Methadone
What is Methadone?
synthetic opioid agonist used for chronic pain and also for opioid dependence.
Who can get addicted?
Anyone...One in 7 Americans reports experiencing a substance use disorder. There is not one single driving factor that leads to addiction. Some people may use drugs to help cope with stress, trauma, or to help with mental health issues. Some may even develop opioid use disorder after misusing opioids they are prescribed by doctors. In any case, using drugs over time makes it easier to become addicted.
Methadone maintenance started in this decade
1960's it was 1964 by Dole and Nyswander
What is MAT?
MAT (Medicated Assisted Treatment) is a treatment that combines medication and counseling, because opioid addiction physically changes the brain, and affects behaviors and emotions.
MMT is specific Methadone Maintenance Therapy/Treatment
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
Common side effects?
With short-term use, you may notice side effects like:
T/F: Methadone fills and stimulates the opioid receptors completely
What is true- full agonist opioid
Heroin used to be prescribed for what?
Whooping cough, bronchitis, asthma, diarrhea - by the Bayer company
What are 3 out of the 10 options in the 4 levels of care?
Level 0.5 Early Intervention
OTP – LEVEL 1 Opioid Treatment program
LEVEL 1 Outpatient Services
LEVEL 2.1 Intensive Outpatient Services
LEVEL 2.5 Patient Hospitalization Services
LEVEL 3.1 Clinically Managed Low Intensity Residential Service
LEVEL 3.3 Clinically Managed Population Specific High Intensity Residential Service
LEVEL 3.5 Clinically Managed High Intensity Residential Service
LEVEL 4 Medically Monitored Intensive Inpatient Services
True or false? Using other drugs while on Methadone Maintenance is still recovery as long as it's not an opiate.
What is FALSE
Symptoms to talk to doctor?
Some side effects are more serious. Call the doctor if you have:
This is the half-life of Methadone
24-36 hours
Methadone was created for what purpose
What is during WWII- doctors were looking for a painkiller less addictive than morphine for soldier's injuries
What are 2 basics types of therapy?
and
2 therapeutic interventions?
Individual and group
and
CBT, DBT, MI, EMDR
Methadone Maintenance should occur for this length of time before someone decides to taper their dose.
What is the ideal dose?
What is "the longer you are on maintenance medication, the greater your chance for success"
What is "Individualized"
What should I not take while on Methadone
This is the name of the chemical or electrical messengers in the brain
What is a neurotransmitter
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
What are the stages of change? 2 out of 5
One of the programs of recovery that are not 12 step based
Smart recovery, refuge recovery, life ring, intherooms.org, etc
How does it work?
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
Other names...
Common street names include: • Amidone, Chocolate Chip Cookies, Fizzies with MDMA, and Wafer
US Brand Name
MAT options? list 3
FDA-approved buprenorphine products approved for the treatment of opioid dependence include:
Bunavail (buprenorphine and naloxone) buccal film
Cassipa (buprenorphine and naloxone) sublingual film
Probuphine (buprenorphine) implant for subdermal administration
Sublocade (buprenorphine extended‐release) injection for subcutaneous use
Suboxone (buprenorphine and naloxone) sublingual film for sublingual or buccal use, or sublingual tablet.
Subutex (buprenorphine) sublingual tablet
Zubsolv (buprenorphine and naloxone) sublingual tablets
FDA-approved methadone products approved for the treatment of opioid dependence include:
Dolophine (methadone hydrochloride) tablets
Methadose (methadone hydrochloride) oral concentrate
FDA-approved naltrexone products approved for the treatment of opioid dependence include:
Vivitrol (naltrexone for extended-release injectable suspension) intramuscular
3 myths and 1 fact?
Myths:
Methadone is not advisable in pregnant women.
The lower the dose of Methadone the better
Methadone Will Make You Feel High
Methadone Can Make You Feel Sick
Using Methadone for a Long Time Can Damage the Thyroid Gland, Memory and Liver
Methadone Causes Your Bones and Teeth to Rot
Methadone Makes You Gain Weight
It’s Difficult to Stop Using Methadone
People Who Take Methadone Are Addicts Whether or Not They Use Other Drugs
Methadone Cures Opioid Addiction