Methadone can cause slow or shallow breathing and dangerous changes in heartbeat that may not be felt by the patient." The advisory urged that physicians use caution when prescribing methadone to people who are not used to the drug and that people take the drug exactly as directed.[23] Adverse effects of methadone include:[citation needed] Sedation Diarrhea[24] or constipation[24][25] Flushing[25] Perspiration[25] and sweating[25] Heat intolerance Dizziness[24][26][27] or fainting[24][26][27] Weakness[25] Chronic fatigue, sleepiness[25] and exhaustion Sleep problems such as drowsiness,[24] trouble falling asleep (Insomnia),[25][26] and trouble staying asleep[25] Constricted pupils Dry mouth[24][25] Nausea[24][25] and vomiting[24][25] Low blood pressure Hallucinations[24][26] or confusion[24][26] Headache[25] Heart problems such as chest pain[24][26] or fast/pounding heartbeat[24][26][27] Abnormal heart rhythms[27][28] Respiratory problems such as trouble breathing,[24][26] slow or shallow breathing (hypoventilation),[24][26] light-headedness,[24][26][27] or fainting[24][26] Loss of appetite,[24][25] and in extreme cases anorexia Weight gain[25] Memory loss Stomach pains[25] Itching Difficulty urinating[25] Swelling of the hands, arms, feet, and legs[25] Feeling restless[24] or agitated Mood changes,[25] euphoria, disorientation Nervousness[24] or anxiety[24][26] Blurred vision[25] Decreased libido,[24][25] missed menstrual periods,[25] difficulty in reaching orgasm,[24] or impotence[24][25] Skin rash Seizures Central sleep apnea Withdrawal symptoms[edit] Physical symptoms[citation needed] Lightheadedness[29] Tearing of the eyes[29][30] Mydriasis (dilated pupils)[29] Photophobia (sensitivity to light) Hyperventilation syndrome (breathing that is too fast/deep) Runny nose[30] Yawning Sneezing[30] Nausea,[29][30] vomiting,[29][30] and diarrhea[29] Fever[30] Sweating[29] Chills[30] Tremors[29][30] Akathisia (restlessness) Tachycardia (fast heartbeat)[30] Aches[29] and pains, often in the joints or legs Elevated pain sensitivity Blood pressure that is too high (hypertension, may cause stroke) Cognitive symptoms[citation needed] Suicidal ideation Susceptibility to cravings[29] Depression[29] Spontaneous orgasm Prolonged insomnia Delirium Auditory hallucinations Visual hallucinations Increased perception of odors (olfaction), real or imagined Marked decrease or increase in sex drive Agitation Anxiety[29] Panic disorder Nervousness[29] Paranoia Delusions Apathy Anorexia (symptom) Methadone withdrawal symptoms are reported as being significantly more protracted than withdrawal from opioids with shorter half-lives. It just depends on what dose keeps you from craving and having withdrawal symptoms.
Although methadone has been administered on a wide scale and quite safely for decades within the United States, it remains a polarizing and controversial treatment for opiate addiction – but much that is widely believed about methadone side effects is not true. NMDA antagonists such as dextromethorphan (DXM), ketamine (a dissociative anaesthetic), tiletamine (a veterinary anaesthetic) and ibogaine (from the African tree Tabernanthe iboga) are being studied for their role in decreasing the development of tolerance to opioids and as possible for eliminating addiction/tolerance/withdrawal, possibly by disrupting memory circuitry. If side effects, such as weight loss or loss of appetite, become severe or bothersome, talk to your doctor for specific recommendations. The COWS evaluates the presence & severity of various withdrawal symptoms (like nausea, chills, sweating, tremor, restlessness, etc). However if this had happened to me I'd probably contact the pharmacy where I got it filled at and verify that the drug and dosage are correct.
A 2004 GAO study notes that placement of clinics can impede recovery and exacerbate relapse: “Although these clinics are intended to help those in need of rehabilitation, patients who seek treatment must navigate their way to and from the clinics in an environment in which illegal sales of narcotics are daily occurrences. What is the methadone equivalent to 180 mg of oxycodone?
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. Anxious or nervous feeling Trouble getting to sleep Drowsiness Weak feeling Nausea Vomiting Dry mouth Constipation Diarrhea Loss of appetite Impotence Decreased sex drive There are other side effects that are considered to be more serious. If you are taking methadone to control pain, your pain may return before it is time for your next dose of methadone. Cases of QT interval prolongation and serious arrhythmia (torsades de pointes) have been observed during treatment with methadone. Do not take more medication or abruptly stop a medication without first consulting with the healthcare provider. However, the truth it is a much maligned medication.
LIFE-THREATENING RESPIRATORY DEPRESSION: Serious, life-threatening, or fatal respiratory depression may occur. Read more 1 doctor agreed: 12 12 I am in Saranac Lake, NY lookin for a suboxone DR around my area my zip is 12983 willing to travel 80 miles or less PLEASE HELP!!! Special-Risk Patients Methadone should be given with caution, and the initial dose reduced, in certain patients such as the elderly and debilitated, and those with severe impairment of hepatic or renal function, hypothyroidism, Addison's disease, prostatic hypertrophy, or urethral stricture. A 2009 Cochrane review found methadone was effective in retaining people in treatment and in the reduction or cessation of heroin use as measured by self-report and urine/hair analysis but did not affect criminal activity or risk of death.[15] The treatment of opioid-dependent persons with methadone will follow one of two routes.[citation needed] Methadone maintenance therapy (MMT) usually takes place as an outpatient. Patients seeking to discontinue treatment with methadone for opioid dependence should be apprised of the high risk of relapse to illicit drug use associated with discontinuation of methadone maintenance treatment. Farbenkonzern at the Farbwerke Hoechst were confiscated by the U. However, metabolism rates vary greatly between individuals, up to a factor of 100,[48][49] ranging from as few as 4 hours to as many as 130 hours,[50] or even 190 hours.[51] This variability is apparently due to genetic variability in the production of the associated cytochrome enzymes CYP3A4, CYP2B6 and CYP2D6. Misuse, Abuse, And Diversion Of Opioids Methadone is a mu-agonist opioid with an abuse liability similar to that of morphine and other opioid agonists and is a Schedule II controlled substance. For additional information regarding methadone or weight management you may want to visit our Web site: //www.everydayhealth.com/drugs/methadone. 1% to 1%): Antidiuretic effect[Ref] Hematologic Frequency not reported: Reversible thrombocytopenia, lymphocytosis[Ref] Reversible thrombocytopenia has been described in opioid addicts with chronic hepatitis.[Ref] General The major adverse reaction of this drug is respiratory depression; to a lesser degree, systemic hypotension, respiratory arrest, shock, cardiac arrest, and death have occurred. The private clinics are more expensive to attend but usually have either a short or no waiting list.
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