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Doctor insights on: Methadone Treatment

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How long does methadone treatment usually take?

How long does methadone treatment usually take?

...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

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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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Can a person undergoing Methadone Treatment Program be active in martial arts or calisthenics workouts?

Yes: Methadone does not prevent athletic activity.However, most men taking methadone have reduced serum testosterone levels as a result of that drug therapy.In addition to reducing sex drive and performance, which is bad enough, that also reduces muscle-building benefit of exercise.The hypogonadism is easily treated with testosterone supplementation, but it must first be diagnosed by simple blood test. ...Read more

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I am on methadone treatment, i take 30ml dailey. The biggest problem I have is sleepiness , to the point that i even can not see properly any help?

I am on methadone treatment, i take 30ml dailey. The biggest problem I have is sleepiness , to the point that i even can not see properly any help?

Possible sleep apnea: Methadone can induce sleep apnea in susceptible individuals. You therefore need a laboratory sleep study to find out if you have obstructive sleep apnea or central sleep apnea. Both of them would need to be treated. Both can cause excessive daytime sleepiness. ...Read more

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When i stop my methadone treatment, will my sex drive come back? Will i go back to normal?

When i stop my methadone treatment, will my sex drive come back? Will i go back to normal?

Chances are high: Opioids usually decrease sex drive and their discontinuation may bring you back to your base line. Be careful not to discontinue prematurely if prescribed for opioid addiction treatment. ...Read more

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Can methadone treatment cause tooth decay?

Can methadone treatment cause tooth decay?

Yes: You need to have a very good oral hygiene care as well as periodic visits to your dentist, probably three times or more a year to follow progression of decay , and give you Fluoride treatments to prevent further decay. ...Read more

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Questions about methadone treatment in wa state my wife and I have been enrolled in a methadone rehabilitation/treatment clinic in vancouver, wa since march 31st of 2011. My wife worked as a kidney dialyisis technician at the same treatment center for ov

Questions about methadone treatment in wa state my wife and I have been enrolled in a methadone rehabilitation/treatment clinic in vancouver, wa since march 31st of 2011.  My wife worked as a kidney dialyisis technician at the same treatment center for ov

What is the ?: I don't know what information you are looking for. The best evidence is that most people need at least 2 years of treatment before considering starting a gradual dose reduction, with high rates of relapse to street drug use in people who have been on for significantly less time (6 months or less). Some people manage well with drug-free treatment, but it's only about 15% of the total. ...Read more

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Can 7 months of methadone treatment for heroin addiction cause a LARGE weight gain? Eating reasonably. Swelling in hands & feet.

Can 7 months of methadone treatment for heroin addiction cause a LARGE weight gain? Eating reasonably. Swelling in hands & feet.

I see it sometimes: Opiods interfere with appetite and metabolism controls in the hypothalamus. In fact, opioid blockers lead to weight loss. Weight gain is more pronounced when other meds are also used. I have the swelling as well but don't understand the mechanism ...Read more

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Why is methadone maintenance treatment bad?

Not good or bad: Methadone saves some people's lives (particularly those who are opioid dependent) and if used improperly can be lethal. A medication is neither good or bad but rather it depends upon the context in which it is used. ...Read more

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What's it like to be on methadone maintenance treatment for addiction?

Step to freedom: Methadone replaces the opiate, releasing the addict from the time, energy and legal risks of using opiates. Consider using some of this time and energy to engage in a recovery process involving a mutual support group like narcotics anonymous. ...Read more

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Is buputex / Suboxone without blocker? As good as methadone for treatment of cfs and pain. I read it has depression treatment as well?

Is buputex / Suboxone without blocker? As good as methadone for treatment of cfs and pain. I read it has depression treatment as well?

Hard to say: Suboxone has Naloxone it it to keep it from being tampered with to reverse overdose. Subutex is Buprenorphine by itself. Either can be used as substitute for methadone. Can be used for pain however would caution that these are not meds for chronic fatigue syndrome (cfs). Research does not support use for opioids with those with cfs or fibromyalgia. ...Read more

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How 2 overcome a methadone addiction when the treatment center wont help u get off of it?

Methadone taper: Make an attempt to discuss your concerns with the medical director. Your own regular doctor may be able to guide you as well. Seeing an addiction medicine specialist or addiction psychiatrist is another option. Your local na or other similar programs may be of help. Good luck. ...Read more

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I've been on 95mg of methadone for the past 7 mos. I have low-t 270. 3 am tests were done in& 270 was high (age 30 male. What treatment can I expect?

Options: High dose narcotics can cause low testosterone by suppressing your pituitary function. The best way to treat this is to wean off the narcotics or use the lowest amount possible while keeping your quality of life acceptable. If not possible, the next question is are you planning to conceive soon? If no, testosterone replacement will help, if yes, you need to be creative: HCG or Clomid (clomiphene) can help. ...Read more

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What OTC allergy medications are safe to use while taking methadone daily for pain mgmt treatment? 140 MGS per day. Thank you.

What OTC allergy medications are safe to use while taking methadone daily for pain mgmt treatment? 140 MGS per day. Thank you.

2nd generation: antihistamines are best, because they do not increase sedation, and don't have major interactions or effects on sedation. They are all pretty much OTC these days as well. The best, in my experience, is Loratadine (Claritin). Unless you have severe congestion, I would avoid the Claritin-D or pseudephedrine (Sudafed), since it likely will give a false positive amphetamine test on urinalysis. ...Read more

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Which is a better treatment option for opioid addiction, Suboxone or methadone?

Which is a better treatment option for opioid addiction, Suboxone or methadone?

Suboxone by far!: As a physician with 10 years of experience treating addiction, i feel that suboxone is a much better treatment. The main advantage of Methadone is price. Suboxone is safer in that you cannot overdose with it, unlike methadone. Suboxone blocks other opioids from getting you high (or dead), and it won't work if injected. Suboxone visits are usually monthly, not daily like at Methadone clinics. ...Read more

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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 ?

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 ?

Hopefully: Hopefully yes. It sounds like you have alopecia univeralis which is a severe form of alopecia areata. This is an autoimmune disease in which your immune system tells your hair follicles to stop growing hair. ...Read more

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I'm taking methadone for chronic pain and also have low testosterone due to it. * is it safe to start testosterone treatment?

I'm taking methadone for chronic pain and also have low testosterone due to it. * is it safe to start testosterone treatment?

Yes and appropriate: Patients on opiates for longer periods of time may suffer hormonal issues including low testosterone. Assuming the opiate is required and alternatives have been discussed, then testosterone replacement can improve fatigue, libido, strength, and even pain! ...Read more

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Methadone best alt. To narcotic painkiller to ask md for from pain due to pegasys/ribavirin treatment?

No: Ribavirin and pegylated interferon cause many many nasty symptoms, but pain is not a prominent one of them, and there is no need for opioids. I have treated over 1000 people who were getting this treatment, and i myself went through this treatment 7 years ago (and it was a success). No narcotics should be needed or used. If you are having severe pain, something else is causing it. ...Read more

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