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When treating patients with methadone, an individualized benefit to risk assessment should be carried out and should include evaluation of patient presentation and complete medical history. The clinical operations of the clinic are often housed in a hospital setting, although this is not required by U.

It should only be taken as prescribed by a physician. Methadone can cause weight loss or weight gain in some patients. To date, methadone maintenance therapy has been the most systematically studied and most successful,[citation needed] and most politically polarizing,[citation needed] of any pharmacotherapy for the treatment of people with drug addiction.

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If opioid use is required for a prolonged period in a pregnant woman, advise the patient of the risk of neonatal opioid withdrawal syndrome and ensure that appropriate treatment will be available. Smoking it gives no significant rush or high and if anything your losing precious milligrams. 1% to 1%): Pulmonary edema, exacerbation of asthma, dry nose, respiratory depression Frequency not reported: Pulmonary edema[Ref] Renal Uncommon (0.

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Monitoring: -Monitor closely for respiratory depression, especially within the first 24 to 72 hours of initiating therapy and following dose increases. -Monitor regularly for the development of addiction, abuse, and misuse. -Monitor for signs of hypotension upon initiating therapy and following dose increases, especially those whose blood pressure is compromised. -Monitor for signs and symptoms of QT prolongation, if used in at-risk patients or concomitantly with drugs that prolong the QT interval, consider monitoring ECG and electrolytes at baseline and periodically during treatment. -During the induction phase as patients are being withdrawn from illicit opioids, monitor of opioid withdrawal symptoms such as lacrimation, rhinorrhea, sneezing, yawning, excessive perspiration, goose-flesh, fever, chilling, irritability, weakness, anxiety, depression, dilated pupils, tremors, tachycardia, abdominal cramps, body aches, involuntary twitching, anorexia, nausea, vomiting, diarrhea, intestinal spasms. If you are experiencing swelling or fluid retention or buildup, contact your doctor for proper evaluation. Adverse effects include sedation, hypoventilation, constipation and miosis, in addition to tolerance, dependence and withdrawal difficulties. A sudden stop in usage could lead to several withdrawal symptoms. The patient must, therefore, be monitored continuously for recurrence of respiratory depression and may need to be treated repeatedly with the narcotic antagonist. Many people have successfully overcome their addiction by using methadone during detoxification and maintenance programs.

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Cases of QT interval prolongation and serious arrhythmia (torsades de pointes) have been observed during treatment with methadone. It is important to note that you should never take this prescription medication unless you have the consent of a medical professional. A common term for the type of treatment at a methadone clinic is "replacement therapy". Many people have successfully overcome their addiction by using methadone during detoxification and maintenance programs. Methadone was first manufactured in the US by Eli Lilly, who obtained FDA approval on August 14, 1947, for their Dolophine 5 mg and 10 mg Tablets. Medicaide is offered in every state, but the acceptance criteria are often difficult to meet. 3 doctors agreed: Look them up?: Although methadone clinics are not the most commonly advertised entities on TV or radio I am sure you can Google them via the Internet and I am sure you will find something in your area. I came down 10mg a month until 80mg then 5mg a month until 20mg, then 1mg a week, I am down to 11mg and I feel fine! They come in 5, 10, and 40mg tablets and also liquid form.

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