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Methadone For Pain

Methadone


Switch pain patients to methadone with caution.(Pain Medicine): An article from: Clinical Psychiatry News [H] [T] [M]

Jane Salodof MacNeil (Digital) Thomson Gale 2006-12-01
Release date: 2007-01-10


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Answers

is it normal to have a low pulse while taking methadone pain medication ?

I have been taking this med for years. I have a new doc. and the first thing he said was that he was going to take away some of my pain meds because of the low pulse. Should I be looking in other areas for my answer ?


It's a fairly common side-effect but something that should be monitored.

Pain Management North - Methadone for Pain


Many people know that methadone is used to treat heroin addiction, but did you also know that it's a very effective medication for the ...

Can methadone be used to help someone get off pain pills, how does it work if methadone is also used for pain?

My fiance is addicted to pain pills. We have talked about getting her some help from a methadone clinic. I have researched methadone, and from what I am seeing, some people use methadone for pain relief, and some people have even gotten addicted to it. How is this helping a person who is trying to get off pain pills, if their taking something that they could also get addicted to?


My father was put on methodone in an effort to "wean" him off of oxycontin. He got off the oxcyontin but became horribly addicted to the methodone. The next step was to wean him off of the methodone. The substitute they gave him for pain relief did not work, withdrawl from the methodone made him severly depressed. He committed suicide. Please don't let her take methodone.

What are alternatives to methadone for pain?

I had shingles in 2003 and it caused nerve damage (phn). I take about four or five 5mg doses of methadone a week to control the intense pain in the trigeminal nerve in my face. I am afraid of becoming addicted to this drug. Loritab does me no good at all. Has anyone had this experience. I have a physician that will prescribe methadone but I would really like to get away from it and him. My family physician can write lesser painkillers but I absolutely don't know which way to go. Are pain management doctors usually effective?


the key to pain meds, like methadone, is that if you have pain, and use the medication for that purpose, you do not become addicted. Addiction occurs when you don't need the med for pain and you only use it to get high, then you become dependant on the stuff. If the methadone works for you, then be grateful, because many meds will not work on neuralgia like yours.

Anybody out there on methadone for pain management due to herniated disks?

My son has herniated and bulged disks due to automobile accident. He became addicted to narcotic medication that was given to control his pain. Went through detox but doctor wants him to go to methadone clinic to manage his pain. He completed detox 3 weeks ago and has had no narcotic pain pills since, but today started on the methadone program. I am having a hard time understanding this, can anyone give me insight from personal experience?


I took methadone for pain in my hand (I had a flesh eating bacteria in my hand and lost one finger.) They had been giving me large doses of pain meds in the hospital, and I slowly built up a tolerance to them. Methadone is an excellent pain releiver, but it is something to respect also. It is potent and if he already has an addictive personality he should be aware that someone will monitor how much he is taking. If he is going through a clinic, they will only give him what he needs for a set period, to prevent him from abusing it. Remind him not to take it with any other narcotic he may have or sleeping pills and absolutely no alcohol. Evidently he is being given the methadone through a program, because of his previous addiction to the other narcotic meds, and this is a very good idea. The program should only give him small doses and he will not be able to get more than he should be taking. That is probably why his doctor decided to go this route. The methadone program will treat his pain, it is not being used to detox him from the previous narcotics. He needs to also be aware that if he goes to any hospital, he absolutely must tell the doctors and staff that he is on methadone, so they do not give him anything to interfer with his treatment. Good Luck and I hope this helped.

What are common negative effects of Methadone for pain after a while?

I have been taking methadone for IP (Intractible Pain) for a while and wanted to know if the negative side effects I am experiencing, along with the fact that it is not working properly is normal- PLEASE LET ME KNOW


here is what I found:
Side effects associated with methadone are similar to those incurred with other mu-opioid agonists, including pruritus, nausea, constipation, confusion, sedation, and respiratory depression. Excess sweating (diaphoresis) and flushing are common with oral methadone dosing. Caution should be taken with initiation of therapy and dosage increases because severe toxicities may not become apparent for two to five days. In a study of patients converted to methadone therapy in an outpatient setting, 20 of 29 participants experienced some degree of toxicity, most frequently mild drowsiness, during initial titration.29 Side effects such as sedation and respiratory depression are increased when methadone is combined with alcohol or other drugs. An Australian study30 found benzodiazepines present in 74 percent of deaths related to methadone and urged particular caution when methadone was prescribed with benzodiazepines.

As far as effectiveness, Unlike morphine, it usually is not necessary to adjust the dosage of methadone in patients with renal insufficiency. The duration of analgesia is approximately three to six hours when methadone therapy is initiated, and this duration typically extends to eight to 12 hours with repeated dosing. In a study of cancer patients, an average of 2.4 doses per day was required to maintain adequate pain control.

Hope this helps. http://www.aafp.org/afp/20050401/1353.ht ml


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    I am 37, married, and have great kids. I have had back problems for 8 years, and in the past year have had 3 surgeries. The last one was less then a month ago, and I feel that it likely is another failure. I am hurting badly. I have been taking hydrocodone legitimately for pain for about 3 years. I didn't want to take them in the first place because I knew, for me, addiction was inevitable. I took them anyway because it was the only way for me to live a somewhat normal life. I was handicapped without them. Despite the pain I am ready to be off them. In the past I have taken up to 15 or so a day, but as of now I am down to 6 10's a day. I feel like **** most of the time, and tapering puts me in a state of up and down that is mentally wearing me down. Between the severe pain, near constant withdrawals, and my depression about my situation, I am really struggling. It's pure hell in the beginning (and I've had many "beginnings"), I'm ready now to reach the end (for good)...

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