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Methadone is a medication used to relieve severe pain. It's also used to prevent withdrawal symptoms in people who are addicted to opiate drugs such as,. Dolophine and Methadose are two common brand names for methadone.
Methadone is a narcotic that works by changing the way the brain and nervous system respond to pain. It was first approved by the Food and Drug Administration (FDA) in 1947. Methadone Warnings Methadone carries a black-box warning because it may cause serious or life-threatening breathing problems. The risk of breathing problems is highest during the first 72 hours of treatment and any time your dose is increased.
You should tell your doctor if you have or have ever had, slowed breathing, or any other type of lung disease; a head injury; any condition that increases pressure in your brain; or obstructive or central. Also, you should watch for any signs of breathing problems, including slowed breathing, long pauses between breaths, or shortness of breath. This medication may also cause a rare heart problem known as a long QT interval. This condition can cause irregular heartbeat, fainting, or sudden death.
You should tell your doctor if you or anyone in your family has or has ever had long QT syndrome. Also, tell your healthcare provider if you have ever had a slow or irregular heartbeat, heart disease, or low levels of potassium or magnesium in your blood. Call your doctor right away if you experience a pounding heartbeat, lightheadedness, dizziness, or fainting while taking methadone. Before taking methadone, you should tell your doctor if you have or have ever had:. Paralytic ileus (a condition where digested food doesn't move through the intestines). A blockage in your intestine. An enlarged.
Difficulty urinating. Addison's disease (a condition where the adrenal gland doesn't work properly).
Seizures., liver, or kidney disease Tell your physician you are taking methadone before having any type of surgery, including dental procedures. Methadone Withdrawal If you've been using methadone regularly for several weeks or more, you may experience withdrawal symptoms when you stop taking it.
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Talk to your doctor before you stop using methadone. Your doctor may advise you to gradually reduce the amount you're using, rather than stopping treatment completely, or to take another narcotic for a while, in order to reduce the risk for withdrawal.
If you suddenly stop taking methadone, you may experience withdrawal symptoms, including:. Restlessness. Teary eyes. Runny nose.
Yawning. Sweating. Chills. Muscle pain.
Widened pupils (black circles in the middle of the eyes). Irritability. Backache. Joint pain.
Weakness. Stomach cramps.
Sleep disturbance. Nausea. Decreased appetite. Vomiting/diarrhea The Methadone 'High' and Abuse Taking large doses of methadone, like many narcotics, can cause a 'high.' However, this is an extremely dangerous practice and can lead to overdose and death. You should never take more methadone than your doctor prescribes.
Methadone may be habit-forming. Do not take larger doses of methadone or take it for a longer period of time than your doctor prescribes. You should tell your physician if you or anyone in your family has a history of drinking large amounts of alcohol, using street drugs, or having any type of mental illness.
Make sure to take this drug exactly as your doctor prescribes, so you don't overdose. According to the Centers for Control Disease and Prevention (CDC), nearly one-third of deadly drug overdoses in the United States involve methadone. Store methadone in a safe place, so no one else can take it. Keep this drug out of the reach of children. You shouldn't stop taking methadone without first talking to your doctor. You doctor will likely want to decrease your dose gradually before taking you off this drug. If you take methadone to help you with an opiate addiction, you must enroll in a treatment program that's approved by state and federal governments and follows specific federal laws.
Ask your doctor about enrolling in such a program. Pregnancy and Methadone Methadone might harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while taking this medicine. Your baby may also develop life-threatening withdrawal symptoms after birth if you take methadone during pregnancy. Methadone can pass into breast milk and may harm a breastfeeding baby, so talk to your doctor before breastfeeding while taking this medication.
Many medications may interact with methadone. Methadone comes as a tablet, a dispersible tablet, a liquid, a concentrated solution, or an injection.
Your dose of methadone may range from 2.5 milligrams (mg) to 120 mg daily, depending on your condition. When it's used to relieve pain, the drug may be taken every eight to 12 hours. You should take methadone exactly as your doctor prescribes. Your physician might change your dose during the course of your treatment. Don't chew or swallow the dispersible tablets before mixing them in a liquid. If your doctor tells you to take only part of a tablet, be sure to break it carefully along the score lines.
Place the tablet in at least four ounces of water or a fruit drink (but avoid grapefruit juice). You should drink the entire mixture right away. If some tablet residue gets left behind in the cup, you can add a small amount of liquid and drink it. Methadone Overdose Symptoms of a methadone overdose may include:. Drowsiness. Clammy, cool, or blue skin.
Slow or shallow breathing. Small pinpoint pupils in the eye If you suspect an overdose, contact a poison control center or emergency room immediately. You can get in touch with a poison control center at (800) 222-1222. Missed Dose of Methadone If you miss a dose of methadone for pain relief, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and continue on your regular dosing schedule. Don't take an extra dose to make up for a missed one.
If you miss a dose of methadone for treating an opioid addiction, skip the missed dose and take it the next day as scheduled. Again, don't take extra doses to make up for a missed one. A: Methadone, according to prescribing information, can cause lightheadedness as a side effect of the medication. Any change in dosage may cause side effects that the patient didn't experience before as the body adjusts to the decrease of medication.
Methadone is slowly eliminated from the body, so you may not have experienced any side effects at the beginning of the reduction of this medication. If your side effects are bothersome or severe, you should consult with your physician to be sure that you are not reducing the medication too quickly.
For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Lori Mendoza, PharmD Poulin, PharmD.
A: Methadone is a narcotic analgesic (pain reliever) that is similar to morphine. It also helps to reduce withdrawal symptoms in people addicted to heroin or other narcotic drugs without causing the 'high' associated with the drug addiction. So, methadone can be used as a pain reliever and as part of drug addiction detoxification and maintenance programs. Loss of appetite can be a common side effect of methadone. Other side effects that may commonly occur include anxiety, nervousness, restlessness, insomnia, weakness, drowsiness, dry mouth, nausea, vomiting, diarrhea, constipation, and decreased sex drive.
This is not a complete list of side effects that can occur with methadone. If side effects, such as weight loss or loss of appetite, become severe or bothersome, talk to your doctor for specific recommendations. Your doctor or health care provider is best able to properly evaluate your medical condition and make recommendations based on your specific circumstances. Sarah Lewis, PharmD. A: Dolophine (methadone) is a medication used to treat pain and to help treat opiate addiction. It does not specifically list twitching or jumping as side effects, but if you think you may be having some kind of seizure, you should consult your doctor about it. The time it takes to stop is very individualized, and depends on if it is being used for pain or addiction.
Everyone reacts/responds differently to medication and to addiction, so your doctor and answer your question to this best. Side effects from Dolophine (methadone) may include seizures, hives, rash, and itching, in which case, you should let your doctor know as soon as possible. Other side effects listed are drowsiness, weakness, headache, nausea, vomiting, constipation, loss of appetite, weight gain, stomach pain, dry mouth, sweating, flushing, difficulty urinating, swelling of the hands, feet, arms, and legs, changes in mood, insomnia, changes in vision, sexual impairment, and missing menstrual periods.
This is not a complete list of the side effects associated with Dolophine (methadone). For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat.
Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Tell your health-care provider about any negative side effects from prescription drugs.
You can also report them to the U.S. Food and Drug Administration by visiting www.fda.gov/medwatch or by calling 1-800-FDA-1088. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action.
Patti Brown, PharmD. A: Methadone is a narcotic analgesic or pain reliever that is similar to morphine. It can also reduce withdrawal symptoms in people addicted to heroin or other narcotic drugs without causing the 'high' associated with the drug addiction.
This makes it easier to manage the addiction and helps to get the person off narcotics. Methadone can be used either as a pain reliever or as part of drug addiction detoxification and maintenance programs. Methadone may be habit-forming, meaning that it is possible to become physically or mentally dependent on the drug. So, it should never be stopped suddenly, as this may cause serious withdrawal side effects. Contact your doctor before stopping methadone.
It can also cause side effects that impair your thinking and reactions. Use caution when doing anything that requires alertness. Common side effects of methadone include anxiety, nervousness, restlessness, insomnia, weakness, drowsiness, dry mouth, nausea, vomiting, diarrhea, constipation, loss of appetite, and decreased sex drive.
This is not a complete list of side effects that can occur with methadone. For more specific information, consult with your doctor or local pharmacist for guidance based on your health status and current medications, particularly before taking any action. Sarah Lewis, RPh. A: Methadone is in a drug class called opiate or narcotic analgesics. Methadone is used to treat moderate to severe pain that has not been effectively treated by non-narcotic pain medications. In addition, methadone is used as part of a treatment program to help people who were addicted to opiate medications. Methadone helps these people stop taking the medications or to help them avoid restarting the medications.
Methadone prevents withdrawal symptoms from happening in people who were addicted to opiate medications. Methadone works to relieve pain by altering the way in which the brain and nervous system respond to pain. Methadone works to prevent withdrawal symptoms by acting like a substitute for opiate medications and producing similar effects. According to prescribing information, the most common side effects with methadone are lightheadedness, dizziness, sedation, nausea, vomiting, and sweating.
These side effects occur more often in people who are not hospitalized and who are not experiencing severe pain. Other side effects include weakness, headache, constipation, itching, and dry mouth. Methadone can also cause breathing problems that can cause death. These problems are more likely to occur when methadone is first started or in people who were not taking other opioid pain medications.
Breathing problems may not necessarily occur right after a dose is taken?€“ problems could occur even after pain has returned. Methadone can also cause heartbeat problems that can be fatal. Most of these heartbeat problems occur in people using high doses of methadone to treat pain; however, some heartbeat problems have been reported in people using smaller doses for opioid drug addiction. People taking methadone should contact their doctor if they: have difficulty breathing; become very drowsy and breathing slows down; have little movement of the chest with breathing; have a fast or slowed heartbeat; feel faint, extremely dizzy, confused, have irregular heartbeats or any other symptoms that are not typical. Methadone can also cause a drop in blood pressure, which can cause dizziness when getting up too fast from sitting or lying down. Methadone can cause tolerance (the need for elevated doses to maintain efficacy that are not caused by disease progression or other factors) and physical dependence, which is the occurrence of withdrawal symptoms after abruptly stopping the medication.
Thus, methadone should not be stopped without first consulting with the doctor. In general methadone should be gradually discontinued to avoid becoming sick with withdrawal symptoms. According to prescribing information, for people taking methadone for the treatment of pain, there is a chance of addiction or abuse. Drug addiction manifests as compulsive use, use for purposes other than medical use, and continuing to use despite the risk of harm or actual harm. People have a higher chance of addiction or abuse if they are or have been addicted to or abused other medications, street drugs, or alcohol, or if they have a history of mental problems. Derek Dore, PharmD.
A: Methadone is a narcotic analgesic or pain reliever, similar to morphine. It reduces withdrawal symptoms in people addicted to heroin or other narcotic drugs without causing the 'high' associated with the drug addiction. Methadone can be used either as a pain reliever or as part of drug addiction detoxification and maintenance programs. Common side effects that can occur with methadone include anxiety, nervousness, restlessness, insomnia, weakness, drowsiness, dry mouth, nausea, vomiting, diarrhea, constipation, loss of appetite, and decreased sex drive. This is not a complete list of side effects that can occur with methadone. Consult your doctor or healthcare if constipation continues or becomes bothersome. There are a variety of over-the-counter (OTC) treatments for mild constipation.
These include stool softeners, fiber products, laxatives, enemas, and suppositories. The choice depends largely on personal preference and how uncomfortable the constipation is. There are also lifestyle changes that help, including eating fiber-rich foods, drinking plenty of water, and getting regular exercise.
Always read and follow the complete directions and warnings on OTC medications and discuss their use with your healthcare provider before taking them. Consult your healthcare provider for severe or persistent constipation, as this could be a sign of an underlying medical condition. Sarah Lewis, PharmD.
A: Methadose (methadone) is a narcotic pain reliever similar to morphine. Methadone is prescribed for pain and also drug addiction detoxification. Common side effects with methadone include sedation, nausea, dizziness, and lightheadedness. This is not a complete list of side effects associated with methadone, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Dosing of methadone is usually patient specific so consult with your doctor about your particular situation. When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as foods you eat.
Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If possible, use one pharmacy for all your prescriptions and over-the-counter products.
This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects. Tell your health-care provider about any negative side effects from prescription drugs. You can also report them to the U.S Food and Drug Administration by visiting or by calling 1-800-FDA-1088. Kimberly Hotz, PharmD.
A: Methadone is a narcotic analgesic or pain reliever, similar to morphine. Methadone can also reduce withdrawal symptoms in people addicted to heroin or other narcotic drugs without causing the 'high' associated with the drug addiction.It can be used as a pain reliever or as part of drug addiction detoxification and maintenance programs. Common side effects of methadone include anxiety, nervousness, restlessness, insomnia, weakness, drowsiness, dry mouth, nausea, vomiting, diarrhea, constipation, loss of appetite, and decreased sex drive. Weight gain can also be a common side effect of methadone.
However, a search of a drug database did not specifically list dry skin as a side effect. Edema or fluid build-up can occur with methadone. If you are experiencing swelling or fluid retention or buildup, contact your doctor for proper evaluation. Your doctor is best able to evaluate your medical condition, including side effects, and make recommendations for managing them based on your specific circumstances.
Do not stop or change the amount of medication you take without talking to your doctor first. This is not a complete list of side effects that can occur with methadone. For more specific information, consult with your doctor or local pharmacist for guidance based on your health status and current medications, particularly before taking any action. Sarah Lewis, RPh. A: Methadone is a narcotic pain reliever used in the treatment of many chronic pain conditions. Methadone can cause weight loss or weight gain in some patients. The FDA approved drug information lists both weight gain and anorexia as possible side effects of methadone.
The most common side effects of methadone are: constipation, drowsiness, dizziness, dry mouth, headache, itching, sweating, lightheadedness, nausea, vomiting, and weakness. Do not stop taking methadone abruptly, as severe withdrawal symptoms may occur. The only way to gain weight is to increase caloric intake.
Eating more fruits, vegetables, and whole grains is a healthy way to put on weight. Eating sweets, fried foods, fast food, and junk food may help you gain weight, but these foods will also increase your risk of diabetes, high blood pressure, and heart disease. One easy way to increase caloric intake is to add a nutritional supplement such as Boost, Ensure, etc. To your daily diet. People who are severely underweight may need to supplement their diet with several of these products every day. You should consult your physician or a nutritionist for more detailed information about adding a nutritional supplement to your diet. Burton Dunaway, PharmD.
A: Methadone is a narcotic analgesic or pain reliever. Methadone can also help reduce withdrawal symptoms in people addicted to heroin or other narcotic drugs without causing the 'high' associated with the drug addiction. So, methadone can be used as a pain reliever or as part of drug addiction detoxification and maintenance programs. Methadone can cause withdrawal symptoms if it is stopped suddenly. According to the National Institutes of Health (NIH), the overall goal of a methadone treatment or maintenance program is to improve a patient's health and quality of life.
The NIH suggests that it may not be possible for patients to become drug free. Methadone maintenance programs will be life-long therapy for most patients, but can allow patients to lead healthy lives. Often, patients using a maintenance program will want to try to taper off the methadone once their cravings have subsided and other areas of their lives are showing progress. However, research has shown that up to 80% of patients who stop methadone maintenance will return to opioid abuse within 3 years. So, it's important to talk to your doctor and health care providers about your treatment and your goals. Your doctor or health care provider is best able to guide your treatment decisions based on your specific circumstances.
For more specific information, consult with your doctor or local pharmacist for guidance based on your health status and current medications, particularly before taking any action. Sarah Lewis, RPh, PharmD. A: Methadone is a narcotic pain reliever, similar to morphine. Long-term use of narcotic pain relievers can lead to tolerance. Tolerance is the need for more medicine to achieve the same pain relief. It is different from addiction, which is when pain is under control, but the person irrationally wants more medication. Consult your health care provider to discuss concerns about long-term use.
Common side effects may include feeling anxious, nervous, or restless; insomnia; feeling weak or drowsy; and dry mouth, nausea, vomiting, diarrhea, constipation, loss of appetite. Call your doctor at once if you have any of these serious side effects: shallow breathing; hallucinations or confusion; chest pain, dizziness, fainting, fast or pounding heartbeat; or trouble breathing, feeling light-headed, or fainting. You may also find helpful information at //www.everydayhealth.com/drugs/methadone. Sarah Lewis, PharmD. A: Methadose (methadone) is a narcotic pain reliever similar to morphine.
Methadone is prescribed for pain and also drug addiction detoxification. Methadone also is used to reduce withdrawal symptoms in people addicted to heroin or other narcotic drugs without causing the 'high' associated with the drug addiction. Methadone is used as a pain reliever and as part of drug addiction detoxification and maintenance programs. Methadone can be taken with or without food but exactly as prescribed. Common side effects with methadone include sedation, nausea, dizziness, and lightheadedness.
Other side effects with methadone include abdominal pain, loss of appetite, constipation, dry mouth and tongue swelling. Methadone may cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Methadone with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Do not drink alcohol or use medicines that may cause drowsiness Methadone dosing is usually highly individualized. A patient's prior analgesic treatment experience should be taken into account when dosing Methadone. Also, the daily dose, severity of the pain, the patient's degree of opioid tolerance, and age and medical status of the patient should be taken into account. The complexities associated with Methadone dosing can contribute to cases of overdose.
A high degree of opioid tolerance dose not eliminated the possibility of Methadone overdose. Consult with your healthcare provider if the Methadone is not adequately controlling the pain. Do not take more medication or abruptly stop a medication without first consulting with the healthcare provider. Your doctor may be able to give guidance on an appropriate pain therapy.
Kimberly Hotz, PharmD. About Drugs A-Z Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place.
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