57
Y 2 Y
65F
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7/25/2019 Pedoman METADON
6/57
Y \ Y
P2Q
0COCA GCO K8A8J@9ICG MC8JCG I@MC: MCKCI A89C9DDL9D K8AB@CRCC9
NK8JC;@N9CO K8OCRC9C9 ;8BCDC@AC9C M@AC:;LM KCMC CRCI P[Q GLJLX C
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7/25/2019 Pedoman METADON
7/57
Y 3 Y
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!8A8J@9ICG :GL;L; )8ICMN9C ;8BCDC@AC9C M@AC:;LM KCMC CRCI P6QF
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7/25/2019 Pedoman METADON
8/57
Y W Y
!C;CO W
P6Q
#LACG ,C:@I !89DCAKL A89DCTL:C9 K8JA@9ICC9 M@;IJ@BL;@ )8ICMN9C
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MC9 $OCI +8;8GCIC9 A8OCOL@ 0@J8:INJCI .@9C 1BCI !LBO@: MC9 !8JB8:COC9
+8;8GCIC9 M89DC9 I8ABL;C9 :8KCMC 0@J8:INJCI c89M8JCO .@9C &KCRC
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7/25/2019 Pedoman METADON
9/57
Y Z Y
.CD@C9 +8I@DC
!89R8JCGC9
!C;CO 66
P6Q
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CF A898JCK:C9 ;IC9MCJ K8OCRC9C9 :8XCJAC;@C9V MC9
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!89R@AKC9C9
!C;CO 64
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K89R@AKC9C9 :GL;L; L9IL: )8ICMN9C MC9 9CJ:NI@:C OC@9 RC9D B8JCMC
MCOCA K89DLC;CC99RCF
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!89R@AKC9C9 K8J;8M@CC9 )8ICMN9C GCJL; M@O89D:CK@ M89DC9 :CJIL
K8J;8M@CC9 )8ICMN9C M89DC9 A89DDL9C:C9 SN9ING ;8BCDC@AC9C
I8JSC9ILA MCOCA ]NJALO@J 6 I8JOCAK@JF
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!89R@AKC9C9 )8ICMN9C L9IL: :8K8JOLC9 ;8GCJ@YGCJ@ GCJL; M@O89D:CK@
M89DC9 OCKNJC9 GCJ@C9 K89DDL9CC9 )8ICMN9C M89DC9 A89DDL9C:C9
SN9ING ;8BCDC@AC9C I8JSC9ILA MCOCA ]NJALO@J 4 I8JOCAK@JF
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!8AL;9CGC9
!C;CO 67
P6Q
!8AL;9CGC9 )8ICMN9C M@OC:L:C9 KCMC :8CMCC9E
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7/25/2019 Pedoman METADON
10/57
Y 65 Y
P4Q
!8AL;9CGC9 )8ICMN9C ;8BCDC@AC9C M@AC:;LM KCMC CRCI P6Q GC9RC MCKCI
M@OC:L:C9 ;8I8OCG M@:8OLCJ:C9 ;LJCI K89DGCKL;C9 BCJC9D A@O@: 98DCJC
;8;LC@ :8I89ILC9 K8JCILJC9 K8JL9MC9DYL9MC9DC9F
P7Q
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NO8G CKNI8:8J K89C9DDL9D TCHCB M89DC9 M@;C:;@:C9 NO8G K8ILDC; XCJAC;@
M@9C; :8;8GCIC9 MC9 BCOC@ B8;CJ
7/25/2019 Pedoman METADON
11/57
Y 66 Y
!C;CO 6\
!8J;RCJCIC9 ON:C;@ ;8BCDC@AC9C M@AC:;LM MCOCA !C;CO 62 A8O@KLI@E
CF
B8JCMC M@ MC8JCG :C9IN9D K89DDL9C NK@CI B8JMC;CJ:C9 K89MCICC9 RC9D
I8J;8M@C MCJ@ B8JBCDC@ ;LAB8JV
BF
I@MC: B8JM8:CIC9 M89DC9 XC;@O@IC; K8OCRC9C9 :8;8GCIC9 RC9D A8AB8J@:C9
K8OCRC9C9 !%#) RC9D OC@9V MC9SF
M@LICAC:C9 I@MC: B8JM8:CIC9 M89DC9 ;CJC9C K89M@M@:C9F
!C;CO 63
P6Q
!8J;RCJCIC9 ;CJC9C MC9 KJC;CJC9C ;8BCDC@AC9C M@AC:;LM MCOCA !C;CO 62
A8O@KLI@E
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K8JCOCIC9 A8M@: ;8:LJC9DY:LJC9D9RC I8JM@J@ CIC; KNAKC K89DL:LJ MN;@;
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7/25/2019 Pedoman METADON
12/57
Y 64 Y
.CD@C9 +8I@DC
!898ICKC9
!C;CO 6Z
P6Q
!89DCTLC9 L;LOC9 K898ICKC9 JLACG ;C:@I MC9 KL;:8;AC; RC9D
A8AB8J@:C9 K8OCRC9C9 !%#) M@OC:L:C9 NO8G +8KCOC 0@9C; +8;8GCIC9!JN^@9;@ CICL +8KCOC 0@9C; +8;8GCIC9 +CBLKCI89
7/25/2019 Pedoman METADON
13/57
Y 67 Y
P7Q
%LDC; K89DCAKLC9 NO8G #LACG ,C:@I !89DCAKL ;8BCDC@AC9C M@AC:;LM
KCMC CRCI P6Q A8O@KLI@E
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8FK89DL;LOC9 K8OCI@GC9 K89R8DCJC9 BCD@ %@A !%#)F
P[Q
!8OC:;C9CC9 ILDC; K89DCAKLC9 ;8BCDC@AC9C M@AC:;LM KCMC CRCI P7Q
GLJLX C MCKCI M@OC:L:C9 ;8SCJC ICICK AL:C MC9
7/25/2019 Pedoman METADON
14/57
Y 6[ Y
!C;CO 44
P6Q
,8I@CK KC;@89 RC9D A89D@:LI@ !%#) M@B8J@:C9 :CJIL KC;@89 RC9D M@BLCI
;8;LC@ M89DC9 XNJACI ;8BCDC@AC9C I8JSC9ILA MCOCA ]NJALO@J 7 I8JOCAK@JF
P4Q
+CJIL KC;@89 ;8BCDC@AC9C M@AC:;LM KCMC CRCI P6Q B8JOC:L TLDC ;8BCDC@
:CJIL OCKNJ M@J@ I8J:C@I A8:C9@;A8 HCT@B OCKNJ ;8OCAC K898JB@IC9 :CJILRC9D I8J;89IJCO@;C;@ B8OLA B8JTCOC9F
P7Q
+CJIL KC;@89 B8JOC:L ;8OCAC 6 P;CILQ ICGL9 MC9 MCKCI M@K8JKC9TC9D ;8JIC
I@MC: MCKCI M@K@9MCGIC9DC9:C9F
P[Q
+CJIL KC;@89 M@9RCIC:C9 I@MC: B8JOC:L CKCB@OC KC;@89 :8OLCJ MCJ@ !%#)
BC@: ;8SCJC I8J89SC9C ACLKL9 I@MC: I8J89SC9C MC9
7/25/2019 Pedoman METADON
15/57
Y 62 Y
!C;CO 42
P6Q
!8AB8J@C9 )8ICMN9C ;8BCDC@AC9C M@AC:;LM MCOCA !C;CO 47 GC9RC MCKCI
M@OC:L:C9 B8JMC;CJ:C9 J8;8K RC9D M@BLCI NO8G MN:I8J RC9D A89TCM@
C9DDNIC %@A ;8BCDC@AC9C M@AC:;LM MCOCA !C;CO 6WF
P4Q
!8AB8J@C9 )8ICMN9C M@OC:L:C9 NO8G CKNI8:8J RC9D A89TCM@ C9DDNIC %@A;8BCDC@AC9C M@AC:;LM MCOCA !C;CO 6WF
P7Q
0COCA GCO CKNI8:8J ;8BCDC@AC9C M@AC:;LM KCMC CRCI P4Q B8JGCOC9DC9?
K8AB8J@C9 )8ICMN9C MCKCI M@OC:L:C9 NO8G I89CDC I8:9@; :8XCJAC;@C9 CICL
C9DDNIC %@A OC@99RC? M@ BCHCG ;LK8J^@;@ CKNI8:8JF
P[Q
)8ICMN9C GCJL; M@A@9LA NO8G KC;@89 M@ M8KC9 K8ILDC; !%#) ;8BCDC@AC9C
M@AC:;LM KCMC CRCI P4Q MC9 CRCI P7QF
P2Q
0COCA GCO KC;@89 I@MC: MCKCI A89DCAB@O )8ICMN9C ;89M@J@ :CJ89C COC;C9
I8JI89IL? :8OLCJDC CICL HCO@ MCKCI A89DCAB@O )8ICMN9C ;8;LC@ M89DC9
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LJ@9CO@;@;? K8A8J@:;CC9 OCBNJCINJ@LA? XNIN IGNJCe MC9 K8A8J@:;CC9 K89L9TC9D
OC@99RC RC9D M@OC:L:C9 ;8;LC@ @9M@:C;@F
!C;CO 43
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!C;CO 47 M@B8J@:C9 ;8;LC@ M89DC9 J89SC9C I8JCK@ RC9D I8OCG M@;L;L9
B8JMC;CJ:C9 GC;@O C;8;A89F
!C;CO 4W
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.8J:8;@9CABL9DC9 -*U MC9 $*0,F
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MC9 K8A8J@:;CC9 *9X8:;@ )89LOCJ ,8:;LCO ;8SCJC I8JCILJ MC9 B@OC GC;@O
I8;9RC 98DCI@X AC:C M@OC:L:C9 I8; LOC9D P/&=%&6%#,7Q ;8I@CK \ P89CAQ BLOC9FP7Q
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7/25/2019 Pedoman METADON
16/57
Y 6\ Y
P[Q
!C;@89 !%#) M89DC9 GC;@O I8; -*U KN;@I@X M@JLTL: :8 OCRC9C9 !89DNBCIC9?
0L:L9DC9? MC9 !8JCHCIC9 ;8;LC@ :8I89ILC9 K8JCILJC9 K8JL9MC9DY
L9MC9DC9F
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!C;CO 75
P6Q
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P4Q
!89D8ONOCC9 K8OCI@GC9 M@OC:L:C9 NO8G 0@J8:INJCI c89M8JCO .@9C &KCRC
+8;8GCIC9 B8:8JTC ;CAC M89DC9 0@J8:INJCI c89M8JCO !89D89MCO@C9 !89RC:@I
MC9 !89R8GCIC9 /@9D:L9DC9F
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K8A8J@9ICG MC8JCG MC9
7/25/2019 Pedoman METADON
17/57
Y 63 Y
P7Q
,LJCI K8J;8ILTLC9 ;8BCDC@AC9C M@AC:;LM KCMC CRCI P4Q GLJLX C
A8JLKC:C9 K8J9RCICC9 K8J;8ILTLC9 :8@:LI;8JICC9 KC;@89 KCMC !%#) RC9D
M@IC9MCIC9DC9@ NO8G KC;@89? :8OLCJDC CICL HCO@ MC9 MN:I8J RC9D
A89C9DC9@? M89DC9 A89DDL9C:C9 SN9ING ;8BCDC@AC9C I8JSC9ILA MCOCA
]NJALO@J [ I8JOCAK@JF
P[Q
0CIC :O@9@; ;8BCDC@AC9C M@AC:;LM CRCI P4Q GLJLX S A8JLKC:C9 MCIC GC;@OC;8;A89? K89DNBCIC9? MC9 K8JCHCIC9 RC9D M@OC:L:C9 I8JGCMCK KC;@89
)8ICMN9C? I8JAC;L: K89DDL9CC9 )8ICMN9C GCJ@C9? M89DC9 A89DDL9C:C9
SN9ING ;8BCDC@AC9C I8JSC9ILA MCOCA ]NJALO@J 2 I8JOCAK@JF
!C;CO 74
P6Q
]C;@O@IC; K8OCRC9C9 :8;8GCIC9 RC9D A8AB8J@:C9 K8OCRC9C9 !%#) HCT@B
A8ABLCI OCKNJC9 BLOC9C9 K89DDL9CC9 )8ICMN9C MC9 OCKNJC9 BLOC9C9
KC;@89F
P4Q
/CKNJC9 ;8BCDC@AC9C M@AC:;LM KCMC CRCI P6Q M@OC:L:C9 ;8SCJC B8JT89TC9DMCJ@ &9@I ,CI8O@I !%#)? #LACG ,C:@I !89DCAKL ;CAKC@ :8 0@J8:ILJ
c89M8JCOF
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CRCI P6Q :8KCMC #LACG ,C:@I !89DCAKL ;8OCABCIYOCABCI9RC IC9DDCO 4\
BLOC9 B8JTCOC9 M89DC9 I8ABL;C9 :8KCMC +8KCOC 0@9C; +8;8GCIC9
+CBLKCI89
7/25/2019 Pedoman METADON
18/57
Y 6W Y
P3Q
#LACG ,C:@I !89DCAKL HCT@B A89RCAKC@:C9 J8:CK@ILOC;@ OCKNJC9 BLOC9C9
KC;@89 KCO@9D OCABCI IC9DDCO 65 BLOC9 B8J@:LI9RC :8KCMC 0@J8:ILJ
c89M8JCO M89DC9 I8ABL;C9 :8KCMC 0@J8:ILJ c89M8JCO !89D89MCO@C9
!89RC:@I MC9 !89R8GCIC9 /@9D:L9DC9? MC9 +8KCOC 0@9C; +8;8GCIC9
!JN^@9;@ M89DC9 A89DDL9C:C9 SN9ING ;8BCDC@AC9C I8JSC9ILA MCOCA]NJALO@J 3 I8JOCAK@JF
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B8J:NNJM@9C;@ M89DC9 +8KCOC .CMC9? +8KCOC 0@9C; +8;8GCIC9
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7/25/2019 Pedoman METADON
19/57
Y 6Z Y
.$. a
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!C;CO 72
P6Q
!CMC ;CCI !8JCILJC9 )89I8J@ @9@ ALOC@ B8JOC:L? ;8ALC XC;@O@IC; K8OCRC9C9:8;8GCIC9 RC9D A89R8O89DDCJC:C9 K8OCRC9C9 !%#)? GCJL; A89R8;LC@:C9
M89DC9 !8JCILJC9 )89I8J@ @9@ MCOCA TC9D:C HC:IL KCO@9D OCABCI 4 PMLCQ
ICGL9 ;8TC: !8JCILJC9 )89I8J@ @9@ M@L9MC9D:C9F
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:O@9@: O8ABCDC K8AC;RCJC:CIC9 CICL JLACG ICGC9C9 GCJL; A89R8;LC@:C9
M89DC9 !8JCILJC9 )89I8J@ @9@ MCOCA TC9D:C HC:IL KCO@9D OCABCI 7 PI@DCQ
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+8I89ILC9 K89RCOLJC9 )8ICMN9C :8KCMC #LACG ,C:@I !89DCAKL MC9 ,CI8O@I
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'NANJ 725
7/25/2019 Pedoman METADON
20/57
Y 45 Y
!C;CO 7W
!8JCILJC9 )89I8J@ @9@ ALOC@ B8JOC:L KCMC IC9DDCO M@L9MC9D:C9F
$DCJ ;8I@CK NJC9D A89D8ICGL@9RC? A8A8J@9ICG:C9 K89DL9MC9DC9 !8JCILJC9
)89I8J@ @9@ M89DC9 K898AKCIC99RC MCOCA .8J@IC '8DCJC #8KLBO@: *9MN98;@CF
0@I8ICK:C9 M@ cC:CJIC
KCMC IC9DDCO 4W $DL;IL; 4567
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KCMC IC9DDCO Z ,8KI8AB8J 4567
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7/25/2019 Pedoman METADON
21/57
Y 46 Y
/$)!*#$'
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K89LOCJC9 LICAC -*U M@ *9MN98;@C ;8TC: %CGL9 6ZZZF .8JMC;CJ:C9
/CKNJC9 %J@HLOC9 ,@ILC;@ !8J:8ABC9DC9 -*U
7/25/2019 Pedoman METADON
22/57
Y 44 Y
!CMC !%#)? K89DDL9CC9 )8ICMN9C M@OC:L:C9 ;8SCJC NJCO? :CJ89C
)8ICMN9C M@A8ICBNO@;A8 M89DC9 ;C9DCI BC@: KCMC NJDC9 K89S8J9CC9
;8G@9DDC A8AB8J@ K8OLC9D B8;CJ L9IL: A898:C9 K89DDL9CC9 NK@CI
M89DC9 SCJC ;L9I@:? RC9D KCMC C:G@J9RC MCKCI A8ABC9IL
A8A@9@ACO@;C;@ K89LOCJC9 -*U KCMC KNKLOC;@ K89DDL9C NK@CIF
!898O@I@C9 CIC; K8OC:;C9CC9 LT@ SNBC !%#) A89L9TL::C9 BCGHC KC;@89RC9D B8JLALJ M@ CIC; 45 PMLC KLOLGQ ICGL9 A8JLKC:C9 :8ONAKN:
I8JBC9RC: RC9D ACAKL B8JICGC9 BC@: MCOCA I8JCK@ JLACIC9 )8ICMN9C
P&ICA@ M::? 455W? /NH@9;N9? M::? 455WQF !C;@89 RC9D KLIL; I8JCK@ CICL
8/3"=34% B8J:@;CJ C9ICJC [5f G@9DDC 25f? M@:CJ89C:C9 B8JBCDC@ COC;C9?
M@C9ICJC9RC MN;@; RC9D :LJC9D? GCABCIC9 L9IL: A89DC:;8; KJNDJCA
;8I@CK GCJ@? MC9 :8I@MC:RC:@9C9 C:C9 8X8:I@^@IC; KJNDJCA P,CJC;^@IC M::?
4564QF $OC;C9 OC@99RC CMCOCG CMC9RC K8JB8MCC9 K8J;8K;@ C9ICJC K8ILDC;
MC9 KC;@89 MCOCA AC;COCG MN;@; BCHC KLOC9D P-$;& >3+& ?36&@%-0Q
MC9 CMC9RC :8I@MC::N9;@;I89C9 MCOCA A898JCK:C9 CILJC9YCILJC9
:O@9@:F &9IL: @IL M@;L;L9 ICIC SCJC K8OCRC9C9 !%#) ;8JIC KJN;8MLJAN9@INJ@9D MC9 8^COLC;@ ;8BCDC@ K8MNAC9 9C;@N9CO !%#) MC9
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M@DL9C:C9 ;8SCJC NJCO M@ BCHCG ;LK8J^@;@ MN:I8J MC9 M@DL9C:C9 L9IL:
I8JCK@ BCD@ K89DDL9C NK@CIF )8ICMN9C B8:8JTC KCMC J8;8KINJ AL PhQ
;8SCJC CDN9@; K89LG PA4)) $73,#6%Q? M89DC9 8X8: KL9SC: 6 G@9DDC 4 TCA;8I8OCG M@A@9LAF
!CJLG HC:IL )8ICMN9C KCMC LALA9RC CMCOCG ;8:@ICJ 4[ PMLC KLOLG
8AKCIQ TCAF !89DDL9CC9 ;8SCJC B8J:8;@9CABL9DC9 C:C9 M@C:LALOC;@
KCMC B8JBCDC@ BCD@C9 ILBLG? 9CAL9 :GL;L;9RC KCMC GCI@F !JN;8;
C:LALOC;@ @9@ ;8BCD@C9 A89TCM@ COC;C9 A89DCKC INO8JC9;@ CIC;
K89DDL9CC9 )8ICMN9C B8JTCOC9 O8B@G OCABCI MCJ@KCMC K89DDL9CC9
ANJX@9 CICL G8JN@9F "X8: C9COD8;@: M@JC;C:C9 MCOCA 75 PI@DC KLOLGQ
G@9DDC \5 P89CA KLOLGQ A89@I ;8I8OCG M@A@9LA MC9 I8JTCM@ :N9;89IJC;@
KL9SC: M@ NIC: MCOCA HC:IL 6 P;CILQ G@9DDC 4 PMLCQ TCA ;8I8OCGM@A@9LA? GCO @9@ A8ABLCI :N9;LA;@ )8ICMN9C I@MC: ;8D8JC
A89@ABLO:C9 K8JC;CC9 8LXNJ@C ;8BCDC@AC9C G8JN@9
7/25/2019 Pedoman METADON
23/57
Y 47 Y
=8TCOC KLIL; `CI BCJL C:C9 M@JC;C:C9 ;8I8OCG B8B8JCKC HC:IL
:8ALM@C9 MC9 M@COCA@ B8B8JCKC GCJ@ O8B@G OCAC MCJ@KCMC D8TCOC KLIL;
`CI G8JN@9F
!898O@I@C9 A89L9TL::C9 BCGHC 8X8: ;CAK@9D )8ICMN9C CMCOCG ;8MC;@?
:N9;I@KC;@? B8J:8J@9DCI? :CMC9DY:CMC9D CMC9RC K8AB8;CJC9 PN8M8ACQ
K8J;89M@C9 KCMC K8J8AKLC9 MC9 K8JLBCGC9 O@B@MN KCMC OC:@YOC:@ MC9TLDC K8J8AKLC9? RC9D MCKCI M@CIC;@ M89DC9 A8M@:C;@ ;@AINACI@:F "X8:
;CAK@9D RC9D LALA9RC M@JC;C:C9 MCOCA HC:IL OCAC CMCOCG
:N9;I@KC;@? B8J:8J@9DCI ;8SCJC B8JO8B@GC9 MC9 :8OLGC9 B8J:LJC9D9RC
O@B@MN MC9 M@;XL9D;@ ;8:;LCOF 'CAL9 M8A@:@C9 8X8: ;CAK@9D @9@
M@OCKNJ:C9 ;8AC:@9 MCKCI M@CIC;@ ;8@J@9D M89DC9 J8I89;@ KC;@89 B8JCMC
MCOCA KJNDJCAF
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@9I8J^89;@ A8M@; MC9 K;@:N;N;@CO OC@9 RC9D M@BLILG:C9 KC;@89F $OLJ
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0F _C:IL !8OCRC9C9!8OCRC9C9 !%#) BL:C ;8I@CK GCJ@? ILTLG GCJ@ MCOCA ;8A@9DDL? M89DC9
TCA :8JTC B8JNJ@89IC;@ KCMC :8BLILGC9 KC;@89? L9IL: A89TCA@9
C:;8;@B@O@IC;F _COCLKL9 M8A@:@C9? K898J@ACC9 KC;@89 BCJL GC9RC MCKCI
M@OC:L:C9 KCMC GCJ@ ,89@9 ;CAKC@ #CBL? DL9C K89R8;LC@C9 K8AB8J@C9
MN;@; RC9D I8JKC9ICL M89DC9 :8ICI NO8G MN:I8JF
7/25/2019 Pedoman METADON
24/57
Y 4[ Y
!898J@ACC9 KC;@89 BCJL M@ OLCJ GCJ@ ,89@9 ;CAKC@ #CBL? MCKCI
M@OC:L:C9 ;8KC9TC9D I8J;8M@C MN:I8J TCDC KCMC C:G@J K8:C9F !8OCRC9C9
KCMC GCJ@YGCJ@ B8;CJ P*MLO ]@IJ@
7/25/2019 Pedoman METADON
25/57
Y 42 Y
)8ICMN9C GCJL; M@B8J@:C9 MCOCA B89IL: SC@J MC9 M@89S8J:C9 ;CAKC@
A89TCM@ 655SS M89DC9 OCJLIC9 ;@JLKF !C;@89 GCJL; GCM@J ;8I@CK GCJ@ M@
:O@9@:F )8ICMN9C ;8;LC@ J8;8K MN:I8J? C:C9 M@B8J@:C9 NO8G I89CDC I8:9@;
:8XCJAC;@C9 CICL K8JCHCI RC9D M@B8J@ H8H89C9D NO8G CKNI8:8J
K89C9DDL9D TCHCBF !C;@89 GCJL; ;8D8JC A898OC9 )8ICMN9C I8J;8BLI M@
GCMCKC9 K8ILDC; !%#)F !8ILDC; !%#) C:C9 A8AB8J@:C9 ;8D8OC; C@J
A@9LAF ,8I8OCG M@A@9LA? K8ILDC; C:C9 A8A@9IC KC;@89 A89R8BLI:C99CAC9RC CICL A89DCIC:C9 ;8;LCIL RC9D OC@9 L9IL: A8AC;I@:C9 BCGHC
)8ICMN9C I8OCG M@I8OC9F !C;@89 GCJL; A89C9MCIC9DC9@ BL:L RC9D
I8J;8M@C? ;8BCDC@ BL:I@ BCGHC @C I8OCG A898J@AC MN;@; )8ICMN9C GCJ@
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;8G@9DDC A8AC;L:@ ICGCK JLACIC9F !CMC ICGCK @9@ J@;@:N @9IN:;@:C;@
MC9 N^8JMN;@; SL:LK I@9DD@ KCMC 65Y6[ GCJ@ K8JICACF
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0N;@; RC9D M@C9TLJ:C9 MCOCA ICGCK @9@ CMCOCG A89C@::C9 MN;@; CHCO2Y65 AD I@CK 7Y2 GCJ@F -CO @9@ B8JILTLC9 L9IL: A8O@GCI 8X8: MCJ@ MN;@;
RC9D ;8MC9D M@B8J@:C9F %NICO :89C@:C9 MN;@; I@CK A@9DDL I@MC: BNO8G
O8B@G 75 ADF $KCB@OC KC;@89 AC;@G A89DDL9C:C9 G8JN@9 AC:C MN;@;
)8ICMN9C K8JOL M@I@9D:CI:C9F
7F
+CMCJ )8ICMN9C MCOCA MCJCG C:C9 I8JL; A89@9D:CI ;8OCAC 2 GCJ@
;8I8OCG MN;@; CHCO CICL K89CABCGC9 MN;@;F _C:IL KCJLG )8ICMN9C
SL:LK KC9TC9D RC@IL 4[ TCA? ;8G@9DDC B@OC M@OC:L:C9 K89CABCGC9
MN;@; ;8I@CK GCJ@ C:C9 A89@9D:CI:C9 J@;@:N IN:;@;@IC; C:@BCI
C:LALOC;@ MN;@;F +CJ89C @IL? K89CABCGC9 MN;@; M@OC:L:C9 ;8I@CK 7Y
2 GCJ@F[F
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C9ICJC B8;CJ9RC TLAOCG MN;@; NK@CI RC9D M@:N9;LA;@ ;8NJC9D
K89DDL9C NK@CI M89DC9 MN;@; )8ICMN9C RC9D M@BLILG:C99RC KCMC
!%#)F
2F
,8OCAC A@9DDL K8JICAC ICGCK ;ICB@O@;C;@ KC;@89 GCJL; MCIC9D ;8I@CK
GCJ@ M@ :O@9@: CICL gB@OCAC9C K8JOLY M@JCHCI M@ JLACG ;C:@I L9IL:
M@CACI@ ;8SCJC S8JACI NO8G KJNX8;@N9CO A8M@; I8JGCMCK 8X8: )8ICMN9C
PL9IL: A8AK8J:8S@O :8AL9D:@9C9 I8JTCM@9RC N^8JMN;@; MC9 K89@OC@C9
;8OC9TLI9RCQF
-F+J@I8J@C !89CABCGC9 0N;@;
.8B8JCKC :J@I8J@C K89CABCGC9 MN;@; CMCOCG ;8BCDC@ B8J@:LIE
6F
CMC9RC IC9MC MC9 D8TCOC KLIL; NK@CI RC9D M@L:LJ A8OCOL@ ;:COC KLIL;
NK@CI NBR8:I@X MC9 ;LBR8:I@X? M89DC9 A89DDL9C:C9 SN9ING
;8BCDC@AC9C I8JSC9ILA MCOCA ]NJALO@J 65 I8JOCAK@JF
4F
TLAOCG MC9
7/25/2019 Pedoman METADON
26/57
Y 4\ Y
7F
*/$
7/25/2019 Pedoman METADON
27/57
Y 43 Y
2F
!8J;8K;@ KC;@89 I8JGCMCK :8SL:LKC9 MN;@;
\F
+8KCILGC9 I8JGCMCK J8D@A89 NBCI RC9D M@B8J@:C9
3F
+LCO@IC; I@MLJ? 9CX;L AC:C9?MC9 OC@9YOC@9F
!C;@89 RC9D A89D@:LI@ !%#) RC9D ;8SCJC :N9;@;I89 A89DDL9C:C9
B89`NM@C`8K@9? :N:C@9? CICL CAX8ICA@9 A8AKL9RC@ J@;@:N RC9D
;@D9@X@:C9 I8JGCMCK :NAKO@:C;@ MC9 A8AKL9RC@ KJND9N;@; RC9D O8B@GBLJL:F ,8BCDC@ ICABCGC9? MCKCI M@;8BLI:C9 BCGHC :NAB@9C;@ CO:NGNO?
;8MCI@^C MC9 NK@CI B8JTC9D:C :8JTC K89M8: PA@;CO9RC N:;@:NMN9 MC9
G@MJNANJXN9Q ;8SCJC 9RCIC A89@9D:CI:C9 J@;@:N :8ACI@C9 C:@BCI
N^8JMN;@;F
/F +J@I8J@C ?/3"=!4%
6F
!C;@89 M@9RCIC:C9 8/3"=34% MCJ@ KJNDJCA CKCB@OC MCOCA 3 GCJ@
B8JILJLIYILJLI KC;@89 B8JG89I@ A8A@9LA NBCI MC9 IC9KC @9XNJAC;@
:8B8JCMCC9F
4F
$KCB@OC KC;@89 8/3"=34% B8JA@9CI L9IL: :8ABCO@ A89TCOC9@ !%#)?K8JOL M@OC:L:C9 C;8;A89 LOC9D? RC9D M@;8;LC@:C9 M89DC9 :N9M@;@
KC;@89F
7F
$KCB@OC KC;@89 8/3"=34% B8JLOC9D:CO@ MC9 I8ICK A89RCIC:C9
:8@9D@9C99RC L9IL: :8ABCO@ A89TCOC9@ !%#)? OC:L:C9 C;8;A89
LOC9D ;8SCJC :NAKJ8G89;@X M89DC9 XNJALO@J HCT@B OCKNJ L9IL:
A89@9TCL LOC9D J89SC9C I8JCK@ RC9D O8B@G ;8;LC@F ,8OC@9 @IL OC:L:C9
:N9;8O@9D :8KCMC RC9D B8J;C9D:LIC9 DL9C A8A@9@ACO@;C;@ 8/3"=34%F
)F
!JN;8MLJ !8AB8J@C9 0N;@; .CHC !LOC9D
6F
08X@9@;@ 0N;@; .CHC !LOC9D P-$;& >3+& ?36&
7/25/2019 Pedoman METADON
28/57
Y 4W Y
8F
-C;@O K8A8J@:;CC9 LJ@98 B89`N MC9 NK@CI 98DCI@X KCMC ;CCI
A89DCTL:C9 K8JANGN9C9 %-0F
7F
!8AB8J@C9 MN;@; BCHC KLOC9D BCD@ KC;@89 RC9D B8OLA A8O8HCI@ AC;C
;ICB@O MCKCI M@OC:L:C9 GC9RC L9IL: :8CMCC9 ;C9DCI A89M8;C:?
;8K8JI@ A@;CO9RC ;C:@I? :8S8OC:CC9? AL;@BCG PB89SC9C COCA?
:8BC:CJC9? :8BC9T@JC9? :8OLCJDC @9I@ A89@9DDCOQ? CICL A89TCOC9@AC;C ICGC9C9 KCMC O8ABCDC K8AC;RCJC:CIC9 CICL JLACG ICGC9C9
RC9D B8OLA I8J;8M@C OCRC9C9 !%#)F
[F !8J;RCJCIC9 !8AB8J@C9 %-0
CF
!C;@89 A89DCTL:C9 K8JANGN9C9 A89MCKCI:C9 MN;@; BCHC KLOC9D
;8I@MC:9RC ;CIL GCJ@ ;8B8OLA9RC MC9 K8JANGN9C9 M@OC:L:C9 KCMC
GCJ@ :8JTC
BF
!CMC CHCO K8JANGN9C9 MN;@; BCHC KLOC9D? KC;@89 GCJL; A8ABCHC
K89MCAK@9D RC9D B8JC;CO MCJ@ :8OLCJDC CICL HCO@? MC9
A89R8JCG:C9 XNIN:NK@ +%! K89MCAK@9DFSF
!CMC :N9M@;@ ;ICB@O? K89DCAB@OC9 MN;@; BCHC KLOC9D MCKCI
M@OC:L:C9 NO8G KC;@89 OC9D;L9D? ;8;LC@ :8I89ILC9 RC9D B8JOC:LF
'CAL9 M8A@:@C9 K89MCAK@9D KC;@89 G89MC:9RC MCIC9D :8 L9@I
!%#) ;8SCJC B8J:COC? ;8BCDC@AC9C RC9D M@I8ICK:C9 NO8G K8ILDC;
!%#)F
MF
!C;@89 MC9 K89MCAK@9D A89C9MCIC9DC9@ K8JTC9T@C9 %-0F
8F
0N:I8J A8AB8J@:C9 ;LJCI :8I8JC9DC9 K8AB8J@C9 MN;@; BCHC
KLOC9D RC9D B8JOC:L ;8OCAC 6 BLOC9? :8SLCO@ CKCB@OC K8AB8J@C9
MN;@; BCHC KLOC9D M@SCBLI :CJ89C COC;C9 I8JI89ILF
2F
!JN;8MLJ !8AB8J@C9 %-0
CF
,8B8OLA 6 ICGL9 %-0 AC:;@ACO M@B8J@:C9 6 MN;@; B@OC KC;@89
MCIC9D ;89M@J@? T@:C M89DC9 K89MCAK@9D MCKCI M@B8J@ 4 MN;@;F
BF
6Y7 ICGL9 %-0 AC:;@ACO M@B8J@:C9 4 MN;@; B@OC MCIC9D ;89M@J@? T@:C
M89DC9 K89MCAK@9D MCKCI M@B8J@ 7 MN;@;
SF
,8I8OCG 7 ICGL9 L9IL: KC;@89 M89DC9 MN;@; i 625 AD %-0 MCKCI
M@B8J@:C9 AC:;@ACO 7 MN;@; B@OC MCIC9D ;89M@J@? T@:C M89DC9
K89MCAK@9D MCKCI M@B8J@ 2 MN;@;F !C;@89 M89DC9 MN;@; j 625 AD
A89D@:LI@ :OCL;LO 6Y7 ICGL9
MF
!8AB8J@C9 %-0 L9IL: KC;@89 M89DC9 MN;@; M@ CIC; 455 AD gIC9KCA8O@GCI OCAC9RC @:LI KJNDJCAY? AC:;@ACO CMCOCG 4 %-0? L9IL:
A8A@9@ACO@;C;@ :J@A@9CO@;C;@ NO8G K898DC: GL:LAF
8F0N;@; BCHC KLOC9D )8ICMN9C M@B8J@:C9 MCOCA BNINO :GL;L;
M89DC9 M@;8JIC@ 8I@:8I CICL K8OCB8OC9 RC9D A89SC9ILA:C9 9CAC
MC9 COCACI ;CJC9C !%#)? 9CAC KC;@89? IC9DDCO? MC9 I8AKCI
K89R8JCGC9 ;8JIC CILJC9 KC:C@F
7/25/2019 Pedoman METADON
29/57
Y 4Z Y
XF
&9IL: :8K8JOLC9 :8 OLCJ :NIC RC9D B8J;@XCI @9;@M89ICO MC9 K89I@9D?
A@;CO9RC A89D@:LI@ K8OCI@GC9 CICL CIC; B8JBCDC@ COC;C9 OC@9?
M@AC9C !%#) I@MC: I8J;8M@C M@ :NIC I8J;8BLI? MCKCI M@B8J@:C9 MN;@;
BCHC KLOC9D AC:;@ACO 3 GCJ@F
\F
!89DG89I@C9 %-0
%-0 MCKCI M@G89I@:C9 B@OCECF
-C;@O ;KNI S8: KN;@I@X L9IL: NK@CI MC9 B89`N RC9D A89C9MC:C9
CMC9RC K89RCOCGDL9CC9 PI@MC: I8J:C@I M89DC9 K89DDL9CC9 ;8SCJC
A8M@; O8DCOQ
BF.@OC k+#66#,7 836&lj 7 GCJ@
SF
)8OC:L:C9 I@9MC: :8:8JC;C9
MF)8OC:L:C9 K89RCOCGDL9CC9 %-0 PM@TLCO? M@B8J@:C9 :8KCMC NJC9D
OC@9Q
8F
,8SCJC :O@9@; I8JO@GCI A89RCOCGDL9C:C9 `CI
XF
)89TLCO '$!b$ @O8DCO
'F
!JN;8MLJ !89DDC9I@C9 0N;@; >C9D -@OC9D? 0@SLJ@ $ICL %LAKCG
0N;@; )8ICMN9C RC9D M@BCHC KLOC9D CMCOCG A89TCM@ IC9DDL9D TCHCB
KC;@89 ;8K89LG9RC? MC9 M@C9DDCK I8OCG M@K8JDL9C:C9 ;8;LC@ M89DC9
CILJC9 RC9D I8OCG M@B8J@ICGL:C9 :8KCMC KC;@89 MC9 K89MCAK@9D9RCF
!8JOL M@OC:L:C9 AN9@INJ@9D :8KCILGC9 KC;@89 MCOCA A8A@9LA
)8ICMN9C M89DC9 MN;@; BCHC KLOC9DF
$KCB@OC I8JTCM@ :8G@OC9DC9? K89SLJ@C9 CICL ILAKCG? AC:C KJN;8MLJ9RC
CMCOCG ;8BCDC@ B8J@:LIE6F !C;@89 A8OCKNJ:C9 :8G@OC9DC9 MN;@;9RC :8KCMC :O@9@: MC9 CICL
K@GC: B8JHCT@BF
4F $KCB@OC MN;@; I8J;8BLI ILAKCG M@ :O@9@: AC:C GCJL; M@SCJ@ IC9MC
CICL B8:C; ILAKCGC9 MN;@; I8J;8BLI NO8G K8ILDC; :O@9@:F
7F
$KCB@OC MN;@; ILAKCG M@ OLCJ :O@9@:? MC9 I@MC: MCKCI M@BL:I@:C9
M89DC9 :C;CI ACIC? AC:C I@MC: M@B8J@:C9 K89DDC9I@C9 MN;@;? :8SLCO@
ICAKC: IC9MCYIC9MC KLIL; NK@N@MF -CO @9@ L9IL: A89DLJC9D@ J8;@:N
K89RCOCGDL9CC9F
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!8JA@9ICC9 K89DDC9I@C9 MN;@; MCKCI M@K89LG@ M89DC9
A8AK8JGCI@:C9 GCOYGCO ;8BCDC@ B8J@:LIECF
%8JMCKCI BL:I@ RC9D :LCI BCGHC MN;@; I8J;8BLI B89CJYB89CJ
ILAKCGF
BF
!C;@89 MCOCA :N9M@;@ GCA@O RC9D M@:LCI@J:C9 C:C9 I@ABLO D8TCOC
KLIL; NK@N@MF
SF
!C;@89 M89DC9 MN;@; ;ICB@O RC9D A89L9TL::C9 D8TCOC KLIL;
NK@N@MCF
7/25/2019 Pedoman METADON
30/57
Y 75 Y
MF
!C;@89 M89DC9 MN;@; ;ICB@O? :NNK8JCI@X? MC9 MCKCI M@K8JSCRC RC9D
:8G@OC9DC9 MN;@; BCHC KLOC9D L9IL: B8B8JCKC GCJ@F
8F
!8AB8J@C9 MN;@; K89DDC9I@ GCJL; M@;8KC:CI@ NO8G I@A !%#)
;8I8AKCI? MC9 M@ILO@; MCOCA SCICIC9 A8M@; KC;@89F &9IL: :C;L;
K89DDC9I@C9 MN;@; :CJ89C G@OC9DC9D 0@AL9ICG:C9
0N;@; RC9D M@AL9ICG:C9 CMCOCG MN;@; )8ICMN9C RC9D I8OCG M@A@9LA
CICL M@I8OC9 NO8G KC;@89 RC9D :8ALM@C9 :CJ89C ;8;LCIL GCO AC:C
KC;@89 I8J;8BLI AL9ICG ;8G@9DDC MN;@; )8ICMN9C RC9D I8OCG M@A@9LA
CICL M@I8OC9 I8J;8BLI @:LI M@:8OLCJ:C9 TLDCF !JN;8MLJ K89DDC9I@C9 MN;@;CMCOCG ;8BCDC@ B8J@:LIE
6F
!C;@89 A8OCKNJ :8KCMC K8ILDC; :O@9@: BCGHC I8OCG A8AL9ICG:C9
MN;@; )8ICMN9C RC9D M@I8J@ACF
4F
!8ILDC; :O@9@: A8AC;I@:C9 BCGHC KC;@89 I8J;8BLI B89CJYB89CJ I8OCG
AL9ICG MC9 CMC ;C:;@ MCJ@ K8ILDC; :O@9@:F
7F
.8;CJ9RC MN;@; K89DDC9I@ CMCOCG ;8BCDC@ B8J@:LIE
CF
)L9ICG :LJC9D MCJ@ 65 A89@I ;8I8OCG A@9LA )8ICMN9C AC:C
M@B8J@:C9 MN;@; K89DDC9I@ K89LGF
BF
)L9ICG 65Y75 A89@I ;8I8OCG A@9LA )8ICMN9C AC:C M@B8J@:C9
MN;@; K89DDC9I@ 25f MCJ@ MN;@; RC9D I8OCG M@A@9LA GCJ@ @ILFSF
)L9ICG 75Y[2 A89@I ;8I8OCG A@9LA )8ICMN9C AC:C M@B8J@:C9
MN;@; K89DDC9I@ 42f MCJ@ MN;@; RC9D I8OCG M@A@9LA GCJ@ @ILF
MF
)L9ICG O8B@G MCJ@ [2 A89@I ;8I8OCG A@9LA )8ICMN9C AC:C I@MC:
M@B8J@:C9 MN;@; K89DDC9I@F
7/25/2019 Pedoman METADON
31/57
Y 76 Y
[F
!C;@89 GCJL; I8ICK M@B8J@:C9 K8J@9DCIC9 MC9 K89T8OC;C9 BCGCRC
:8JCSL9C9 C:@BCI K8AB8J@C9 MN;@; K89DDC9I@? M@:CJ89C:C9 MN;@;
K89DDC9I@ AL9D:@9 I@MC: ;CAC K8J;@; TLAOCG9RC M89DC9 MN;@; RC9D
G@OC9DF
2F
!CMC KC;@89 RC9D A89DCOCA@ AL9ICG B8JLOC9D AC:C K8JOL
M@K8JI@ABC9D:C9 L9IL: A8OC:L:C9 8^COLC;@ :O@9@; O8B@G OC9TLI MC9
K8AB8J@C9 NBCI C9I@ AL9ICGF
!F !JN;8MLJ !8AB8J@C9 0N;@; %8JBCD@
0N;@; I8JBCD@ CMCOCG MN;@; GCJ@C9 )8ICMN9C ;8NJC9D KC;@89 RC9D
;8GCJL;9RC M@A@9LA ;CIL :CO@ 9CAL9 :CJ89C ;LCIL GCO AC:C MN;@;
I8J;8BLI M@B8J@:C9 A89TCM@ MLC :CO@ ;8GCJ@? RC9D K8ABCD@C99RC
M@I89IL:C9 NO8G K8ILDC;F !JN;8MLJ K8AB8J@C9 MN;@; I8JBCD@ CMCOCG
;8BCDC@ B8J@:LIE
6F
0N;@; RC9D MCKCI M@K8JI@ABC9D:C9 L9IL: M@BCD@ CMCOCG ;CAC M89DC9
CICL O8B@G MCJ@ 625 AD K8JGCJ@ CIC; @9M@:C;@ A8M@:F
4F
!C;@89 M@OC:L:C9 K89@OC@C9 X@;@: I8JAC;L: AL9SLO9RC D8TCOC KLIL;
NK@N@MF
7F
!8ABCD@C9 MN;@; M@OC:L:C9 NO8G I@A !%#)F
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0N;@; RC9D M@A@9LA:C9 M@ :O@9@: !%#) GCJL; I@DC K8J 8AKCI MN;@;
MC9 ;@;C9RC MCKCI M@BCHC KLOC9D B@OCAC9C M@K8JOL:C9 I8JLICAC
KCMC :O@9@:Y:O@9@: M89DC9 TCA OCRC9C9 I8JBCIC;F
mF
!8A8J@:;CC9 &J@9
%8; LJ@9 I8JGCMCK K89DDL9CC9 NBCI P&/#,& ?/47 C*/&&,Q A8JLKC:C9
K8A8J@:;CC9 NBT8:I@X L9IL: A89M8I8:;@ CMC9RC A8ICBNO@I NK@CI MCOCALJ@9F !C;I@:C9 BCGHC LJ@9 RC9D M@K8J@:;C CMCOCG LJ@9 MCJ@ KC;@89 RC9D
B8J;C9D:LIC9F 0COCA GCO I8JCK@ )8ICMN9C? &0, MCKCI B8JDL9C KCMC
:8CMCC9 B8J@:LIE
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L9IL: A8AC;I@:C9 CKC:CG KC;@89 K8J9CG CICL I@MC: A89DDL9C:C9
NK@CI CICL `CI CM@:I@X OC@9 ;8B8OLA9RCF %CGCK @9@ A8JLKC:C9 ;LCIL
I@9MC:C9 HCT@BF
4F
%@CKYI@CK :O@9@: A8OC:L:C9 AN9@INJ@9D I8JGCMCK ;8ALC KC;@899RC
KCO@9D I@MC: M89DC9 A8OC:L:C9 S8: LJ@9 A89MCMC: ;8SCJC B8J:COC?
A@9@ACO ;CIL :CO@ MCOCA ;8ICGL9F
7F
c@:C KC;@89 A89M8;C: L9IL: A8ABCHC %$;& .3+& MN;8;? AC:C I8;
LJ@9 MCKCI M@OC:L:C9 ;8BCDC@ BCGC9 K8JI@ABC9DC9 L9IL: A8ABC9IL
K89DCAB@OC9 :8KLIL;C9F
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L9IL: A89@9D:CI:C9 MN;@; )8ICMN9CF $KCB@OC KC;@89 AC;@G
A89DDL9C:C9 G8JN@9 AC:C MN;@; )8ICMN9C K8JOL M@I@9D:CI:C9F
7/25/2019 Pedoman METADON
32/57
Y 74 Y
&0, MCKCI M@OC:L:C9 M89DC9 :J@I8J@CE
6F
,8SCJC CSC: I8ICK@ I@MC: ;8I@CK BLOC9F
4F
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B@OC KC;@89 I@MC: A89D:N9;LA;@ )8ICMN9C HCOCLKL9 GC9RC I@DC GCJ@F
+CJ89C COC;C9 I8J;8BLI? AC:C B@OC KC;@89 I@MC: MCIC9D :8 !%#) ;8OCAC
I@DC GCJ@ B8JILJLIYILJLI CICL O8B@G? K8JCHCI CICL K8:8JTC ;N;@CO RC9D
B8JILDC; GCJL; A8OCKNJ:C9 :8KCMC MN:I8J RC9D B8JILDC; ;8JIC A8A@9IC
KC;@89 L9IL: A89DL9TL9D@ MN:I8JF 0N:I8J A8AB8J@:C9 MN;@; :8ABCO@ :8
MN;@; CHCO CICL 25f MCJ@ MN;@; RC9D I8JC:G@J M@B8J@:C9F
#8Y8^COLC;@ :O@9@: GCJL; M@OC:L:C9F .@OC KC;@89 I@MC: MCIC9D O8B@G MCJ@ 3
GCJ@ AC:C M@:8ABCO@:C9 :8KCMC MN;@; CHCOF .@OC KC;@89 I@MC: MCIC9D
B8JLOC9DYLOC9D O8B@G MCJ@ 7Y\ BLOC9 AC:C KC;@89 M@9@OC@ LOC9D ;8K8JI@
KC;@89 BCJLF
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