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Section 7 - Special Topics

Published online by Cambridge University Press:  05 October 2014

Alan David Kaye
Affiliation:
Louisiana State University
Rinoo V. Shah
Affiliation:
Guthrie Clinic, New York
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Summary

Methadone is familiar to most laypersons as a treatment for heroin addiction, dispensed at special clinics. Methadone is also a powerful, inexpensive, and effective analgesic, but it has many unique and potentially lethal aspects that have to be well understood before using it for pain relief. Addiction treatment with methadone requires a special license, but any provider who can prescribe Schedule II medications can write for methadone for pain. Unfortunately, because no special training is required to prescribe methadone and because poor insurance coverage is leading to the increased use of inexpensive methadone, there has been a tragic dramatic increase in opioid deaths attributed to methadone. This chapter reviews the indications, contraindications, drug interactions, metabolism, genetic issues, ethics, and initial evaluation and treatment for methadone.

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Publisher: Cambridge University Press
Print publication year: 2014

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  • Special Topics
  • Edited by Alan David Kaye, Louisiana State University, Rinoo V. Shah
  • Book: Case Studies in Pain Management
  • Online publication: 05 October 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107281950.053
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Special Topics
  • Edited by Alan David Kaye, Louisiana State University, Rinoo V. Shah
  • Book: Case Studies in Pain Management
  • Online publication: 05 October 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107281950.053
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Special Topics
  • Edited by Alan David Kaye, Louisiana State University, Rinoo V. Shah
  • Book: Case Studies in Pain Management
  • Online publication: 05 October 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107281950.053
Available formats
×