Doctor insights on:
Methadone Babies Long Term Effects
NO: Methadone can be associated with a number of side effects, but actually very few long-term "organ" effects (heart, liver, kidney, brain etc.) constipation, increased sweating, hormonal changes that alter libido, erectile function and fertility. Weight gain with its attendant problems certainly can occur. Heart rhythm problems, although getting publicity, are rare. Think about alcohol;tobacco use. ...Read more
Can be very diverse: The immediate and long term effects of being born premature greatly depends on the level of prematurity as well as every factor associated with pregnancy, birth, and care afterwards. The list of possible effects, complications, outcomes, is much greater than 400 characters. You can research some info from the American Academy of Pediatrics or discuss with your pediatrician and/or neonatologist. ...Read more
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
Many: I personally do not use Methadone as I feel the dangers outweigh any advantage over other opioids. The most significant side effects are that of breathing suppression and heart electrical conduction problems. There are drugs such as Suboxone (buprenorphine) for the problem of dependence which are much safer and more effective in my opinion. ...Read more
None for sure: This question has been studied for 50 years. So far no long term effects have been shown. Babies are not born "addicted" to Methadone they are Methadone dependent and have to be weaned off of this opioid as they would any other. At the present time treatment with Methadone during pregnancy is preferable to Suboxone primarily because Methadone has a longer history of use without long term effects. ...Read more
So many answers:
Best to address this with the pediatrician - it really depends so much on how your baby is tolerating things, if withdrawing and if so, how badly.
Ask your baby's doc to get clearer answers. ...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 more
I know the text book answer is NO, BUT if I take methadone in the early morning & take Ritalin (methylphenidate) in the afternoon (not long term), would ritalin (methylphenidate) work?
May be: In theory the two drugs don't interact, as they have opposite effects, not additive effects, methadone has a long half-life, it stays in the system longer, at least 16 hours, its elimination depends on many factors, how active is the liver, how acidic is the urine for example or alkaline, etc. Also depends on other medicines you are on, counsel your doctor again, both are schedule II medications, ...Read more
Please help! Pain doc started me on. 5 mg of methadone twice a day for long term pain and I can't sleep? Up all night and can't sleep during day too?
Depends: If your doctor tapered you off the methadone appropriately and under their medical supervision, everything will probably be fine as long as you don't relapse and go through withdrawal episodes. You should stay involved with treatment and follow up with your addiction/psychiatric and obstetric providers as requested. ...Read more
Does long term methadone maintenance cause male infertility? My boyfriend has been on MMT for 8 years and we want kids in the future.
Most likely IF: That is what was causing it. To quibble about semantics, it is PHYSICAL DEPENDENCY on methadone, NOT addiction, unless you were obtaining it without prescription, taking it to get high, and it was destroying your life (like the opioid you were using before you went on methadone). Ditto with pain treatment. Very long-term use of opioids can cause permanent changes, but usually goes back to normal ...Read more
I have lost nearly all my body hair & most on head due to low t while taking methadone long term. Will the hair grow back with t treatment?
Is my long term methadone addiction responsible for my very low testosterone level of just over 100?
If you have your heart and lung function monitored regularly. Will methadone affect you in the long term and I'm negative matter?
It may: Methadone is a full mu receptor opioid agonist which means the body will develop a tolerance to it and a higher dose will be needed to obtain the same desired effect. Methadone at high doses can cause cardiac arrest. Drug-drug interaction should be assessed for as well. The choice really depends on what it's being used for or is it even necessary. ...Read more
Is it my long term methadone addiction that is causing my very low testosterone levels & if so is it possible if I stop my methadone use for my testos?
LOW T EVAL: Low T Evaluation and diagnosis of cause is critical. It needs a through workup exam/labs/testiciular US/ and potentially a brain MRI. You will need regular Monitering of testosterone and PSA levels. Follow up with a through PCP and endocrine consult. Low T can cause symptoms of male menopause You would need to stop METHADONE AND RECHECK LEVELS. TO SEE IF THIS WAS A SIDE EFFECT. ...Read more
Hi I'm on methadone maintenance and I just found out I'm pregnant, what are some risks to my baby from me being on methadone? And side effects?
Not many: The baby may go into withdrawal immediately after birth though. Talk to your obstetrician about this. ...Read more
My friend is 7monthspregnant and takes methadone w/o dr. Order. She insists her baby is fine. Is this safe for the baby?
Danger Zone: It sounds like you friend is in denial. Using methadone that is not prescribed is illegal and can be dangerous to health. If she is not willing to be frank with her doctor and get hep for her drug abuse - then notifying obstetrician or child protective services are two options. ...Read more
Well, likely not but: It is a dose dependant response. We use post op opiods all the time without an issue. Did u just start it or we're u on it in pregnancy? What is the dosage? What have u been doing thus far and how has the baby responded? Generally the transfer into breast milk and serum concentration will be low in a baby but it is dose dependant and response based on fetal exposure. I don't wanna give bad info. ...Read more
What do you suggest if my friend is 7monthspregnant and takes methadone w/o dr. Order. She insists her baby is fine. What do you think?
Methadone & pregnant: Taking non-prescribed methadone while pregnant is dangerous! If not rx'ed, it can't be known what else may be in the "meth" and what other substances, are being ingested. The best choice ur friend could make is to TELL HER MD. In so doing, she may be transitioned to rx'ed methadone, get safe prenatal care, & avoid the trauma of being separated from baby when tox+ at delivery. TELL MD & get care! ...Read more
On 50mg methadone 3months pg&wanna breastfeed but will I b passing methadone to baby, is it safe for baby? Help
All opoids are passed through the breast milk to the baby.
In a baby it can cause sedation, cardiac problems and withdrawal symptoms.in a child the half life is 19hrs where it stays in the blood stream of the baby
unless very actively monitored. You should give formula to the baby while you are taking the drug ...Read more
Considering adopting a baby exposed to cocaine, heroin and methadone. What are the worst case scenarios from these exposures, besides withdrawals?
On considering helping this child. Any parenting brings w/it a future of unknowns. The risk of negatives increases w/a history such as the one you mention. This child MAY be at risk for more behavioral and mood problems than children w/out this history. Here is a link
http://www. Cbsnews. Com/news/moms-meth-use-during-pregnancy-causes-kids-behavioral-problems/
Peace and good health. ...Read more
Methadone half-life: The half-life of Methadone is 15 to 60 hours. It takes five times the half-life to leave your system. Therefore it could take anywhere between 75 hours to 300 hours to clear your system. This is with chronic use. The half-life for most people is approximately 25 hours meaning that would take approximately five days and five hours to leave your system completely. ...Read more
...it depends: By definition, Methadone detox takes place over less than 180 days. The patient is progressively weaned over that time. Methadone maintenance, on the other hand, is more than 180 days. The decision is made by the patient, physican, counseling and social services over which route to take, and the best outcomes occur when everyone on this team takes an active role throughout the process. ...Read more