6 doctors weighed in:

What are the differences between buprenorphine, methadone?

6 doctors weighed in
Dr. Stuart Wasser
Addiction Medicine
4 doctors agree

In brief: C below

Bup is a partial agonist which means it has a ceiling effect and alsi it can not be combined with other opioids.
It will last longer in the body. Methadone is a full agonist with no ceiling effect and it can be used with other opioids and lead to overdose. Meth has more endocrine effects, cardiac effects, respiratory effects. There are also more laws restricting meth's use.

In brief: C below

Bup is a partial agonist which means it has a ceiling effect and alsi it can not be combined with other opioids.
It will last longer in the body. Methadone is a full agonist with no ceiling effect and it can be used with other opioids and lead to overdose. Meth has more endocrine effects, cardiac effects, respiratory effects. There are also more laws restricting meth's use.
Dr. Stuart Wasser
Dr. Stuart Wasser
Thank
Dr. Alex Wargo
Family Medicine

In brief: Many, many, many

Not to say one is better than another, they both have their pros and cons.
They are structurally different. The way they bind to receptors in the brain is unique to each drug, and they are also schedule by the dea differently. Methadone is a cii (schedule 2) & Buprenorphine is a ciii(schedule 3). A cii can not be refilled and in a clinic, Methadone is under tight control.

In brief: Many, many, many

Not to say one is better than another, they both have their pros and cons.
They are structurally different. The way they bind to receptors in the brain is unique to each drug, and they are also schedule by the dea differently. Methadone is a cii (schedule 2) & Buprenorphine is a ciii(schedule 3). A cii can not be refilled and in a clinic, Methadone is under tight control.
Dr. Alex Wargo
Dr. Alex Wargo
Thank
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