METHADONE

SERVICES | MEDICATION ASSISTED TREATMENT

WHAT IS METHADONE?

Methadone is an opioid treatment medication that reduces withdrawal symptoms, cravings, and urges in people who have an opioid use disorder. When utilized for treatment of opioid use disorder, it can only be dispensed at designated clinical sites, and cannot be prescribed through a pharmacy.


Methadone can be administered in multiple forms, including liquid, powder, diskettes, and tablets. Root Center generally prescribes and dispenses methadone in liquid form. Methadone is highly regulated and can only be obtained from approved methadone clinics. This is different from other MAT options which are available in various medical offices. As with all medications used in MAT programs, methadone is used as part of a comprehensive treatment plan that includes group therapy, individual therapy, and a focus on developing social and familial support.


Methadone must be taken under the supervision of a medical doctor. The physician will obtain a full medical history to assess appropriateness of the intervention and identify possible interactions with other medications or health conditions. It is essential that methadone is taken as prescribed and at the dosage indicated to ensure the effectiveness and safety of the intervention. Methadone remains in the body for an extended period of time, and overdose is possible if it is not taken as directed. Methadone is a controlled substance and should never be shared or acquired from an unofficial source.

SERVICES | MEDICATION ASSISTED TREATMENT

WHAT TO EXPECT WHEN STARTING

METHADONE MAINTENANCE TREATMENT (MMT)

Upon starting Methadone Maintenance Treatment, adult patients at Root Center are assessed by a master’s-level clinician to determine if additional interventions are indicated. Many patients  enroll in a variety of services provided by Root (including PHP, IOP, and/or Outpatient Mental Health THESE SHOULD BE HYPERLINKS). This provides comprehensive support for patients starting MMT and can help patients in achieving positive outcomes.


Upon demonstrated stability and adherence to their treatment plan, patients can be eligible for take home bottles within 30 days of engagement. During the course of treatment, program participants are offered daily medication, medical appointments, and group and individual therapy sessions. 

If a patient misses a dose of their methadone, they should call their prescriber immediately. Patients  should not take an extra dose of methadone after a missed dose without medical consultation and instruction. It is critical that patients do not use drugs or alcohol when taking methadone. Patients should not operate heavy machinery or engage in other high-risk activities while taking the medication. Methadone may be a safe option for women with OUD who are pregnant or breastfeeding. Options for treating OUD during pregnancy or breastfeeding can be explored during an appointment with a licensed physician.


At Root Center, methadone is typically dispensed in liquid form; patients come to the center daily to check in with staff and obtain their prescribed dose. Patients receive both a physical exam from a licensed physician and a clinical assessment from a masters-level counselor upon beginning methadone maintenance. Patients are monitored closely for adverse effects and will work with their physician to determine the best dose and treatment plan for them.

The duration of methadone treatment varies from person to person depending on individual needs, circumstances, and responses to the medication. According to the National Institute on Drug Abuse (NIDA), the minimum length of MMT should be 12 months, and long-term methadone treatment is often required to support sustained recovery. When discontinuing a methadone maintenance regimen, it is critical that the patient works closely with the multi-disciplinary team doctor to develop an individualized plan. gradually reduce the dosage and prevent adverse side effects and withdrawal. Proper titration of medication is key in preventing relapse when making changes in any MAT regimen.

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