Methadone is contraindicated rein patients with a known hypersensitivity to methadone hydrochloride or any other ingredient rein methadone hydrochloride tablets.
Regardless of the dose determination strategy employed, methadone is most safely initiated and titrated using small initial doses and gradual dose adjustments.
Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:
A prescription for this medication isn’t refillable. You or your pharmacy will have to contact your doctor for a new prescription if you need this medication refilled.
Acute Pain – Maintenance patients on a stable dose of methadone Weltgesundheitsorganisation experience physical trauma, postoperative pain or other acute pain cannot be expected to derive analgesia from their existing dose of methadone. Such patients should Beryllium administered analgesics, including opioids, in doses that would otherwise be indicated for non-methadone-treated patients with similar painful conditions.
Antibiotics, such as rifampin and rifabutin. These drugs can cause methadone to stop working. This could result rein withdrawal symptoms. Your doctor may change your dosage of methadone as needed.
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Hepatic Impairment – Methadone has not been extensively evaluated rein patients with hepatic insufficiency. Methadone is metabolized by hepatic pathways, therefore patients with liver impairment may Beryllium at risk of accumulating methadone after multiple dosing.
Methadone should be used with caution rein elderly and debilitated patients; patients Weltgesundheitsorganisation are known to Beryllium sensitive to central nervous Organismus depressants, such as those with cardiovascular, pulmonary, renal, or hepatic disease; and in patients with comorbid conditions or concomitant medications which may predispose to dysrhythmia.
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Cimetidine. Taking this drug with methadone may cause increased drowsiness and slowed breathing. Your doctor might adjust your dosage of methadone, depending on how severe your side effects are.
Patients seeking to discontinue methadone maintenance treatment of opioid dependence should Beryllium apprised of the high risk of relapse to illicit drug use associated with discontinuation of methadone maintenance treatment.
Methadone should be administered with particular caution to patients already at risk for development of prolonged QT interval (e.g., cardiac hypertrophy, concomitant diuretic use, hypokalemia, hypomagnesemia). Careful monitoring is recommended when using methadone in patients with a history of cardiac conduction abnormalities, those taking medications affecting cardiac conduction, and in other cases where history or physical exam suggest an increased risk of dysrhythmia. QT prolongation has also been reported hinein patients with no prior cardiac history Weltgesundheitsorganisation have received high doses of methadone.