Methadone Effects On Liver & Kidneys
Methadone is a synthetic narcotic used to relieve moderate to serious pain or as an aid to heroin withdrawal 1. Also known as Diskets, Dolophine and Methadose, this controlled substance requires a prescription and comes in liquid, tablet and injectable forms. Methadone is used to treat heroin addiction because it does not create the “high” of heroin and reduces cravings for the illegal drug 1. Used improperly or abused, methadone, like any other narcotic drug, can cause serious side effects or even death 1.
Before You Take Methadone
Tell your doctor if you have a heart condition known as long QT syndrome, any breathing disorder, liver or kidney disease, head injury or mental illness, brain injury or seizure disorder, drug or alcohol addiction, curvature of the spine, liver or kidney disease, low blood pressure or thyroid, adrenal, gall bladder or prostate problems, advises drugs.com 1. Inform your doctor if you are pregnant, plan to become pregnant or are breast-feeding. Don’t take methadone if you’re taking other narcotic drugs 1.
Forms of Methadone
Adderall and Calcium
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Know what your particular prescription of methadone looks like so you can avoid counterfeit forms of the drug 1. Medhelp.org pictures oral methadone as a dark orange liquid that contains either 5 mg per 5 milliliters of solution or 10 mg per 10 mL of solution 134. The pill form of methadone comes in 5 mg and 10 mg round tablets or 5 mg and 10 mg rectangular tablets, depending on manufacturer 1. Injectable methadone comes as a solution containing 10 mg of methadone per mL of solution 1.
Length, Type and Consequences of Treatment
Methadone should be used only under close medical supervision 1. Follow your doctor’s instructions carefully. If you are a recovering addict, you can be in treatment for years. Methadone treatment does not interfere with your life or your employment 1. Methadone can be habit-forming, and stopping treatment suddenly can result in serious withdrawal symptoms; it takes much longer to withdraw from methadone than from heroin 1. The most effective maintenance treatment, according to the Office of National Drug Control Policy, “includes comprehensive social and rehabilitation services. 2”
Effect on Liver and Kidneys
Long-Term Effects of Taking Oxycodone
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Methadone has been very thoroughly tested 1. The Office of National Drug Control Policy reports that numerous studies of methadone use show no harmful effects to the liver, kidneys and other organs, even after long-term treatment 12. According to an article published in "Drug and Alcohol Dependence," researchers studied patients with chronic kidney problems, including one kidney transplant patient, who were on methadone and found no adverse effects on the kidneys 15.
Related Articles
References
- Drugs.com: Methadone
- Office of National Drug Control Policy: Methadone
- MedHelp: Methadone Oral
- MedHelp: Methadone Injection
- "Drug and Alcohol Dependence"; Methadone Use in Patients with Chronic Renal Disease; M.J. Kreek et al.; March 1980
- Bell J. Pharmacological maintenance treatments of opiate addiction. Br J Clin Pharmacol. 2014;77(2):253-263. doi:10.1111/bcp.12051
- Grissinger M. Keeping Patients Safe From Methadone Overdoses. P T. 2011;36(8):462-466.
- U.S. Food & Drug Administration. Roxane Laboratories, Inc. Methadone Hydrochloride Cl Tablets USP 5mg, 10mg. (Dolophine HCl CII). Updated October 2006.
- MedlinePlus. Methadone. Updated September 28, 2020.
- Sameed M, Teague H. Use of nebulized naloxone to reverse methadone overdose - A case report and review of literature. J Community Hosp Intern Med Perspect. 2019;9(5):422-424. doi:10.1080/20009666.2019.1659664
- American College of Medical Toxicology. ACMT Position Statement: The Use of Methadone as an Analgesic. J Med Toxicol. 2016;12(2):213-215. doi:10.1007/s13181-015-0532-6
- Modesto-lowe V, Brooks D, Petry N. Methadone Deaths: Risk Factors in Pain and Addicted Populations. J Gen Intern Med. 2010;25(4):305-309. doi:10.1007/s11606-009-1225-0
- Centers for Disease Control and Prevention. Vital Signs: Risk for Overdose from Methadone Used for Pain Relief — United States, 1999–2010. Morbidity and Mortality Weekly Report (MMWR). 2012;61(26);493-497.
- Kharasch ED. Current Concepts in Methadone Metabolism and Transport. Clin Pharmacol Drug Dev. 2017;6(2):125-134. doi:10.1002/cpdd.326
- American Addiction Centers. How Long Does Methadone Stay in Your System? Updated June 10, 2019.
- Center for Substance Abuse Treatment. Substance Abuse: Clinical Issues in Intensive Outpatient Treatment. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2006.
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Writer Bio
An organic chemist with a Master of Science from Case-Western Reserve University and a Master of Business Administration from Northwestern University, Ann Louise Truschel has been a freelance medical and business writer since 1982. Her client list includes big pharma, insurers, CME firms, medical journals, trade magazines, professional medical organizations, newspapers and The Department of Defense.