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Facts About
Methadone
The following information is only intended to provide you with common
knowledge about Methadone. After reading this, you may consult your
counselor or the nursing staff if you have any questions or comments.
Methadone is a narcotic agonist. This means that methadone works
in specific areas in your brain and spinal system to reduce/eliminate
the effects of the opiates, ("pain pills" or heroin) that
you take. Methadone is a medication. It is not a "miracle cure,"
but if used appropriately, can significantly after the life someone
suffering from opiate addiction for the better.
The clinic physician prescribes methadone to relieve opiate withdrawal
symptoms and reduce the cravings for opiates. Studies have shown
that if withdrawal symptoms and cravings are reduced with methadone,
people suffering from opiate addiction can effectively engage in
rehabilitative activities such as working, taking care of their
families and enjoying social activities. Methadone does not relieve
cravings for drugs other than opiates.
Therapeutic Dose
When used in proper doses in maintenance treatment, methadone does
not create
euphoria, sedation or an analgesic effect. To reach a therapeutic
dose, you will work closely with the medical staff and your counselor
on adjusting your dose to meet you individualized needs. To achieve
this therapeutic dose, it is very important that you dose daily.
Missed doses can lead to opiate withdrawal and cravings and lead
to relapse.
The liver metabolizes (breaks down and processes) methadone, but
methadone does not "harm" the liver. Methadone is actually
much easier for the liver to metabolize than many other types of
medications.
Methadone does not damage the immune system. In fact, several studies
suggest that HIV-positive people who are taking methadone are healthier
and live longer then those who are still using illicit opiates.
Possible side effects and adverse reactions
People have been taking methadone for more than 30 years, and there
has been no
evidence that long-term use causes any physical damage. Some people
do suffer some side effects from methadone—such as constipation,
increased sweating and dry mouth- but these usually go away over
time or with dose adjustments. Other effects, such as menstrual
abnormalities and decreased sexual desire, have been reported by
some people but have not been clearly linked to methadone use. Adverse
reactions are rare, but can occur such as an allergic reaction,
excessive sedation ("too sleepy") or respiratory distress
(problems breathing). Methadone is used for replacement therapy.
The addiction/chemical dependency already existed in your body before
methadone was administered. Thus, you will develop a physical dependence
on methadone and treatment should not be discontinued abruptly and
without medical supervision.
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