Methadone
This is the government schedule for Methadone as a controlled substance.
What is Schedule II?
This is the government schedule for Buprenorphine as a controlled substance.
What is Schedule III?
How long the induction phase of treatment lasts, including weekly check ins with clinician, weekly UDS testing and obtaining early dose stabilization.
What is 6 weeks?
In order to increase levels a patient must meet these requirements.
Current on all financial obligations (i.e., must have less than a $39 balance)
• Three (3) consecutive months (90 days) of UDS negative for all substances except approved medication*
• Participation/attendance at required individual counseling sessions based on phase/level in treatment
• Absence of serious behavior problems defined as yelling, verbalizing a threat of physical violence toward staff and/or other patients, or bringing weapons of any kind onto property (including concealed weapons by permit)
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• Regular attendance at MAT defined as no more than 1 missed day per month and consistent dosing for at least the past 7 days
• The benefit of the recovery process for a patient outweighs the risk of diversion
• No criminal activity for the past 90 days (including observed drug dealing by staff)
• Stable home environment and social relationships (stable environment can be subjective and should be assessed on a case-by-case basis
• Ability to safely meet medication storage standards (see Take-Home Storage Standards)
• Maintain compliance with treatment team recommendations and referrals
• Appropriate releases of information (ROI) for coordination of care on file and current for all medical and mental health providers
Benzodiazepines (Xanax, Klonopin, Ativan, Valium, etc.) Barbiturates (Seizure medications – Mebaral, Insomnia medications – Seconal, Luminal, Amytal Sodium) • Alcohol • Over the counter sleep aids (NyQuil, Tylenol PM, Advil PM, Unisom, etc.) • Over the counter allergy medication (Benadryl, diphenhydramine, etc.) are examples of
What are Depressants?
These are the most commonly reported side effects to Methadone use, usually reported in early treatment.
What are: light-headedness dizziness, extreme tiredness, nausea, vomiting, sweating, swelling (edema) of ankles, and/or skin rash?
A state of opioid withdrawal that can result from improper timing of buprenorphine in combination with the presence of a full opioid agonist. Symptoms include muscle aches, abdominal pain, diarrhea, increased anxiety, and sweating. Patients are at increased risk if they have missed several days of buprenorphine and have taken a short-acting opioid within the last 6-12 hours or a longer-acting in the past 24-36 hours.
What is precipitated withdrawal?
You will know you have reached a _____ _____ when, You do not feel sedated, tired, or euphoric after your dose, you are not feeling any withdrawals for a complete 24–48-hour period after dosing, you feel “normal” and You are sleeping well
What is a "stable dose"?
If I am feeling unstable (cravings, continued use, withdrawal sx), I can request that my clinician submit for a ____ _________ to medical.
What is a dose increase?
Caffeine • Nicotine • Amphetamines/Methamphetamine • Cocaine • Ecstasy/MDMA/MDA are examples of
What are stimulants?
These symptoms of methadone administration must be reported immediately and anyone experiencing them should call 911
What are unusual sleepiness; drowsiness; confusion; slurred speech; slow, shallow breathing; pinpoint pupils; slow heartbeat or lowered blood pressure; difficulty arousing; unusual snoring while sleeping; blue discoloration in nail beds and around lips; vomiting and/or gurgling sound.
Use of this substance can shorten the duration of buprenorphine’s effects, which can cause withdrawal symptoms.
What is Alcohol?
Daily dosing is encouraged! Patients on Methadone who miss _ days will be deemed inactive. Patient's on Buprenorphine who miss _ days, will be deemed inactive.
What is 3 days for Methadone and 2 days for Buprenorphine?
Level 1-4 patients, must with clinician _ xs per months for a minimum of __minutes in order to meet contact requirements.
What is 2x for 16?
Opioids (including methadone and buprenorphine) ________________, which mean they cause your main organs to decrease in activity (i.e., your heart beats slower, lungs breath slower and shallower, your stomach empties slower, and your gut moves bowels slower).
A chemical that produces similar effects to those produced by morphine and other opioids by fully binding to opioid receptors in the brain.
What is full opioid agonist? ex: Methadone!!!
The primary reported side effects of buprenorphine
What are headache; mild dizziness; numbness or tingling; drowsiness or sleep problems (insomnia); stomach pain; vomiting; constipation; redness, pain, or numbness in your mouth; feeling impaired; trouble concentrating.
After __ days of no dosing, a patient will need to re-enter treatment and a re-entry fee of $__ will be charged.
What is 10 days?
What is $50.00?
In order to be eligible for a fee exception, on in clinic dosing ONLY, your balance owed must NOT exceed $__.
What is $39.00?
If you are prescribed a medication from an outside agency/provider, you must _____________________
What is: Bring in for approval by McLeod medical staff BEFORE taking it?
SAMHSA states, “Methadone is a long-acting medication with a long ____. This varies greatly from person to person and ranges between 8 and 59 hours in different studies.”
What is a half life?
According to SAMHSA, to begin treatment, an OUD patient must abstain from using opioids for at least __-___ _______ and be in the early stages of opioid withdrawal. Patents with opioids in their bloodstream or who are not in the early stages of withdrawal, may experience acute withdrawal.
What is 12-24 hours?
Guest dosing requests must be made _ days in advance and a patient cannot guest dose for longer than __ days.
What is 5 business days (M-F)
What is 13?
_____ ________ is defined as the meeting of a patient’s multidisciplinary treatment team to discuss the patient’s progress, problems, and needs to identify issues, suggest problem resolution strategies, and make clinical and medical recommendations regarding the patient’s treatment.
What is Case Staffing?
A list of PRE APPROVED over the counter medications that can be taken with your medication are found here.
What is the patient handbook?