Myth vs Reality
Brain
History
Treatment
Recovery
100
Methadone is a crutch
Reality- but is it negative?
100
This is the name of the chemical or electrical messengers in the brain
What is a neurotransmitter
100
Heroin used to be prescribed for what?
Whooping cough, bronchitis, asthma, diarrhea - by the Bayer company
100
The appropriate dose of Methadone should never exceed this amount
What is the dose is completely individual. There is no right dose.
100

These are key factors of this action word: being honest with myself … being able to enjoy life without drinking or using drugs like I used to … living a life that contributes to society, to your family or to your betterment … being the kind of person that people can count on … about giving back 

… striving to be consistent with my beliefs and values in activities that take up the major part of my time and energy


What is recovery
200
Methadone rots your teeth
Myth- although it may cause dry mouth in some people. 
200
Methadone fills and stimulates the opioid receptors completely
What is true- full agonist opioid vs Bupe which is a partial opioid agonist.
200
Methadone maintenance started in this decade
1960's it was 1964 by Dole and Nyswander
200
The rate of taper from Methadone
Each individual is different and has varying degrees of pain tolerance
200
Not using drugs
What is abstinence
300
Methadone makes me gain weight
Myth- Although a lot of people do gain weight, mainly because they are now getting healthy, "running" less and the priority is no longer the drug. Also, certain foods release certain feel-good chemicals
300
This is the half-life of Methadone
24-36 hours
300
Methadone was created for what purpose>
What is during WWII- doctors were looking for a painkiller less addictive than morphine for soldier's injuries
300
Name two medications that interact negatively and should not be taken while on Methadone

Tramadol, MAOi medications- Nardil/Parnate, buprenorphine products, Naltrexone (Just because certain drugs can interact does not mean that they will, or indicate to what extent), Stadol, Nubain, Rifampin (antiviral)

300
One of the programs of recovery that are not 12 step based
Smart recovery, refuge recovery, life ring, intherooms.org, etc
400
Methadone damages the liver
Myth- Methadone has not been proven to have any long term effects on the liver. It is safe for Hepatitis C patients, as well as people with cirrhosis
400
The brain creates it's own chemicals in response to pleasure, pain and certain activities. It is it's own pharmacy. Name two
GABA- brains natural benzo, Dopamine-pleasure and released in huge quantities with heroin, cocaine and methamphetamine. DMT is the brains natural psychodelic. Endorphin- means the morphine within, acetylcholine is the brain's natural nicotine
400
Explain how Methadone works
full agonist opioid, etc (for discussion)
400
Genetic factors play a role in sensitivity to Methadone's effects. True or false.
True- certain enzymes that break Methadone down are absent in a large portion of the population ( 1 in 15 persons) and some have high activity with this enzyme causing them to rapidly metabolize Methadone.
400
True or false? Using other drugs while on Methadone Maintenance is still recovery as long as it's not an opiate.
What is FALSE
500
It's ok to stay on MAT indefinitely
Reality- the stigma attached to Methadone or the cost/drive/etc causes people to taper too early, in some cases.
500
The brain has approximately this number of neurons
100 billion
500
Addiction was termed a disease in this year

In 1956, the American Medical Association declared alcoholism a “disease". Bill Wilson described addiction as a disease when he wrote the Big Book

500

a term that is used to describe all chemical reactions involved in maintaining the living state of the cells and the organism

What is the definition of metabolism
500
Methadone Maintenance should occur for this length of time before someone decides to taper their dose.
What is "the longer you are on maintenance medication, the greater your chance for success"
M
e
n
u