who can prescribe methadone

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Maintenance treatment of opioid addiction (heroin or other morphine-like drugs), in conjunction with appropriate social and medical services.Methadone products used for the treatment of opioid addiction in detoxification or maintenance programs are subject to the conditions for distribution and use required under 42 CFR 8.12 Failure to abide by the requirements in these regulations may result in criminal prosecution, seizure of the drug supply, revocation of the program approval, and injunction precluding operation of the program.Methadone hydrochloride tablets should be prescribed only by healthcare professionals who are knowledgeable in the use of potent opioids for the management of chronic pain.Consider the following important factors that differentiate Methadone from other opioid analgesics:Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals Initiate the dosing regimen for each patient individually, taking into account the patient’s severity of pain, patient response, prior analgesic treatment experience, and risk factors for addiction, abuse, and misuse Monitor patients closely for respiratory depression, especially within the first 24 to 72 hours of initiating therapy and following dosage increases with Methadone hydrochloride tablets and adjust the dosage accordingly Initiate treatment with Methadone hydrochloride tablets with 2.5 mg orally every 8 to 12 hours.Discontinue all other around-the-clock opioid drugs when Methadone hydrochloride tablets therapy is initiated.

Serotonergic drugs include selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), triptans, 5-HT3 receptor antagonists, drugs that affect the serotonergic neurotransmitter system (e.g., mirtazapine, trazodone, tramadol), and drugs that impair metabolism of serotonin (including MAO inhibitors, both those intended to treat psychiatric disorders and also others, such as linezolid and intravenous methylene blue) Cases of adrenal insufficiency have been reported with opioid use, more often following greater than one month of use. If the prescriber is licensed and does not have a condition on their licence restricting them from prescribing controlled drugs and substances, the pharmacist can dispense the medication. Any clinician who has a Schedule II DEA license to administer prescription drugs qualifies as one who can prescribe methadone.Methadone’s addiction potential carries the same grave consequences as any other type of opiate-based drug. As one of the few program types who can prescribe methadone, medical maintenance programs dispense prescriptions for take-home purposes and also provide needed medical treatment in cases where addicts also struggle with chronic medical conditions.Along with its use as an opiate addiction treatment, methadone can also be used to treat conditions involving chronic pain symptoms. This may result in reduced efficacy of Methadone hydrochloride tablets and could precipitate a withdrawal syndrome.Monitor Methadone-maintained patients receiving any of these anti-retroviral therapies closely for evidence of withdrawal effects and adjust the Methadone dose accordingly.Neonatal opioid withdrawal syndrome (NOWS) is an expected and treatable outcome of prolonged use of opioids during pregnancy A review of published data on experiences with Methadone use during pregnancy by the Teratogen Information System (TERIS) concluded that maternal use of Methadone during pregnancy as part of a supervised, therapeutic regimen is unlikely to pose a substantial teratogenic risk (quantity and quality of data assessed as "limited to fair"). The peak respiratory depressant effect of Methadone occurs later, and persists longer than the peak analgesic effect. Neither MethadoneClinic.com nor AAC receives any commission or other fee that is dependent upon which treatment provider a visitor may ultimately choose.For more information on AAC’s commitment to ethical marketing and treatment practices, or to learn more about how to select a treatment provider, visit our About AAC page. Monitor patients for signs and symptoms of opioid withdrawal or for signs of over-sedation/toxicity after converting patients to Methadone hydrochloride tablets.Use a conversion ratio of 1:2 mg for parenteral to oral Methadone (e.g., 5 mg parenteral Methadone to 10 mg oral Methadone).Individually titrate Methadone hydrochloride tablets to a dose that provides adequate analgesia and minimizes adverse reactions. Talk to your pharmacist or treatment provider if you have questions.Women who are pregnant or breastfeeding may take methadone. The information available does not identify any particular opioids as being more likely to be associated with adrenal insufficiency.Methadone hydrochloride tablets may cause severe hypotension including orthostatic hypotension and syncope in ambulatory patients. The balance between the risks of NOWS and the benefits of maternal Methadone hydrochloride tablets use may differ based on the risks associated with the mother’s underlying condition, pain, or addiction.

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who can prescribe methadone

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