{"id":1507,"date":"2021-09-15T09:40:00","date_gmt":"2021-09-15T13:40:00","guid":{"rendered":"https:\/\/www.therecoveryvillage.com\/?page_id=1507"},"modified":"2022-05-04T22:08:45","modified_gmt":"2022-05-05T02:08:45","slug":"methadone","status":"publish","type":"page","link":"https:\/\/www.therecoveryvillage.com\/treatment-program\/addiction-medications\/methadone\/","title":{"rendered":"Methadone"},"content":{"rendered":"\n<h3>Methadone is a synthetic opioid that prevents withdrawal symptoms and cravings in individuals with opioid addiction. Learn more about methadone treatment for addiction.<\/h3>\n\n\n\n<p>Methadone was first synthesized in Germany in the 1930s in an effort to find better alternatives to&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/morphine-addiction\/\">morphine<\/a>. By the 1960s,&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/methadone-addiction\/treatment-rehab\/\">methadone treatment<\/a>&nbsp;was popularized for its efficacy at&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/heroin-addiction\/treatment-rehab\/\">treating heroin addiction<\/a>. While individuals can become&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/methadone-addiction\/\">addicted to methadone<\/a>, its use as an addiction treatment medication is still warranted today.<\/p>\n\n\n\n<h2>What Is Methadone?<\/h2>\n\n\n\n<p>Methadone is a synthetically produced pain medication that predominantly activates the&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1070723\/\" target=\"_blank\" rel=\"noreferrer noopener\">mu subtype of opioid receptors<\/a>&nbsp;in the brain.&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/opiate-addiction\/\">Opioids<\/a>&nbsp;are a drug class that includes heroin, fentanyl, codeine, hydrocodone and oxycodone, among many others. Opioid receptors&nbsp;<a href=\"https:\/\/www.sciencedaily.com\/releases\/2007\/10\/071014163647.htm\" target=\"_blank\" rel=\"noreferrer noopener\">can be activated<\/a>&nbsp;by various means. Natural chemicals like endorphins can stimulate the release of neurotransmitters that activate these receptors and opioids from external sources can either activate or deactivate these receptors.<\/p>\n\n\n\n<p>For many years, Methadone has been prescribed for two primary medical reasons: pain management or for relief from opioid dependency.For people who are actively using heroin or other narcotic pain medicines and looking to stop, Methadone treatment will follow one of two courses: opioid detoxification or Methadone Maintenance Therapy (MMT).<\/p>\n\n\n\n<p>The prescribing of Methadone for treating a substance use disorder is different than that chosen for somebody seeking help with pain management because the analgesic (anti-pain) effect of Methadone lasts roughly six hours while the opioid-blocking effect typically lasts for twenty-four or more hours. This means that, for those seeking pain management, four doses per day of Methadone is the average while for individuals in a recovery program, once-daily dosing is the norm.<\/p>\n\n\n\n<p>In either case, Methadone treatment is considered safe and effective when taken as prescribed, more so when it is used as part of an MMT plan of action.<\/p>\n\n\n\n<h2>Background and History<\/h2>\n\n\n\n<p>Methadone has a&nbsp;<a href=\"https:\/\/cesar.umd.edu\/cesar\/drugs\/methadone.asp\" target=\"_blank\" rel=\"noreferrer noopener\">long history<\/a>&nbsp;beginning in the 21st century. It was first developed in the 1930s by a team of German scientists who sought to find an alternative to morphine that would have similar pain-relieving properties, but not lead to addiction. By World War II, morphine and other pain medications were in short supply. Thus, Germany began synthesizing methadone again to fill this pharmacological void.<\/p>\n\n\n\n<p>It was not until the 1960s heroin addiction resurgence in New York City that methadone\u2019s practical utility for treating narcotic addictions was fully realized. By&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11064485\" target=\"_blank\" rel=\"noreferrer noopener\">1964<\/a>,&nbsp;methadone maintenance treatment&nbsp;was developed to decrease or eliminate heroin use. The overall goal of such maintenance treatments was to \u201cmaintain\u201d or prevent&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/heroin-addiction\/withdrawal-detox\/\">withdrawal side effects<\/a>&nbsp;in people who were addicted to heroin.<\/p>\n\n\n\n<p>In the 1970s, the United States government created regulations for the use of methadone in heroin addiction treatment. In recent years, the government has modified these regulations to increase the efficacy of methadone treatment for opioid addiction.<\/p>\n\n\n\n<h2>Methadone for Opioid Addiction<\/h2>\n\n\n\n<p>While methadone has historically been used for heroin addiction over other opioids, this has changed in recent years. Methadone has several advantages in the treatment of opioid addiction. Some of these include:<\/p>\n\n\n\n<ul><li>Methadone is a&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1070723\/\" target=\"_blank\" rel=\"noreferrer noopener\">legally<\/a>&nbsp;controlled substance, unlike heroin<\/li><li>Methadone&nbsp;prevents&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/opiate-addiction\/withdrawal-detox\/\">opiate withdrawal symptoms<\/a><\/li><li>Methadone&nbsp;blocks the \u201chigh\u201d&nbsp;achieved from heroin and other opioids<\/li><li>Methadone&nbsp;decreases cravings&nbsp;for heroin and other opioids<\/li><\/ul>\n\n\n\n<h2>How Methadone Works<\/h2>\n\n\n\n<p>How exactly&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/methadone-addiction\/methadone-taper\/\">does methadone work<\/a>? Methadone\u2019s&nbsp;mechanism of action&nbsp;is similar to other opioid receptor agonists. Upon activation, opioid receptors have a role in regulating various normal and pathological processes, including:<\/p>\n\n\n\n<ul class=\"is-style-columns-3\"><li>Pain<\/li><li>Addiction<\/li><li>Cell proliferation<\/li><li>Immune system regulation<\/li><li>Obesity<\/li><li>Epilepsy<\/li><li>Neurodegenerative disorders<\/li><\/ul>\n\n\n\n<p>After acting on the mu subtype of opioid receptors, methadone&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1070723\/\" target=\"_blank\" rel=\"noreferrer noopener\">stimulates<\/a>&nbsp;the release of neurotransmitters like dopamine, acetylcholine and norepinephrine from brain cells. These neurotransmitters are responsible for methadone\u2019s pain-relieving activity and hormonal regulation.<\/p>\n\n\n\n<h2>How Can Patients Receive Methadone?<\/h2>\n\n\n\n<p>Individuals who desire to stop using heroin or other opioids can receive methadone through a&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/treatment-program\/medication-assisted-treatment\/\">medication-assisted treatment program<\/a>. Methadone can only be dispensed through opioid treatment programs certified by the&nbsp;<a href=\"https:\/\/www.samhsa.gov\/medication-assisted-treatment\/treatment\/methadone\" target=\"_blank\" rel=\"noreferrer noopener\">Substance Abuse and Mental Health Services Administration<\/a>&nbsp;(SAMHSA).<\/p>\n\n\n\n<p>Individuals can also go to certified&nbsp;methadone clinics&nbsp;to receive daily methadone in liquid or pill form. Different countries have their own versions of methadone clinics. Generally speaking, these clinics:<\/p>\n\n\n\n<ul><li>Maintain low costs of methadone per dose<\/li><li>Have accessible hours (early morning to night)<\/li><li>Allow individuals to start treatment without meeting extensive criteria<\/li><li>Emphasize that the clinic is a judgment-free area<\/li><\/ul>\n\n\n\n<h2>Methadone Side Effects<\/h2>\n\n\n\n<p>Methadone has many reported&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/methadone-addiction\/side-effects\/\">side effects<\/a>,&nbsp;though not all individuals will experience them. Some of the&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK310658\/\" target=\"_blank\" rel=\"noreferrer noopener\">most common<\/a>&nbsp;methadone side effects include:<\/p>\n\n\n\n<ul class=\"is-style-columns-2\"><li>Stomach issues (nausea, vomiting, constipation)<\/li><li>Increased sweating<\/li><li>Dry mouth<\/li><li>Weight gain<\/li><li>Alterations in the menstrual cycle (women only)<\/li><li>Sexual dysfunction<\/li><\/ul>\n\n\n\n<p>However, if individuals experience&nbsp;<a href=\"https:\/\/www.samhsa.gov\/medication-assisted-treatment\/treatment\/methadone\" target=\"_blank\" rel=\"noreferrer noopener\">more dangerous side effects<\/a>, like difficulty breathing, chest pain, mental confusion, fainting or severe dizziness, rash, swelling, hives or heart palpitations, they should consult a medical professional or emergency services immediately.<\/p>\n\n\n\n<p>While the&nbsp;long-term effects of methadone&nbsp;use are not well understood, studies suggest an association with long-term use and&nbsp;<a href=\"https:\/\/www.sciencedaily.com\/releases\/2012\/08\/120815082707.htm\" target=\"_blank\" rel=\"noreferrer noopener\">decreased cognitive function and memory<\/a>.<\/p>\n\n\n\n<h3>Taking Methadone While Pregnant<\/h3>\n\n\n\n<p>Women&nbsp;<a href=\"https:\/\/www.sciencedaily.com\/releases\/2012\/08\/120815082707.htm\" target=\"_blank\" rel=\"noreferrer noopener\">can safely<\/a>&nbsp;take methadone&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/opiate-addiction\/know-taking-opiates-pregnant\/\">while pregnant<\/a>&nbsp;or breastfeeding. Heroin and other opioids may cause premature birth or miscarriages if a woman suddenly withdraws. Methadone can be used to help counteract uterine contractions that occur due to withdrawal.<\/p>\n\n\n\n<p>Additionally, methadone is not known to cause birth defects. Despite its safety, infants&nbsp;<a href=\"https:\/\/www.samhsa.gov\/medication-assisted-treatment\/treatment\/methadone\" target=\"_blank\" rel=\"noreferrer noopener\">are likely<\/a>&nbsp;to go through withdrawal symptoms after birth, but only for a short time. Methadone also enters breast milk in small amounts but has not been shown to affect infants negatively.<\/p>\n\n\n\n<h2>How Effective Is Methadone?<\/h2>\n\n\n\n<p>Relative to detoxification programs,&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/opiate-addiction\/treatment-rehab\/methadone-maintenance\/\">methadone maintenance treatment<\/a>&nbsp;has been shown to be quite&nbsp;<a href=\"https:\/\/www.ucsf.edu\/news\/2000\/03\/5047\/methadone-maintenance-found-be-more-effective-treating-heroin-addicti\" target=\"_blank\" rel=\"noreferrer noopener\">effective<\/a>, particularly at treating heroin addiction. In a&nbsp;<a href=\"https:\/\/www.drugabuse.gov\/sites\/default\/files\/pdf\/partb.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">study<\/a>&nbsp;conducted in 1982, 41% of individuals that received methadone maintenance treatment were no longer addicted to opioids, including heroin, nor were they involved in major crimes. This number was significantly lower in individuals that did not receive treatment (~27%). These results indicate that methadone is an effective treatment for opioid addiction if used properly and under the supervision of licensed medical professionals.<\/p>\n\n\n\n<h2>Methadone Safety Guidelines<\/h2>\n\n\n\n<p>The extensive amount of research that has been conducted on the use of methadone to treat opioid addiction has shown it to be relatively safe. Licensed medical professionals follow specific&nbsp;methadone treatment guidelines&nbsp;that have been well established since the 1960s. These&nbsp;<a href=\"https:\/\/www.samhsa.gov\/medication-assisted-treatment\/treatment\/methadone\" target=\"_blank\" rel=\"noreferrer noopener\">guidelines<\/a>&nbsp;include:<\/p>\n\n\n\n<ul><li>Individuals must take methadone as prescribed (as methadone can be addictive if misused)<\/li><li>Alcohol should not be consumed while taking methadone<\/li><li>Use caution while driving or operating machinery and taking methadone<\/li><li>If an overdose of methadone is suspected, contact emergency services (911)<\/li><li>Store methadone in a safe place away from light and not easily accessible by children<\/li><li>Dispose of unused methadone by flushing it down the toilet<\/li><li>Be aware that methadone may&nbsp;<a href=\"https:\/\/www.health.gov.au\/internet\/publications\/publishing.nsf\/Content\/drugtreat-pubs-meth-toc~drugtreat-pubs-meth-app~drugtreat-pubs-meth-app1\" target=\"_blank\" rel=\"noreferrer noopener\">interact with other medications<\/a><\/li><\/ul>\n\n\n\n<h2>Methadone Administration Guidelines<\/h2>\n\n\n\n<p>Strict&nbsp;<a href=\"http:\/\/prescribetoprevent.org\/wp2015\/wp-content\/uploads\/PEP15-FEDGUIDEOTP.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">federal guidelines<\/a>&nbsp;are in place for the&nbsp;administration of methadone. Individuals are administered methadone gradually and weaned off of it slowly to prevent withdrawal symptoms. In a study conducted in&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16185211\" target=\"_blank\" rel=\"noreferrer noopener\">2005<\/a>, higher methadone doses (50\u2013150 milligrams) were more effective at curbing cravings for heroin. Thus, licensed medical professionals aim to provide&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20390694\" target=\"_blank\" rel=\"noreferrer noopener\">60\u2013100 milligrams<\/a>&nbsp;of methadone daily to \u201cmaintain\u201d &nbsp;individuals with opioid addiction. After a period of 6\u201312 months of methadone use, individuals may have their methadone doses lowered gradually as part of their medication-assisted treatment program.<\/p>\n\n\n\n<h2>How The Recovery Village Uses Methadone<\/h2>\n\n\n\n<p>The Recovery Village offers<a href=\"https:\/\/www.therecoveryvillage.com\/treatment-program\/medication-assisted-treatment\/\">&nbsp;medication-assisted treatment programs<\/a>&nbsp;at some of our facilities. Reach out to a&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/contact\/\">representative<\/a>&nbsp;today to find out if a&nbsp;<a href=\"https:\/\/www.therecoveryvillage.com\/local-rehab-resources\/\">facility near you<\/a>&nbsp;offers methadone-assisted treatment or similar programs for opioid addiction.<\/p>\n\n\n\n<h2>Methadone Alternatives<\/h2>\n\n\n\n<p>While methadone is the leading treatment for patients seeking to treat opioid addiction, there are other options available. Alternatives include:<\/p>\n\n\n\n<ul><li><strong>A combination of buprenorphine and naloxone.<\/strong>&nbsp;Effective in replacement therapy for opioids that have a short duration such as heroin. It comes in a variety of doses and has been shown to have fewer side effects than other alternatives. It is, however, less effective as a replacement for long-duration opioids.<\/li><li><strong>Naltrexone HCL.&nbsp;<\/strong>Naltrexone is similar to methadone in that it blocks the effects of other opioids in the brain. One of the drawbacks of naltrexone is that patients must stop using any opioids for at least seven days before beginning treatment -which could bring about an intense period of withdrawal.<\/li><li><strong>Non-medicinal Alternatives.&nbsp;<\/strong>Other options for people seeking to treat opioid addiction include clinical therapies, such as counseling and Cognitive Behavior Therapy. Non-clinical options like acupuncture, meditation, massage and herbal therapy have been reported to be effective by some patients but are not backed by any scientific knowledge. Of course, everyone is different, and what might not work at all for one person may be highly effective for another.<\/li><\/ul>\n\n\n\n<h2>Resources on Methadone<\/h2>\n\n\n\n<p>For&nbsp;more information and facts&nbsp;on methadone treatment for opioid addiction, please see the following resources:<\/p>\n\n\n\n<ul><li>SAMHSA:&nbsp;<a href=\"https:\/\/www.samhsa.gov\/medication-assisted-treatment\" target=\"_blank\" rel=\"noreferrer noopener\">Medication-Assisted Treatment<\/a><\/li><li>SAMHSA:&nbsp;<a href=\"https:\/\/www.samhsa.gov\/medication-assisted-treatment\/treatment\/methadone\" target=\"_blank\" rel=\"noreferrer noopener\">Methadone<\/a><\/li><li>SAMHSA:&nbsp;<a href=\"https:\/\/dpt2.samhsa.gov\/treatment\/\" target=\"_blank\" rel=\"noreferrer noopener\">Opioid Treatment Program Directory<\/a><\/li><li>SAMHSA:&nbsp;<a href=\"https:\/\/findtreatment.samhsa.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">Behavioral Health Treatment Services Locator<\/a><\/li><li>National Alliance for Medication Assisted Recovery<\/li><\/ul>\n\n\n\n<p>There are many treatment options available for people seeking to overcome opioid dependence. The effectiveness of any given treatment depends on a variety of factors. Talking to your doctor or therapist about your options and creating a treatment plan specifically for you is the first step on the road to recovery.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Methadone is a synthetic opioid that prevents withdrawal symptoms and cravings in individuals with opioid addiction. Learn more about methadone treatment for addiction. Methadone was first synthesized in Germany in the 1930s in an effort to find better alternatives to&nbsp;morphine. By the 1960s,&nbsp;methadone treatment&nbsp;was popularized for its efficacy at&nbsp;treating heroin addiction. While individuals can become&nbsp;addicted&#8230;<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":1333,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/content-page-template.php","meta":{"_searchwp_excluded":"","_links_to":"","_links_to_target":""},"categories":[433],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Methadone For Opioid Addiction Treatment: Effectiveness, Side Effects, &amp; More<\/title>\n<meta name=\"description\" content=\"Methadone is a synthetic pain medication that can help treat various types of addiction. Learn more about methadone for addiction treatment.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.therecoveryvillage.com\/treatment-program\/addiction-medications\/methadone\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Methadone For Opioid Addiction Treatment: Effectiveness, Side Effects, &amp; More\" \/>\n<meta property=\"og:description\" content=\"Methadone is a synthetic pain medication that can help treat various types of addiction. Learn more about methadone for addiction treatment.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.therecoveryvillage.com\/treatment-program\/addiction-medications\/methadone\/\" \/>\n<meta property=\"og:site_name\" content=\"The Recovery Village Drug and Alcohol Rehab\" \/>\n<meta property=\"article:modified_time\" content=\"2022-05-05T02:08:45+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\n\t    \"@context\": \"https:\/\/schema.org\",\n\t    \"@graph\": [\n\t        {\n\t            \"@type\": \"Article\",\n\t            \"@id\": \"https:\/\/www.therecoveryvillage.com\/treatment-program\/addiction-medications\/methadone\/#article\",\n\t            \"isPartOf\": {\n\t                \"@id\": \"https:\/\/www.therecoveryvillage.com\/treatment-program\/addiction-medications\/methadone\/\"\n\t            },\n\t            \"author\": {\n\t                \"name\": \"Caroline Weidman\",\n\t                \"@id\": \"https:\/\/www.therecoveryvillage.com\/#\/schema\/person\/d29bba98c2958ea67194d62c00fe0f19\"\n\t            },\n\t            \"headline\": \"Methadone\",\n\t            \"datePublished\": \"2021-09-15T13:40:00+00:00\",\n\t            \"dateModified\": \"2022-05-05T02:08:45+00:00\",\n\t            \"mainEntityOfPage\": {\n\t                \"@id\": \"https:\/\/www.therecoveryvillage.com\/treatment-program\/addiction-medications\/methadone\/\"\n\t            },\n\t            \"wordCount\": 1604,\n\t            \"publisher\": {\n\t                \"@id\": \"https:\/\/www.therecoveryvillage.com\/#organization\"\n\t            },\n\t            \"articleSection\": [\n\t                \"Addiction Medications\"\n\t            ],\n\t            \"inLanguage\": \"en-US\"\n\t        },\n\t        {\n\t            \"@type\": \"WebPage\",\n\t            \"@id\": \"https:\/\/www.therecoveryvillage.com\/treatment-program\/addiction-medications\/methadone\/\",\n\t            \"url\": \"https:\/\/www.therecoveryvillage.com\/treatment-program\/addiction-medications\/methadone\/\",\n\t            \"name\": \"Methadone For Opioid Addiction Treatment: Effectiveness, Side Effects, & More\",\n\t            \"isPartOf\": {\n\t                \"@id\": \"https:\/\/www.therecoveryvillage.com\/#website\"\n\t            },\n\t            \"datePublished\": \"2021-09-15T13:40:00+00:00\",\n\t            \"dateModified\": \"2022-05-05T02:08:45+00:00\",\n\t            \"description\": \"Methadone is a synthetic pain medication that can help treat various types of addiction. 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