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It is easy to reduce dosages, and it can be used safely in relatively high doses, which makes it a good option for what's usually called methadone maintenance therapy (MMT). Usual Adult Dose for Chronic Pain Individualize dose; dosing recommendations should only be considered as suggested approaches to what is actually a series of clinical decisions over time in the management of the pain of each individual patient; this drug has a narrow therapeutic index, especially when combined with other drugs; monitor patients closely for respiratory depression, especially within the first 24 to 72 hours of initiating therapy.

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But, I 've been wanting to come off for awhile now, but I'm terrified I've haven't been sober in 5 yrs! After the first one, the dosage amount can be gradually scaled up by 5-10 mg every three days.

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The focus of these clinics is the elimination or reduction of opioid usage by putting the patient on methadone which is a long acting opioid. Renal Dose Adjustments Renal impairment: Start at the low end of the dosing range using longer dosing intervals and titrate slowly; closely monitor for signs of respiratory and CNS depression. Short-Term Side Effects Although carefully monitored dosages of methadone are legally and medically acceptable, methadone is still an opioid agonist drug like heroin or opium. Others Monoamine Oxidase (MAO) Inhibitors Therapeutic doses of meperidine have precipitated severe reactions in patients concurrently receiving monoamine oxidase inhibitors or those who have received such agents within 14 days.

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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. Most cases involve patients being treated for pain with large, multiple daily doses of methadone, although cases have been reported in patients receiving doses commonly used for maintenance treatment of opioid addiction. Effectiveness[edit] While methadone clinics are generally considered to be effective treatment options for patients addicted to opioids, especially when other interventions have failed, there is controversy surrounding the placement of methadone clinics. Store at room temperature away from moisture and heat. S Food and Drug Administration by visiting //www.fda.gov/Safety/MedWatch/default.htm or by calling 1-800-FDA-1088. The methadone maintenance treatment program must be approved by the state and federal governments and must treat patients according to specific federal and state laws and must be accredited. Other side effects that may commonly occur include anxiety, nervousness, restlessness, insomnia, weakness, drowsiness, dry mouth, nausea, vomiting, diarrhea, constipation, and decreased sex drive. I've been on maintenance for almost 2 months, and I take 1 8 mg tab in the a.m. and 1 8 mg tab in the p.m. Clinics require attendance at counseling groups as well as individual counseling contacts. Prescribed methadone greatly reduces the risk of overdose.Itʼs possible that these automated requests were sent from another user on your network.

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