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It is also possible to do this on your own, but not recomended because opiate addiction is exstreamly difficult to control by yourself. Methadone can be taken with or without food but exactly as prescribed. Patients discontinuing breastfeeding should develop a plan to wean with the baby's healthcare team. Read More Hi, I just want to echo what mrmichael said about methadone clinics, that some are good and some not as good. They milk off your addiction and act like they are doing something good for people like me.

The severity of the symptoms is directly proportional to the dose and duration of the methadone therapy. Methadone is affective when taken on once, twice, maybe 3 times a day, but no more than 30mg at a time,. It just depends on what dose keeps you from craving and having withdrawal symptoms. Most people who walk onto a methadone clinic get a starting dose around 20 or 30mg's a day. A retrospective series of 101 pregnant, opiate-dependent women who underwent inpatient opiate detoxification with methadone did not demonstrate any increased risk of miscarriage in the second trimester or premature delivery in the third trimester. An important part of treatment for addiction is counseling.

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There is no consensus on the appropriate management of infant withdrawal. The COWS evaluates the presence & severity of various withdrawal symptoms (like nausea, chills, sweating, tremor, restlessness, etc).

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The appropriate methadone dosage is a popular topic among patients in opioid treatment programs. Methadone is an opioid agonist, which means it binds to the opioid receptors in the brain and activates them, leading to pain relief.

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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. Bupe is by itself an Opiate and is used as part of what is known as the Harm Reduction Model with Opiate Replacement Therapy. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Incidence not known Absent, missed, or irregular menstrual periods anxiety blurred or loss of vision confusion about identity, place, and time constipation decreased interest in sexual intercourse disturbed color perception double vision false or unusual sense of well-being halos around lights inability to have or keep an erection irritability lack or loss of strength loss in sexual ability, desire, drive, or performance night blindness overbright appearance of lights redness, swelling, or soreness of the tongue restlessness stopping of menstrual bleeding tunnel vision weight changes welts For Healthcare Professionals Applies to methadone: compounding powder, injectable solution, oral concentrate, oral solution, oral tablet, oral tablet dispersible Nervous system Common (1% to 10%): Sedation, drowsiness Frequency not reported: Headache, seizures, confusion, disorientation, lightheadedness[Ref] Cardiovascular Cases of QT interval prolongation and Torsades de pointes have occurred during treatment; these cases appear to be more commonly associated with higher dose treatment (greater than 200 mg per day). Concomitant use with CNS depressants: -Assess the appropriateness of concomitant use -If the decision is made to begin this drug: Initial dose: 2. If you do not see your city or town specifically, it may be best to choose the one that is closest to you. Clinics require attendance at counseling groups as well as individual counseling contacts. The action of methadone in maintenance treatment is limited to the control of narcotic withdrawal symptoms and is ineffective for relief of general anxiety. Due to its activity at the NMDA receptor, it may be more effective against neuropathic pain; for the same reason, tolerance to the analgesic effects may be less than that of other opioids.[18][19] People with long-term pain will sometimes have to perform so-called opioid rotation.[20] Opioid rotation involves switching from one opioid to another, usually at intervals of between a few weeks, or more commonly, several months. Methadone is contraindicated in any patient who has or is suspected of having a paralytic ileus.

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