Methadone

Methadone is an opioid medication sometimes referred as a narcotic. The drug is used to reduce withdrawal symptoms for people undergoing detoxification for heroin and other narcotic drugs. Methadone does not produce “high” sensation which often associated with drug addiction.

Also, methadone is commonly used as a pain reliever. It serves as an important medication in the detoxification process. Methadone is only available in selected certified pharmacies.

Quick Facts about Methadone:

In a study of the Drug Enforcement Administration:
From the year 1999 to 2005, overdose deaths because of methadone increased around 460%
In 2011, records shows that over 65,000 emergency room visits were related to methadone abuse.
About 2.5 million people ages 12 years old and above abused methadone in some point in their life in 2012. The number grew from 2.1 million in just one year.

History of Methadone

Scientists working in I.G. Farbenindustrie AG at Farbwerke Hoechst in Germany developed methadone in 1937. During those times, Germany suffers from opium shortage problem and scientists have to think a way to solve it.

Bockmühl and Ehrhart filed for a patent for a synthetic drug similar to morphine on September 11, 1941. They called the drug Hoechst 10820 or Polamidon. During the WWII, methadone was widely used in Germany.

After the war, the US Department of Commerce Intelligence under the Technical Industrial Committer of the US Senate brought methadone in the US. Their investigation revealed that even though methadone contains addictive properties, it offers less sedation and respiratory distress than morphine. After the war, ten years later, Eli Lilly introduced the drug into the US.

Does Methadone Block Opiates?

Methadone binds itself to opiate receptor sites in the brain, occupying them so that other opiates cannot attach themselves. In turn, users won’t feel the “high” and resume their daily activities. Methadone can also limit cravings and prevent withdrawal symptoms including those opiate addicts experience during a relapse. Also, methadone can make the user feel more stable.

One of the legitimate medicine assisted treatments (MAT) used to help heroin and other opioid users overcome their addiction is Methadone maintenance therapy (MMT). It is believed to have three major benefits.

MMT curbs cravings and urges to use opiates.
MMT minimizes and eliminates withdrawal symptoms related to opiate use, abuse and dependence.
MMT blocks the effects of opiates making it very difficult to get that euphoric high.

The half-life of Methadone is approximately 2-3 days. That means, approximately half of the medication stays in the system. This is the reason why methadone users can go several days without treatment before they start to feel methadone-related withdrawal symptoms.

However, there are sources that suggest otherwise.

For them, methadone is unable to block the effects of opiates.

Myaddiction.com states that a synthetic opiate like methadone will not be able to block the effects of other kinds of opiates. If taken with other opiates, methadone can have a very dangerous effect on the body and the person could even overdose on the substance.

Opium.org, also, was very clear on their stand that methadone does not block opiates. The source believes that blocking opiates is not enough to help an addicted user avoid relapse.

Several other users have commented on such sources saying that higher doses of methadone have the capacity to block the effects of opiates including Oxycodone.

MMT for the treatment of opiate addiction

If possible, unless otherwise stated by a licensed medical professional, the responsible thing to do would be to tell your physician that you are suffering from opiate addiction.

Hence, you should ask for a non-opioid medication for pain management and relief from withdrawal symptoms. Apparently blocking these effects can relapse into addiction and ruin your whole recovery.

While there is currently enough evidence to suggest that MMT is able to block the effects of opiates, we are also led to believe that there is sufficient evidence to the contrary. Using methadone for the treatment of opioid addiction should not be taken so lightly. In fact, before medical professionals prescribe this form of treatment, they usually weigh in a lot of things including the risk that the person may become addicted to methadone instead.

What causes Methadone addiction?

Like other opiates, methadone acts in the brain opioid receptors which control the reward system function. Even though methadone is used as a medical management treatment for heroin addiction, it also contains potential characteristics for addiction. The problem with patients is that from heroin addiction, they often develop methadone addiction.

What are the signs and symptoms of Methadone addiction?

Methadone which contains 22-hour half-life acts longer but is less potent than heroin. Because of these properties, experts use methadone to treat withdrawal symptoms.

The use of methadone for opioid addiction is called as Methadone Maintenance Therapy or MMT. The treatment only transpires in a certified methadone clinic. However, even if methadone is used for medical treatment of opiate addiction, it also contains properties that make it prone to abuse.

Signs of methadone addiction include:

Using the drug more that the prescribed dosage
Taking the drug outside of prescriptions. Clinics generally require the user to take methadone inside their facility, but some can buy it elsewhere like on the black market
“Doctor shopping”, a behavior for getting legal prescription from different doctors
Skipping schedule drug intake to have a ‘stockpile’ for high-dose administration later
Ignoring responsibilities at work, school, and even relationships
Physical Signs of Methadone addiction include:
Constipation
Constricted pupils
Increased pain
Nausea
Slowed breathing
Sweating
Vomiting

Short-Term Effects of Methadone

The effects of methadone are somewhat similar to heroin but longer-lasting and less intense. It usually lasts up to 24 hours; heroin lasting effects reach up to 2-3 hours. Methadone also slows down a person’s reaction, which makes movements more exaggerated or lethargic. This makes the user prone to accidents since they cannot respond quickly enough.

Feelings of euphoria
Drowsiness
Nausea
Pinpoint pupils
Relaxation
Respiratory distress
Sedation

Long Term Effects of Methadone Abuse

Around 5,000 people die because of methadone abuse annually. This commonly happens when users mix the drug with other substances such as alcohol and benzodiazepines.

Health complications from methadone abuse vary because of the genetic make-up of each individual, length of time which they used the substance even the duration of the intake. Prolonged methadone abuse can result in devastating effects on the overall well-being of the user. Some of the long-term effects include:

Impaired judgment
Heart complications
Sexual dysfunction
Respiratory problems

Blood borne disease like HIV, Hepatitis C (related with multiple injection uses or in multiple doses as well as sharing of needles.)

Furthermore, long-term heavy use of the drug will build tolerance in the body. Users must take higher doses of methadone to get the same effect. This behavior often leads to overdose.

Overdose symptoms include:

Breathing problems/shallow, slow breathing
Hypotension or low blood pressure
Twitching muscles
Nausea
Vomiting
Cyanosis or bluish color of fingernails and lips
Coma
Death

What are the treatments available for Methadone addiction?

Fortunately, there is still hope for methadone addiction. Getting a proper assessment is a very crucial step to take. Usually, a treatment program includes detox, then a residential rehabilitation or an outpatient treatment.

Detoxification

To get rid of all traces of opioid use such as methadone, a detoxification process is a must. In this process, users will undergo medication which will eventually eliminate the drug from the body. However, supervision from medical practitioners for methadone detox is highly recommended. Besides administering the medication, they will ensure the total safety and comfort of the user.

Withdrawal symptoms usually occur within 24 hours from the last drug intake. For some users, it can take longer depending on how they used the drug. During the first week until 10 days, users will experience the worst symptoms accompanied with flu-like symptoms. Also, interconnected psychological symptoms will also surface like paranoia and depression. However, the symptoms will eventually fade within several weeks.

The usual withdrawal symptoms include:

Anxiety
Chills
Cravings for the drug
Diarrhea
Depression
Fever
Muscle aches and pains
Nausea or vomiting
Sweating
Rapid heartbeat
Stomach cramps
Irritability
Paranoia
Insomnia
Hallucinations

Rehabilitation

A therapist can guide the user in getting back their essential skills to get back to their daily lives. Some may include group therapy sessions or other physical activities to regain their vitality. They can also evaluate and treat the main cause for methadone addiction. This will ensure the user to recover from their addiction.

Methadone Withdrawal Timeline *depends on factors like weight and tolerance
During the first 24 hours	During the first 24 hours from the last drug intake, users can experience the physical symptoms like chills, fever, erratic heartbeat, and muscle pains.
2 to 10 days	For the following days, users can feel extreme methadone cravings. The psychological symptoms may also begin to start like insomnia, anxiety, and paranoia. Aside from these, they will also experience flu-like symptoms but will improve after a week or so. .
11 to 21 days	About half way through the detox process, symptoms should fade. However, some users especially those who took the drug heavily in long term may still feel intense cravings for methadone. Depression may start to kick in as well, and users will find it difficult to get motivated.
22 days and beyond	All of the symptoms should disappear at this time. However, mild traces of the symptoms may remain. Users can still experience depression for several weeks.

What is a Methadone Clinic?

What to Expect when you Seek Treatment A methadone clinic is a drug treatment facility that mainly works with opioid-addicted individuals. They specialize in programs that make use of methadone as a core part of the treatment process. Keep in mind that methadone treatment is just one of the many ways of treating addiction.

Different facilities may have different approaches, so if you are interested in getting sober again, you should find out what programs the rehab facility offers. A methadone clinic, for example, is only suitable for people addicted to narcotics.

If you are addicted to an opiate or an opioid, a methadone clinic can provide ongoing medication maintenance to help you quit the drug.

What Happens During the Assessment?

The first step in getting methadone maintenance is an assessment. Anyone can receive an assessment for methadone maintenance in this type of clinic. Some people might get intimidated, but rest assured, methadone clinics foster a welcoming environment for those seeking medical assistance. Their goal is to help you recover.

During the assessment, you will have to provide some necessary details about yourself like your age, sex, date of birth, medical and psychiatric history, past and current drug use, and history of withdrawal symptoms. You also have to provide information about past or present thoughts of suicide, or suicide attempts.

The staff members have to know these details to ensure your safety during the treatment. Everyone goes through addiction differently, so expect addiction treatment to be personalized. A proper treatment plan will be created based on your needs.

It is important that you provide honest answers and tell them about other drugs you are using if any. If not, you could be placing yourself at risk of accidental overdose. Tell them if you are drinking alcohol, taking any prescription medications, or using other drugs recreationally.

How Does Treatment Work?

Methadone is an opioid that attaches to the same receptors that other opioids bind to. This means that it will lessen your risk of abusing your drug of choice because the brain no longer craves it. It feels “satisfied” with the presence of opioids. However, methadone is different because it does not create the usual euphoric sensation. It will not get you high.

Methadone is used in treatment because it allows you to slowly get off of the drug. It makes you less dependent on opioids. It is used in the process of medical detox which involves weaning the patient off of the drug while taking care of their withdrawal symptoms.

A high-risk patient may have to stay in the facility for the duration of the treatment. This is called inpatient treatment, and it allows the medical staff to keep an eye on you and your progress. It gives you access to the medical attention and cares you need during the treatment.

Eventually, the patient transitions to outpatient treatment, which means they need to return to the clinic every day to receive the supervised daily dosage.

A low-risk patient may be set up with outpatient care right away. It involves minimal screening but regular visits to the hospital to make sure that progress is still being made.

If you or someone you care about is going through opioid addiction, look for a methadone clinic near you and find out if it’s suitable for them.

The Dangers of Methadone

The Side Effects of Methadone Methadone is known to reduce symptoms of withdrawal in individuals who are dealing with narcotic addiction. It is important to mention that this drug is safe unless taken improperly. It takes a significantly large amount of methadone to get high. It also greatly reduces the risk of relapse. This is why methadone treatment is a very popular technique used in drug rehab facilities.

Still, it comes with its own dangers. The risk of experiencing adverse health effects increases if a person abuses their methadone prescription.

Common side effects include drowsiness, dry mouth, lightheadedness, sexual impotence, and gastrointestinal distress. But these effects are rather mild and may be encountered occasionally by those who are taking the drug properly.

If a person abuses the drug, the risk of serious side effects increases. They may experience tremors, fainting, respiratory depression, irregular heartbeat, seizures, and anaphylactic reactions. And again, there’s also that chance of overdosing on methadone, which can be fatal.

The adverse effects mentioned above are merely the physical side effects caused by methadone abuse. However, there are also psychological side effects like insomnia, depression, hallucinations, anxiety, paranoia, delusions, and impaired concentration.

If someone you care about is suddenly showing changes in behavior, it might be due to their methadone intake. There’s a chance they might be abusing their methadone prescription. Some people even get suicidal thoughts due to methadone abuse.

Methadone addiction may be less common compared to other opioids, but this is a very real issue that can cause long-term problems. Addiction to this substance can have an incredibly dangerous impact on a person. Long-term abuse of this drug can lead to tolerance and physical dependence. Dependence would involve becoming unable to function properly without taking the drug. The person will go into withdrawal if they don’t take methadone.

At this point, proper addiction treatment becomes essential to their recovery. They need a comprehensive treatment plan so that they could receive the medical attention they need. They may go through behavioral therapy to address the emotional and psychological effects of addiction.

Techniques like group therapy and counseling could help tackle the root of the addictive behavior. This is just as important as the medical detox process, where the drug user is slowly weaned off of methadone.

It’s worth remembering that methadone is a safe and helpful drug under most circumstances. But all opioids can be dangerous once abused. So if you know someone who is taking methadone to deal with a different addiction, make sure you help them stick with their prescription.

About Troy

Troy is a city in the United States state of New York and is the county seat of Rensselaer County, New York. It's famous for being the home of Uncle Sam, known as the person who supplied beef for the United States Army during the War of 1812. It's also known for the home of Garnet Douglass Baltimore, who is known as the first African-American to become an engineer and graduated at Rensselaer Polytechnic Institute in 1881. It is located on the western edge of that county on the eastern bank of the Hudson River just northeast of the capital city of Albany. Troy has close ties to Albany, New York and nearby Schenectady, forming a region popularly called the Capital District. The city is one of the three major centers for the Albany metropolitan statistical area, which has a population of 1,170,483. At the 2020 census, the population of Troy was 51,401. However, there are several smaller cities close to it, such as Cohoes, Saratoga Springs, and Hudson. Troy is home to a number of institutions of higher learning: Rensselaer Polytechnic Institute, the oldest private engineering and technical university in the US, founded in 1824; Hudson Valley Community College, part of the sprawling University of the State of New York system that offers both two-year and four-year degrees; the Sage Colleges, which consists of the Russell Sage College headquarters in downtown Troy, an Albany campus, and a graduate-level division, and the Emma Willard School, an all-girls residential high school started by Emma Willard, a women's education activist who sought to create a school for girls equal to that available to their male counterparts. The Emma Willard School was the setting for scenes from the Al Pacino motion picture Scent of a Woman (1992) and the Kevin Kline film The Emperor's Club (2002). In addition, the city's abundance of preserved Victorian architecture has made it a desired place for filming of such productions as the HBO series “The Gilded Age” and such motion pictures as "Ironweed" (1987), "The Age of Innocence" (1993), "The Time Machine" (2002), and "Motherless Brooklyn" (2019), among numerous others. Due to the confluence of major waterways and a geography that supported water power, the American Industrial Revolution took hold in this area, making Troy reputedly the fourth-wealthiest city in America around the turn of the 20th Century. Troy, originally known as Ashley's Ferry, is noted for a wealth of Victorian architecture downtown and elaborate private homes in various neighborhoods clustered along the river and on an undulating series of hills. Several churches have a concentrated collection of stained-glass windows by the iconic glass artist Louis Comfort Tiffany. Troy also is home to the musically world-renowned Troy Savings Bank Music Hall, which dates from the 1870s and is regarded as having superb acoustics in a combination of restored and well-preserved performance spaces that regularly are used for recording musical performances. The area long had been occupied by the Mahican Indian tribe, but Dutch settlement began in the mid-17th Century. The patroon, Kiliaen van Rensselaer, who in the Dutch ascendancy ruled the region, called the region "Pafraets Dael" after his mother. The Dutch colony was conquered by the English in 1664. In 1707, Derick van der Heyden purchased a farm near today's downtown area. In 1771, Abraham J. Lansing had his farm in today's Lansingburgh neighborhood of the city laid out into lots. Sixteen years later, Van der Heyden's grandson Jacob had his extensive holdings surveyed and laid out into lots. He named the new village Vanderheyden or Vanderheyden Farms. In 1789, Troy adopted its present name following a vote of the people. Troy was incorporated as a town two years later, and extended east across the county to the Vermont state line. In 1796, Troy became a village and in 1816, it became a city. Lansingburgh, to the north, was voluntarily annexed to become part of Troy in 1900.

Source Wikipedia

Rehab Treatments In Troy New York

About New York

New York most commonly refers to: New York (state), a state in the northeastern United States New York City, the most populous city in the United States, located in the state of New York New York may also refer to: