A member asked:

What is the safest drug to treat opiate addiction if you suffer from severe liver cirrhosis?

3 doctors weighed in across 2 answers
Dr. Clifford Gevirtz answered

Specializes in Anesthesiology

Detox slowly: The safest way is just a very slow taper of the opiate, ie just reduce the dose by 10% every third or fourth day...Example go from ten oxy a day to nine and then keep at that level for 4 days then go to 8 and so on. Most people can cut their consumption in half but then run into a plateau. At that point, some Clonidine and some xanax (alprazolam) can some things out. Big problem is not getting hooked oxana.

Answered 6/24/2014

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Addicitionologist: I recommend consulting an addicitionologist for treatment. Methadone has little hepatic toxicity.

Answered 6/28/2014

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