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Doctor insights on: Methadone

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Dr. Stuart Wasser
651 Doctors shared insights

Methadone (Overview)

Methadone is a synthetic opiate used for pain control and in the rehabilitation of opiate addicts. Methadone used in rehabilitation relieves craving, suppresses withdrawal symptoms, and blocks the euphoric effects associated with opiates such as heroin.


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What is methadone used for?

What is methadone used for?

Chronic narco use: It is a long acting pain control medication that is used to detoxify narcotic addicts form the narcotic addiction ...Read more

Dr. Stuart Wasser
651 Doctors shared insights

Methadone (Overview)

Methadone is a synthetic opiate used for pain control and in the rehabilitation of opiate addicts. Methadone used in rehabilitation relieves craving, suppresses withdrawal symptoms, and blocks the euphoric effects associated with opiates such as heroin.


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How can methadone work and what exactly is it?

Long-acting opioid: Methadone is a long-acting opioid. Generally speaking, within any particular class of addictive drugs, the quicker the peak effect, and the shorter the duration of effect, the more addictive a drug will be. Because opioid-addiction can be tough to quit, Methadone - a long-acting opioid with a slow peak of action - can be used to replace the addictive opioid while one works on recovery. ...Read more

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What is the equivalent amt of morphime one would need to take day if they r switching from 120mg methadone daily?

It varies by person: Equvalencies when switching from Methadone are tricky. At low doses it is 3:1 so 120 would equal 360. At higher doses of Methadone and with more chronic use- some say that the equivalence can be as much as 10:1 (1200mg) however, there is no such thing as perfect cross tolerance and a starting dose of another opioid should be less than half the equivalent dose followed by quick adjustments. ...Read more

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I'm prescribed suboxone, its 375 $ a month. Cant afford anymore. Is it unheard of for a dr to prescribe methadone in place of suboxone? It is covered

I'm prescribed suboxone, its 375 $ a month. Cant afford anymore. Is it unheard of for a dr to prescribe methadone in place of suboxone? It is covered

Suboxone /: buprenorphine is a better drug for opiate dependence. It is safer and does not require daily visits to a clinic. It also has a blocking ability that keeps you from using other opiates which methadone does not have. Methadone also has a variable half-life which make one more prone to unintentional overdose. A new form was released on Oct 2 2014 called Bunavail that has great pt assistance ...Read more

Dr. Brian Le Dr. Le
1 doctor agreed:
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How common is it to be prescribed methadone for pain management?

Dr. Brian Le Dr. Le
1 doctor agreed:

Methadone: Methadone is a narcotic medication. It is commonly known as medication for narcotic addiction. However, it's not uncommon to see Methadone used for chronic pain conditions. ...Read more

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Is it safe to use methadone while pregnant?

Yes: Methodone is safe for detox or maintanence during pregnancy while under the care of your ob. Methadone use in pregnancy has been associated with lower birth weights. But is far safer in contrast to narcotic abuse, especially cocaine, which is associated preterm labor and placental abruption. ...Read more

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I have been taking methadone for probably 4 yrs now about 140 mg daily. I used methadone to get off hydrocodone. What options do ihave to stop methado?

I have been taking methadone for probably 4 yrs now about 140 mg daily. I used methadone to get off hydrocodone. What options do ihave to stop methado?

Work w/addiction doc: Find an addiction specalist close to you & work w/him/her to get you off Methadone w/o getting you hooked on something else. Actually, who ever is prescribing your Methadone can work w/you by writing smaller & smaller doses each time. You're the deciding factor behind quitting. You can beat this. Good luck! And if you don't have insurance, go search online for free care (or check out my site). ...Read more

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Is methadone maintenance an effective option for treating a herion addiction?

Is methadone maintenance an effective option for treating a herion addiction?

Methadone: Simply put- yes. This should be done thru a formal addiction clinic where Methadone is used. In conjunction counseling is also required. ...Read more

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Can methadone be used to help someone get off pain pills, how does it work if methadone is also used for pain?

Can methadone be used to help someone get off pain pills, how does it work if methadone is also used for pain?

Yes: Methadone is very cheap and very potent. It has a complicated pharmocology so an expert should be involved in prescribing it. I more or less always use Methadone to detox patients off other opioid medications. It has a long fairly stable halflife so dosed 2-3 times a day with a slow taper should prevent most withdrawal symptoms. ...Read more

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Iknow pot works for nerve pain-y can't they seperate the part that works-it is no worse than methadone-percodans-all these opiates natural/manmade?

Iknow pot works for nerve pain-y can't they seperate the part that works-it is no worse than methadone-percodans-all these opiates natural/manmade?

Pot is not: A good pain drug. If it was a good pain drug, it would have been on the market for the last 50 years. The truth is that pot is only half a point better than placebo. ...Read more

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Husband takes at least 40mg methadone a day today he took about 25. 5 mg kolonopin as well. Is this dangerous?

Caution is advised: Methadone, a synthetic mu agonist opioid, has pharmacological activity similar to morphine. Klonopin (clonazepam) is a member of the benzodiazepine family. No drug interaction, but caution is advised due to the additive effect. Combo may result in vasodilation, severe hypotension, CNS and respiratory depression. Keep the air way straight and open.
Consult with your physician. ...Read more

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What are the long term side effects of methadone? What about suboxone?

Some good ones: Methadone can lead to sudden cardiac death at high doses, half life is not as predictable, can have many drug-drug interactions. Suboxone is considered safer. If doing a risk-to-benefit analysis & the choices are staying on illicits or suboxone, the latter wins. Side effects are outweighed by its benefits in many individuals. The 10 year experience in usa limits the answer to 10 years. ...Read more

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Is 8 pills of 5mg methadone pills deadly? A friend has just taken 8 methadone pills of 5mg, should I be worried? Is it deadly?

Wanting to Die: When someone we love feels this poorly it is an overwhelming situation. You can best help your friend by informing the local authorities that they have harmed themselves and needs urgent medical attention. In the U.S. We recommend calling 911. I am sure there is some similar system there where you live to alert the authorities of an emergency. ...Read more

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Are there any side effects from methadone?

Are there any side effects from methadone?

Yes: All opioids cause nausea, itching, sedation, confusion, constipation, hormone depletion, depression, loss of libido, also possibly hyperalgesia (paradoxical increase in pain). Methadone is unique in changing heart rhythms at higher doses that can cause sudden cardiac dearh. ...Read more

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How long does 20 milagrams of methadone oral tablets take to leave your system?

Variable: Depends on how long you have been on this dose and if you were previously on a higher dose. Half life ranges from 8-59 hrs and may be released very slowly from fatty tissue and liver. ...Read more

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How long does methadone last in your system?

How long does methadone last in your system?

Methadone: It depends on a number of factors: body weight, metabolism, amount used, etc. It is metabolized slowly and can "sit" in fats. The average time it takes to get "out of the system" is ~4-7 days. But it can still be detected in the urine or blood for up to 6 weeks after the last dose. ...Read more

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I am on the methadone program. Does milk thistle supplement make methadone stronger and last longer?

No: And don't take any supplements, herbs, or over-the-counter medications without first consulting your physician. Methadone is a highly controlled substance, and you should not be experimenting with anything else. Don't take any non-physician advice or suggestions. ...Read more

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I just took half of methadone and I have a drug screen on the 17th am I going to be clean by then?

I just took half of methadone and I have a drug screen on the 17th am I going to be clean by then?

Probably: Clearance of substances from your body can be affected by a number of things: dose, metabolism, hydration, body type, chronicity of use, etc. On average, Methadone clears the body in 3-5 days (or 1-7 days) depending on the type of test and the study providing the information. ...Read more

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My methadone wears off within a couple hours. Within 12 hours I start feeling w/d symp. Is there anything I can take? I want to taper off of the meth

Best to do this: Under guidance of your physician. Sometimes one can cut the dose in half and continue to take at regular intervals until your next appointment. Please see your prescriber. ...Read more

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Does nitrous oxide gas interact with methadone? I would rather not disclose that I am taking methadone, but I may need nitrous during the procedure.

Does nitrous oxide gas interact with methadone? I would rather not disclose that I am taking methadone, but I may need nitrous during the procedure.

No interaction: There is no interaction. However, I recommend that you be candid with your dentist to avoid potential issues. ...Read more

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What are the drug interactions between methadone and azithromycin?

What are the drug interactions between methadone and azithromycin?

Arrthymia: There is a caution in combining the two medications due to the risk of qt prolongation resulting in an arrhythmia. ...Read more

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Can I take methadone and percocet for pain, is this an okay combination for pain relief?

Can I take methadone and percocet for pain, is this an okay combination for pain relief?

Addiction: Taking two opiates at the same time can be found under some extreme pain management plan. But, if this is something you are asking on your own without a pain specialist recommending it, then this could be a sign of drug tolerance and addiction. ...Read more

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Can I overdose from my methadone dosage going up 20 mgs?

Yes: We understand how long most medicines stay in our bodies. However Methadone is different for each individual. Changing the dose of Methadone requires caution. The “half-life” of Methadone can very from 10 hours to 140 hours. An increase in Methadone for one person that is easily tolerated can be an overdose of another person. ...Read more

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How much methadone is too much for dosage?

Any dose that causes: The patient to nod off, act drunk, or stop breathing is too high. When I worked in a Methadone clinic in 1980 in chicago, the average dose was about 45 mg. With the increase in heroin potency, I am seeing patients who have been or are on 200-300 mg a day. ...Read more

Dr. Brian Le Dr. Le
2 doctors agreed:
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Am dosing at 52 mg methadone. When can I switch to suboxone? How many days between last dose methadone and initiation of suboxone?

Dr. Brian Le Dr. Le
2 doctors agreed:

Please see a doctor: You need to stop Methadone for several days and be in full withdraw for Suboxone induction. The dose for Suboxone will be determined by your doctor during the induction. Please do not start it on your own. Please see a doctor asap and discuss your need. ...Read more

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I'm new to nh and need to find a medical doctor who prescribes methadone for chr. Pain due to accident I was in. No hist of abuse I had a bad accident and am currently taken the medication methadone, I am having a very hard time trying to find a dr in the

R u already on it?: If you were already on methadone, the time to find a doctor to continue was way before you moved. Your prior doctor should be your major resource in locating a colleague near your current home. At your age, for the most part, long term Methadone prescription for chronic pain is usually not a great plan. You may need to find someone who can taper you off safely. ...Read more