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Methadone Teachback
Michelle Kosinski


Opioids
 Opioids are medications that relieve pain
 Reduce the intensity of pain signals reaching the

brain and affect those brain areas controlling
emotion, which diminished the effects of a painful
stimulus
 Medications include
 hydrocodone (Vicodin), oxycodone (OxyContin,

Percocet), morphine (Kadian, Avinza), codeine, and
others
Opioid Effects
 Acute Effects
 euphoria; drowsiness; impaired coordination;

dizziness; confusion; nausea; sedation; feeling of
heaviness in the body; slowed or arrested breathing
 Health Risks
 constipation; endocarditis; hepatitis; HIV; addiction;

fatal overdose
Methadone Uses
 Used to relieve moderate to sever pain that has not

been relieved by non-narcotic pain relievers
 Is an opioid analgesic

 Prevent withdrawal symptoms in patients who

were addicted to opiate drugs and are enrolled in
treatment programs in order to stop taking or
continue not taking the drugs
 Methadone is the synthetic opioid
 Meaning, it works the same way an opioid does but is
man made
Methadone Side Effects
Tell your doctor if any of these symptoms are severe or do
not go away:


Drowsiness



Stomach pain



Mood changes



Weakness



Dry mouth



Vision problems



Headache



Sweating





Nausea



Flushing

Difficulty falling
asleep or staying
asleep



Vomiting



Difficulty
urinating





Constipation

Decreased sexual
desire or ability



Swelling of the
hands, arms,
feet, and legs



Missed menstrual
periods



Loss of appetite



Weight gain
Methadone Clinics
 There are methadone clinics throughout the United

States
 Patients can get methadone treatments to help with

withdrawal symptoms
 Effective treatment incorporates daily methadone
medication in conjunction with behavioral health
counseling
Benefits of Methadone
 Methadone is a legal medication that is prescribed

by a physician and is carefully monitored
 Administered orally
 Given in stable daily dosing to avoid producing a
drug high
 Slow acting drug and provides long lasting relief (24
hours or more)
 Administered by a clinic that provides ongoing

counseling and support
 Access to medical and social services
Risks and Considerations


Like most ay opioid medications, overdose can occur if the
medication is not taken as prescribed



Methadone is utilized as a safe opiate replacement in the
treatment of opioid dependency. However, abruptly ceasing
methadone will typically elicit uncomfortable withdrawal
symptoms. These can be avoided by following a gradual taper
off of the medication while under the supervision of your
physician.



Methadone replacement therapy is typically not short-term.
Many clients will remain on methadone for a year or more
before becoming ready to taper off of the medication. Some
clients may remain on methadone for an indefinite period of
time.
References
 http://www.drugabuse.gov/publications/research-

reports/prescription-drugs/opioids/what-are-opioids
 http://www.drugabuse.gov/drugs-abuse/commonly-

abused-drugs/commonly-abused-drugs-chart
 http://www.nlm.nih.gov/medlineplus/druginfo/meds/a6

82134.html
 http://www.methadone.us/benefits-of-methadone/

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Methadone teachback

  • 2. Opioids  Opioids are medications that relieve pain  Reduce the intensity of pain signals reaching the brain and affect those brain areas controlling emotion, which diminished the effects of a painful stimulus  Medications include  hydrocodone (Vicodin), oxycodone (OxyContin, Percocet), morphine (Kadian, Avinza), codeine, and others
  • 3. Opioid Effects  Acute Effects  euphoria; drowsiness; impaired coordination; dizziness; confusion; nausea; sedation; feeling of heaviness in the body; slowed or arrested breathing  Health Risks  constipation; endocarditis; hepatitis; HIV; addiction; fatal overdose
  • 4. Methadone Uses  Used to relieve moderate to sever pain that has not been relieved by non-narcotic pain relievers  Is an opioid analgesic  Prevent withdrawal symptoms in patients who were addicted to opiate drugs and are enrolled in treatment programs in order to stop taking or continue not taking the drugs  Methadone is the synthetic opioid  Meaning, it works the same way an opioid does but is man made
  • 5. Methadone Side Effects Tell your doctor if any of these symptoms are severe or do not go away:  Drowsiness  Stomach pain  Mood changes  Weakness  Dry mouth  Vision problems  Headache  Sweating   Nausea  Flushing Difficulty falling asleep or staying asleep  Vomiting  Difficulty urinating   Constipation Decreased sexual desire or ability  Swelling of the hands, arms, feet, and legs  Missed menstrual periods  Loss of appetite  Weight gain
  • 6. Methadone Clinics  There are methadone clinics throughout the United States  Patients can get methadone treatments to help with withdrawal symptoms  Effective treatment incorporates daily methadone medication in conjunction with behavioral health counseling
  • 7. Benefits of Methadone  Methadone is a legal medication that is prescribed by a physician and is carefully monitored  Administered orally  Given in stable daily dosing to avoid producing a drug high  Slow acting drug and provides long lasting relief (24 hours or more)  Administered by a clinic that provides ongoing counseling and support  Access to medical and social services
  • 8. Risks and Considerations  Like most ay opioid medications, overdose can occur if the medication is not taken as prescribed  Methadone is utilized as a safe opiate replacement in the treatment of opioid dependency. However, abruptly ceasing methadone will typically elicit uncomfortable withdrawal symptoms. These can be avoided by following a gradual taper off of the medication while under the supervision of your physician.  Methadone replacement therapy is typically not short-term. Many clients will remain on methadone for a year or more before becoming ready to taper off of the medication. Some clients may remain on methadone for an indefinite period of time.

Editor's Notes

  1. http://www.drugabuse.gov/publications/research-reports/prescription-drugs/opioids/what-are-opioids
  2. http://www.drugabuse.gov/drugs-abuse/commonly-abused-drugs/commonly-abused-drugs-chart
  3. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682134.html
  4. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682134.html
  5. http://www.methadone.us/benefits-of-methadone/
  6. http://www.methadone.us/benefits-of-methadone/