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Doctor insights on: Methadone Pain Contract Vicodin

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Should I consider taking methadone if I have been on a pain contract for two years taking 40 mg vicodin daily?

Should I consider taking methadone if I have been on a pain contract for two years taking 40 mg vicodin daily?

Sure: You might do better with stable Methadone 5 mg 2x-3x a day. This should keep a stable blood level of pain medicine rather than the up and down plasma level of vicodin. ...Read more

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Dr. Stuart Wasser
645 doctors shared insights

Methadone (Definition)

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 ...Read more


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What to do if i had 50 vicodin a day and they put me on methadone to get offquestion is methadone can stop vicodin but can vicodin stop methadone.?

What to do if i had 50 vicodin a day and they put me on methadone to get offquestion is methadone can stop vicodin but can vicodin stop methadone.?

Unsure I understand: Methadone is used to serve 3 basic purposes. The first one is to replace with an equivalent dose of opioid so that the person doesn't experience withdrawal (being dope sick). The 2nd purpose is to get the dose up to a point where the individual is not feeling craving. The 3rd is to produce so much tolerance that doses of other opiates (like hydrocodone) really don't do much. So people stop using. ...Read more

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Methadone for back pain and vicodin for breakthrough pain. I need some more meds?

Methadone for back pain and vicodin for breakthrough pain. I need some more meds?

Source of pain: I think you need to get to the source of the problem and try to eliminate the underlying cause. Pain management might be another option i don't believe that taking stronger and stronger pain meds is going to be the answer to the problem. ...Read more

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I've been addicted to mostly Norco (hydrocodone and acetaminophen) for 6 years. I have tried methadone and Suboxone to get off both Unsuccessful. No ins. suggestions please?? Help

I've been addicted to mostly Norco (hydrocodone and acetaminophen) for 6 years. I have tried methadone and Suboxone to get off both Unsuccessful. No ins. suggestions please?? Help

Norco (hydrocodone and acetaminophen): This is a major problem. You failed both Methadone/Suboxone which is very odd. Did you see Psychology while you were on Methadone/Suboxone? Now the best thing is to get into an in-patient drug rehab program or start on your own with a gradual reduction in the amount used every month. I think more importantly you need support, psychology and group therapy while you wean ...Read more

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Pain mgnt doc died. Im on 10mg Methadone 6x/day and Norco (hydrocodone and acetaminophen) 2/day. Was only doc in office. Will they stop my meds now? What abt withdrawal? What to do?

Pain mgnt doc died. Im on 10mg Methadone 6x/day and Norco (hydrocodone and acetaminophen) 2/day. Was only doc in office. Will they stop my meds now? What abt withdrawal? What to do?

Dont stop: IT is not good to just stop call the office find out what they plan to do most likely a covering MD will take the practice over. If not get your records and find another board certified pain specialist in your area. ...Read more

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I have small fiber neuro in my feet. Treated w/lyrica, norco, (hydrocodone and acetaminophen) methadone & oxycodone. My feet & toes are so sore & stiff. Why? What can I do for them?

I have small fiber neuro in my feet. Treated w/lyrica, norco, (hydrocodone and acetaminophen) methadone & oxycodone. My feet & toes are so sore & stiff. Why? What can I do for them?

Keep trying: Sounds as if your doctor is trying the right approach to get a successful symptomatic result. Unfortunately for you, there is no cure for painful small-fiber peripheral neuropathy which is why your feet will continue feeling sore and stiff. ...Read more

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! hve been on 120 methadone maintenance for 16 yrs. I have weaned myself down to 50 n past 2 months . what dosage will be safe to just stop taking it?

Any dose: Withdrawal from methadone is safe for a reasonably healthy (and non pregnant) person from any dose. Having said that, you would be more comfortable continuing to taper slowly to about 5 or 10mg , then stopping. ...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

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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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Why is my methadone wearing off for me soo fast?

Chronic: If taking long time it creates own metabolism or some people are ultra rapid metabolized .Talk to your physician. ...Read more

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Why is my methadone wearing off for me soo fast?

Why is my methadone wearing off for me soo fast?

Several reasons: Tolerance, for one. You may need more or a different medicine. Ask you provider. Good luck! ...Read more

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Can you tell me the benefits of taking methadone?

Having worked in : Both Methadone maintenance clinics and having treated narcotics addicts with suboxone, i really see no benefit to methadone. Methadone is a narcotic just like a street drug. It is ultimately more expensive in many cases than suboxone treatment. It is by no means as convenient, and there is a tendency to continually escalate the dose. With suboxone dosage escalation rarely if ever occurs. Suboxone is much more well-tolerated and you don't have to deal with pick ups at a clinic where you are continually exposed to other narcotic addicts.If you were thinking about going on methadone, please consider the option of suboxone. ...Read more

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If i'm on methadone, should I feel stiff and achy?

Methadone: Depends. If you just started it, yes. Mostly i see it when people are trying to come off Methadone and they titrate off it too quickly. Dose of the drug has a lot to do with it. Higher dose the more likely it is to happen. ...Read more

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What causes methadone levels to rise in your system?

Variable half life: methadone has a variable half life from person to person and in and individual. A patient may ave different metabolic rates from time to time due to other medications or a nebulous metabolic change. This can make methadone dangerous as the level may increase with out increasing the dose and possibly be high enough to cause an overdose. ...Read more

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Methadone side effects?

Similar to others: Methadone side effects are a matter of research for numerous scientists. If the dosage of the medicine is correct, then there are no risks of kidney, heart, liver, lungs or any type of failure. A number of common Methadone side effects include constipation, skin rash, water retention, dizziness, weakness, extreme sweating and flushing and in some circumstances erectile dysfunction. ...Read more

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Does arithromycin affect methadone?

Yes, dangerously: The combination of Erythromycin and Methadone can increase Methadone levels, risk of fatal overdose, risk of heart rhythm problems and possible death from acute heart problems. The combination may cause qt prolongation, something that can lead to a potentially fatal heart rhythm problems. ...Read more

Dr. Alan Wartenberg
831 doctors shared insights

Hydrocodone And Acetaminophen (Definition)

Hydrocodone|acetaminophen is a narcotic combination for pain which is a ...Read more