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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 washington pa methadone clinic.
• Use caution when driving, operating machinery, or performing other hazardousactivities washington pa methadone clinic. Methadone may cause dizziness or drowsiness washington pa methadone clinic. If you experience dizzinessor drowsiness, avoid these activities washington pa methadone clinic.


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


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 washington pa methadone clinic.
• You may not be able to take methadone, or you may require a dosage adjustmentor special monitoring during treatment washington pa methadone clinic.
• Do not take methadone without first talking to your doctor if you arepregnant or could become pregnant during treatment washington pa methadone clinic.
• Do not take methadone without first talking to your doctor if you arebreast-feeding a baby washington pa methadone clinic.


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


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


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


What should I avoid while using methadone?
• Use caution when driving, operating machinery, or performing other hazardousactivities washington pa methadone clinic. Methadone may cause dizziness or drowsiness washington pa methadone clinic. If you experience dizzinessor drowsiness, avoid these activities washington pa methadone clinic.
• 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 washington pa methadone clinic. These medicines may contain narcotics or alcohol washington pa methadone clinic.
• Do not use narcotic drugs or alcohol while taking methadone washington pa methadone clinic.
• Do not take more methadone than is prescribed washington pa methadone clinic. If you symptoms are notbeing adequately treated, contact your healthcare provider washington pa methadone clinic.


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 washington pa methadone clinic.
• Other, less serious side effects may be more likely to occur washington pa methadone clinic. 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 washington pa methadone clinic.
• Methadone may be habit forming washington pa methadone clinic. Physical and/or psychological dependencecan occur, and withdrawal effects are possible if the medication is stoppedsuddenly after prolonged or high-dose treatment washington pa methadone clinic. Do not stop taking methadonesuddenly without first talking to your doctor if you have been taking it ona regular basis washington pa methadone clinic. Your healthcare provider may want to gradually reduce the dose washington pa methadone clinic.
• Side effects other than those listed here may also occur washington pa methadone clinic. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome washington pa methadone clinic.


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 washington pa methadone clinic.
• You may not be able to take methadone, or you may require a dosage adjustmentor special monitoring during treatment washington pa methadone clinic.
• 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 washington pa methadone clinic. Donot drink alcohol and do not take any medicine without first talking to yourdoctor while taking methadone washington pa methadone clinic.
• 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 washington pa methadone clinic. These medicines may contain narcotics or alcohol washington pa methadone clinic.
• Drugs other than those listed here may also interact with methadone washington pa methadone clinic. Talk to your healthcare provider before taking any other prescription or over-the-countermedicines, including vitamins, minerals, and herbal products washington pa methadone clinic.


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

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