7 doctors weighed in:
If somebody is on supervised methadone is she still taking heroin at the same time?
7 doctors weighed in

Dr. John Chatas
Pain Management
3 doctors agree
In brief: No
If they are in a supervised program, there should be random urine drug screens to rule out use of illicit drugs, and to be certain they are taking and not selling the methadone.

In brief: No
If they are in a supervised program, there should be random urine drug screens to rule out use of illicit drugs, and to be certain they are taking and not selling the methadone.
Dr. John Chatas
Dr. John Chatas
Thank
Dr. Einar Ottestad
Pain Management
2 doctors agree
In brief: Possible
An addict can take whatever he or she wants.
On methadone, it simply takes more heroin for effect, which adds unpredictability and risk of overdose. The natural progression of the disease is intermittent relapse. Pts are monitored closely, including urine toxicology. The goal is titrating Methadone to decrease/stop attempts at using heroin.

In brief: Possible
An addict can take whatever he or she wants.
On methadone, it simply takes more heroin for effect, which adds unpredictability and risk of overdose. The natural progression of the disease is intermittent relapse. Pts are monitored closely, including urine toxicology. The goal is titrating Methadone to decrease/stop attempts at using heroin.
Dr. Einar Ottestad
Dr. Einar Ottestad
Thank
Dr. Jeffrey Roth
Addiction Medicine
1 doctor agrees
In brief: Maybe
Methadone reduces craving; it does not prevent using other opiates.

In brief: Maybe
Methadone reduces craving; it does not prevent using other opiates.
Dr. Jeffrey Roth
Dr. Jeffrey Roth
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Dr. David Rosenfeld
Pain Management
In brief: Yes but...
Nothing stops them from ongoing use of heroine.
However i doubt many facilities would continue to do so.

In brief: Yes but...
Nothing stops them from ongoing use of heroine.
However i doubt many facilities would continue to do so.
Dr. David Rosenfeld
Dr. David Rosenfeld
Thank
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