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A 45-year-old member asked:

If somebody is on supervised methadone is she still taking heroin at the same time?

4 doctor answers7 doctors weighed in
Dr. John Chatas
Pain Management 34 years experience
No: If they are in a supervised program, there should be random urine drug screens to rule out use of illicit drugs, and to be certain they are taking and not selling the methadone.
Dr. Jeffrey Roth
Addiction Medicine 43 years experience
Maybe: Methadone reduces craving; it does not prevent using other opiates.
Dr. David Rosenfeld
Pain Management 27 years experience
Yes but...: Nothing stops them from ongoing use of heroine. However i doubt many facilities would continue to do so.
Dr. Einar Ottestad
Pain Management 19 years experience
Possible: An addict can take whatever he or she wants. On methadone, it simply takes more heroin for effect, which adds unpredictability and risk of overdose. The natural progression of the disease is intermittent relapse. Pts are monitored closely, including urine toxicology. The goal is titrating Methadone to decrease/stop attempts at using heroin.

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Last updated Jun 19, 2021
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