4 doctors weighed in:
Should I do a methadone detox inpatient or at home?
4 doctors weighed in

Dr. Einar Ottestad
Pain Management
1 doctor agrees
In brief: Depends
For psychologically and medically stable patients on low dose opioids i generally try a slow outpatient taper. Sometimes its helpful to use a blinded cocktail.
This means a mg amount of medication only known by your doctor is in the solution and md titrates based on symptoms. For high dose meds, sick patients, or psych unstable patients inpatient detox is warranted.

In brief: Depends
For psychologically and medically stable patients on low dose opioids i generally try a slow outpatient taper. Sometimes its helpful to use a blinded cocktail.
This means a mg amount of medication only known by your doctor is in the solution and md titrates based on symptoms. For high dose meds, sick patients, or psych unstable patients inpatient detox is warranted.
Dr. Einar Ottestad
Dr. Einar Ottestad
Thank
Dr. Leonard Spishakoff
Addiction Medicine
1 doctor agrees
In brief: As an inpatient
Methadone needs to be managed best as an inpatient if to be done safely however it can be done as an outpatient but requires close medical supervision to monitor for compmlications.
Other issues are Methadone has dangerous interactions when other medications are used.

In brief: As an inpatient
Methadone needs to be managed best as an inpatient if to be done safely however it can be done as an outpatient but requires close medical supervision to monitor for compmlications.
Other issues are Methadone has dangerous interactions when other medications are used.
Dr. Leonard Spishakoff
Dr. Leonard Spishakoff
Thank
Dr. Philip Gilly
Addiction Medicine
In brief: I recommend at home,
very gradually, under the care of a knowledgeable addictionologist, preferably the one provider or clinic that was providing the methadone in the first place.

In brief: I recommend at home,
very gradually, under the care of a knowledgeable addictionologist, preferably the one provider or clinic that was providing the methadone in the first place.
Dr. Philip Gilly
Dr. Philip Gilly
Thank
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