translate English to French: During the starting phase, the patient usually struggles to reduce his or her illicit drug use, begins to reduce the intensity of the psychiatric, medical and/or social problems associated with his or her opiate dependence, tries to find a dosage level that suppresses withdrawal symptoms and blocks the effects of co-administered illicit opiates.
Pendant la phase initiale, en général le patient lutte pour réduire sa consommation de drogues illicites, l'ampleur de ses problèmes psychiatriques, médicaux et/ou sociaux liés à sa dépendance aux opiacés commence à diminuer, il essaie d'établir un dosage qui supprime les symptômes de sevrage et bloque les effets des opiacés illicites administrés concomitamment.