Methadone
Methadone prescribing is tricky, experts warn.(Neurology): An article from: Internal Medicine News [H] [T] [M]
Jane Salodof MacNeil (Digital) Thomson Gale 2006-12-01
Release date: 2008-01-04
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I am looking for a physician who will prescribe Methadone. I am addicted to Morphine due to the careless prescribing of it for pain management. I have now lost medical insurance. I have a low income due to my lay off. I need a doctor who will prescribe Methadone in the Royal Oak area. If any one knows of one I will appreciate it. I could also use a low cost clinic.
You can easily check your minimal health care rates in internet, for example here - healthquotes.awardspace.info
Neil McKeganey argues that methadone has created a dependence problem on the scale of the heroin which it replaced. Professors Stanton Peele and ...
or does it just create it's own set of problems. What do you see a solution to the Heroin problem in Britain?
people get ie, take it then 1 week later when they have the cash back on the hard stuff, its just so pointless
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It sounds like just another Opium based painkiller. Wouldn't prescribing Methadone be the same as prescribing Oxycodone or Morphine to treat addiction? How is it different?
The reason I'm interested is because I used to be addicted to Oxycodone and Codeine. "Just quitting" always sounds easy until you're addicted to something. But I agree, I know people who get high on Methadone just as they do with other Opiates, and Methadone is/was also used as a painkiller. So prescribing Methadone to treat addiction is something I find strange.
i know someone who is taking methadone. at first it was to help his addiction but now he just takes it to get high. i don't really see the point in it. i think it is suppose to just narrow you down to one pill instead of several, but i don't think it works the way that it is suppose to. don't get me wrong it may help you. this is just my OPINION on it because a lot of people will buy methadone "on the streets" to get high. best of luck to you!
I have a son who is in a methadone program. He cannot travel and spend time away from home because he has to go to the clinic every day to pick up his methadone. How do I go about finding a physician in my area who will prescribe methadone for him so that he can travel or even come home to live ( the nearest clinic to my home is an hours drive away )
If you live in the US, this is strictly illegal. You will not find a doctor who will do this in this country. A doctor can prescribe methadone for pain management, or prescribe opiates for a short-term medical detox, but this doesn't really help you.
If your son is compliant with his methadone program, he'll start getting take-home doses as quickly as a few months. This will allow him to travel: he just needs to avoid skipping days and pass his drug screens. The exact rules vary by state, but the number of days you can take home build up and generally after a year or two of good behavior you only have to go once a month.
There is, in most places, something called "hardship" dosing. You can sometimes set up a program where you go once a week to the clinic and get a take-home supply. Then you have to coordinate with a nearby program that does monitoring and provides the necessary addiction treatment.
If your son just wants to take a trip and he's been in the program for a while, there's also something called "exception" dosing. This will let the clinic give him a one-time set of doses to take with him during the trip. The rules on this vary by state, but it's usually for patients who have been there long enough for take-home doses but haven't been compliant enough to get them.
There is another drug called buprenorphine that a doctor can prescribe for opiate dependency on an outpatient basis. If your son wants to come live with you, he could find a doctor in your town and set up a treatment. This is usually pretty expensive compared to methadone, and switching from methadone requires you to go about three days into detox from methadone or it will make you very sick. Some buprenorphine doctors refuse to take methadone patients for this reason.
Also, it's really important that you treat the addiction in addition to the chemical dependency on opiates. An outpatient buprenorphine program typically doesn't include any addiction treatment, just a chemical dependency treatment. This puts a higher burden on your son to get treatment himself.
If you want to try buprenorphine, check out http://buprenorphine.samhsa.gov/bwns_loc ator/ and talk to some of the local doctors. You could also call your local clinic about hardship dosing.
Good luck to your son. Methadone treatment can help you switch off the dangerous and highly disruptive short-acting opiates, but dealing with the addiction and mental health issues that led him there takes a lot of work. For this reason, people generally stay on methadone for years before they are ready to stop. The chemical dependency is the easy part of this situation.
I work at a good job that I just started a month ago. It involves driving a pallet jack on occasions.They told me that I couldn't drive a forklift because I take Methadone. My boss came and told me that last night would be my last night in that department. He said to call Monday to find out what they will do to me.Can they fire me because I take medication?
Of course they can fire you. They write the checks and can stop writing them. The question is "Do you have a legal basis to sue them for damages or other remedy if they do fire you?" That would require you showing that they violated some legal right you have, The most obvious is rights you have under the Americans with Disabilities Act (assuming you are in the USA). This act requires employers to make reasonable accommodations for employees with disabilities. If you misled them on your application (did not disclose your methadone use when you should have) that may limit your rights. If they hired you with knowledge that you were on methadone, that may enhance your rights. It really comes down to the local judge making the call. I can tell you that there is a huge difference in the way the law is interpreted by federal judges in New York versus Louisiana. It is even still an issue of some debate as to whether narcotic dependence is a medical disability. So sorry, I can't really give you an answer except to say yes, they can fire you, but you may be able to successfully sue them for remedies. You would have to talk to a local employment law attorney to get a better answer.
How better methadone prescribing has saved more than 2500 lives ...
What do these figures mean in terms of lives saved? If the death rates achieved in Scotland between 2001 and 2008 had applied in 1993 to 2000, then 36.3 methadone-only drug-related deaths (95% CI: 30.3 to 42.3) would have been expected rather than the 117 observed. Even allowing for random variation, which gives a 97.5 per cent upper bound of 55 on actual deaths, 62 potentially-preventable methadone-only Scottish deaths occurred between 1993 and 2000. Implicitly we are, of course, assuming that heroin overdose fatality would not otherwise have been their inevitable fate. And so our conservative estimate is that some 1,000 methadone-only deaths that might have been prevented occurred in the UK between 1993 and 2000. These deaths are a potent reminder that changes to the manner and quality of methadone prescribing can have beneficial, or lethal, consequences for drug users and others who use methadone that was not prescribed for them.
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