Doctor insights on:
How Does Methadone Affect Childbirth Pain
Worse: Patients on chronic opioids are at risk of more severe pain that is more difficult to control with acute noxious stimulus like labor. In essence, up to 4-6x as much opioid as normal might be necessary to control pain and often this makes a patient very sedated, with less pain relief than expected. Taper as much as possible prior to labor or surgery. ...Read moreSee 1 more doctor answer
My 14 month old son is now on methadone (.4mL) 2x's a day for pain due to epidermolysis bullosa. How will this affect him in the long run?
Really no data: The only data on treating infants with methadone is in babies born to mom's who are on opiates, which is really a different population, with different problems. Most of those mom's also smoked through pregnancy, had lower birth weight babies, many had other psychosocial issues, as well as other drug/alcohol use. The good news is that in those babies, despite early delays, development ok at 3 y/o. ...Read moreSee 1 more doctor answer
On pain contact for 40mg methadone daily. Some were stolen & now i'm taking just 10mg daily to make it last. Am i going to fail my udt at pain mgt. ?
When is UDT: Depending on your next visit to your doctor, the udt may be inconsistent. You should contact your physician's office immediately whenever there are irregularities involving your opiate medications. Most physicians who prescribe these meds require a treatment contract that spells this out. How did your meds get stolen? How will you prevent this in the future? ...Read moreSee 1 more doctor answer
Odds are: You'll likely be gone as overall this isn't a particularly high dose. You may notice some sedation, nausea, itching or constipation. But the bigger issue is changing how you take a medication, particularly opioids, without reviewing this with your doctor. It's incredibly important to discuss medication changes with your doc. Not doing so could lead to your doc no longer prescribing for you. ...Read moreSee 1 more doctor answer
What is a good reduction rate for methadone-i ake 10mg morning 10 6 hours later and 15mg bedime for pain. Want at least to reduce. ?
About 10-20%/week: You are on 35 mg per day. I would recommend reducing by no more than 5 mg per week. Week 1 using 10-5-15, week 2 10-0-15, week 3 10-0-10, week 4: 5-0-10, week 5: 5-0-5, week 6: 2.5-0-2.5 and week 7 just 2.5 in the morning or evening, depending on when your pain is worse. However, if you aren't treating your pain in some other way (talk to your doctor), your chances of success will be less. ...Read more
Probably not: Liver dysfunction is not listed as a serious or less serious effect of Methadone use. One should always be careful with long term use of medications and have routine follow up and lab studies. Many medications used with Methadone certainly could cause liver dysfunction. Methadone is a very serious medication. Take its use and follow up very seriously. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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