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What is the most important information I should know about methadone?
• When methadone is used as part of a treatment program for narcotic addictionmaintenance or detoxification, it must be dispensed by a specially approvedpharmacy methadone program.
• Use caution when driving, operating machinery, or performing other hazardousactivities methadone program. Methadone may cause dizziness or drowsiness methadone program. If you experience dizzinessor drowsiness, avoid these activities methadone program.


What is methadone?
• Methadone is a narcotic pain reliever, similar to morphine methadone program. Methadonealso reduces withdrawal symptoms in people addicted to heroin or other narcoticdrugs without causing the '"high" associated with the drug addiction methadone program.
• Methadone is used as a pain reliever and as part of drug addiction detoxificationand maintenance programs methadone program.
• Methadone may also be used for purposes other than those listed here methadone program.


What should I discuss with my healthcare provider before taking methadone?
• Before taking methadone, talk to your doctor if you have
· kidney disease;
· liver disease;
· asthma, lung disease, or breathing problems;
· an enlarged prostate or difficulty urinating;
· hypothyroidism;
· seizures or epilepsy;
· a head injury or brain tumor; or
· Addison's disease methadone program.
• You may not be able to take methadone, or you may require a dosage adjustmentor special monitoring during treatment methadone program.
• Do not take methadone without first talking to your doctor if you arepregnant or could become pregnant during treatment methadone program.
• Do not take methadone without first talking to your doctor if you arebreast-feeding a baby methadone program.


How should I take methadone?
• Take methadone exactly as directed by your doctor methadone program. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you methadone program.
• When methadone is used as part of a treatment program for narcotic addictionmaintenance or detoxification, it must be dispensed by a specially approvedpharmacy methadone program.
• Methadone is available as tablets, liquid for oral administration, andas an injection methadone program. Oral forms of methadone must never be injected methadone program.
• Take the oral tablets with a full glass of water methadone program.
• To ensure that you get a correct dose, measure the liquid with a dose-measuringspoon, dropper, or cup, not a regular table spoon methadone program. If you do not have a dose-measuringdevice, ask your pharmacist where you can get one methadone program.
• Your healthcare provider may recommend that methadone be administeredby a family member, friend, or healthcare provider to ensure compliance withthe treatment methadone program.
• Do not take more methadone than is prescribed methadone program. If you symptoms are notbeing adequately treated, contact your healthcare provider methadone program.
• It is important to take methadone regularly to get the most benefit methadone program.
• Additional forms of counseling and/or monitoring may be recommended duringtreatment with methadone methadone program.
• Methadone may be habit forming methadone program. Physical and/or psychological dependencecan occur, and withdrawal effects are possible if the medication is stoppedsuddenly after prolonged or high-dose treatment methadone program. Do not stop taking methadonesuddenly without first talking to your doctor if you have been taking it ona regular basis methadone program. Your healthcare provider may want to gradually reduce the dose methadone program.
• Store methadone at room temperature away from moisture and heat methadone program.


What happens if I miss a dose?
• Take the missed dose as soon as you remember methadone program. If it is almost time forthe next dose, skip the missed dose and take only the next regularly scheduleddose methadone program. Do not take a double dose of the medication methadone program.


What happens if I overdose?
• Seek emergency medical attention if an overdose of methadone is suspected methadone program.
• Symptoms of a methadone overdose may include shallow or decreased breathing,slow heart rate, small pupils, cold, clammy skin, coma, and death methadone program.


What should I avoid while using methadone?
• Use caution when driving, operating machinery, or performing other hazardousactivities methadone program. Methadone may cause dizziness or drowsiness methadone program. If you experience dizzinessor drowsiness, avoid these activities methadone program.
• Do not take any prescription or over-the-counter medicine to treat acold, cough, or pain while taking methadone without first talking to your doctor methadone program. These medicines may contain narcotics or alcohol methadone program.
• Do not use narcotic drugs or alcohol while taking methadone methadone program.
• Do not take more methadone than is prescribed methadone program. If you symptoms are notbeing adequately treated, contact your healthcare provider methadone program.


What are the possible side effects of methadone?
• If you experience any of the following serious side effects, stop takingmethadone and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; or hives);
· difficulty breathing;
· hallucinations or confusion;
· chest pain;
· fainting; or
· loss of consciousness methadone program.
• Other, less serious side effects may be more likely to occur methadone program. Continueto take methadone and talk to your doctor if you experience
· anxiety, nervousness, or restlessness;
· dizziness or lightheadedness;
· nausea, vomiting, or diarrhea;
· drowsiness;
· decreased appetite;
· dry mouth;
· constipation;
· weakness; or
· sexual problems methadone program.
• Methadone may be habit forming methadone program. Physical and/or psychological dependencecan occur, and withdrawal effects are possible if the medication is stoppedsuddenly after prolonged or high-dose treatment methadone program. Do not stop taking methadonesuddenly without first talking to your doctor if you have been taking it ona regular basis methadone program. Your healthcare provider may want to gradually reduce the dose methadone program.
• Side effects other than those listed here may also occur methadone program. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome methadone program.


What other drugs will affect methadone?
• Do not take methadone with any of the following drugs without first talkingto your doctor:
· a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan),phenelzine (Nardil), tranylcypromine (Parnate);
· rifampin (Rifadin, Rimactane); or
· a narcotic pain reliever such as buprenorphine (Buprenex, Subutrex),codeine (Tylenol with Codeine, others), hydrocodone (Lorcet, Lortab, Vicodin,Vicoprofen, others), hydromorphone (Dilaudid), levorphanol (Levo-Dromoran),meperidine (Demerol), morphine (Kadian, MS Contin, MSIR, OMS, Roxanol, OramorphSR, others), oxycodone (M-Oxy, OxyContin, OxyIR, Roxicodone, Percocet, Percodan,others), oxymorphone (Numorphan), propoxyphene (Darvon, Darvocet, others), andothers methadone program.
• You may not be able to take methadone, or you may require a dosage adjustmentor special monitoring during treatment methadone program.
• Methadone may increase the effects of other drugs that cause drowsinessor dizziness, including antidepressants, alcohol, sedatives (used to treat insomnia),pain relievers, anxiety medicines, muscle relaxants, and antihistamines methadone program. Donot drink alcohol and do not take any medicine without first talking to yourdoctor while taking methadone methadone program.
• Do not take any prescription or over-the-counter medicine to treat acold, cough, or pain while taking methadone without first talking to your doctor methadone program. These medicines may contain narcotics or alcohol methadone program.
• Drugs other than those listed here may also interact with methadone methadone program. Talk to your healthcare provider before taking any other prescription or over-the-countermedicines, including vitamins, minerals, and herbal products methadone program.


Where can I get more information?
• Your pharmacist has additional information about methadone written forhealth professionals that you may read methadone program.


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