It is cost effective and easier to distribute and monitor. It does sound to me like you're almost overdosing...but I don't know how long you've been on it, what your highest dose was...etc. what I do know is if I had taken 64 mg at once, I would've probably OD'd! Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).
However, traces of it will still be detected in your urine for up to three weeks or longer. The COWS evaluates the presence & severity of various withdrawal symptoms (like nausea, chills, sweating, tremor, restlessness, etc).
BUT, when you are taking something as strong as methadone, I think you should clear EVERYTHING -- all vitamins, supplements, OTCs, everything -- with your prescribing physician/program. When prescribing this drug for pain, might be best to consider all patients opioid naive; limit dose adjustments to once a week to allow steady state levels to develop.
The difference between these is the formula of inactive ingredients that they use. Read More » Search Treatment Facilities » Methadone Treatment Facts The U. This makes it easier to manage the addiction and helps to get the person off narcotics.
The medication is monitored by nursing staff and is prescribed by a physician. Some medicines can interact with methadone and cause a serious condition called serotonin syndrome. Here is a page that covers it: Scroll down to "Test Standards and Accuracy" and scroll down and you will see the relevant info. Revised Mar 2016 Side Effects & Drug Interactions SIDE EFFECTS Heroin Withdrawal During the induction phase of methadone maintenance treatment, patients are being withdrawn from heroin and may therefore show typical withdrawal symptoms, which should be differentiated from methadone-induced side effects. However, in other cases, deaths appear to have occurred due to the respiratory or cardiac effects of methadone and too-rapid titration without appreciation for the accumulation of methadone over time.
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