Methadone Adco 10mg Oral Solution
Clinical Summary
Quick overview from the medicine insert
Indication
Substitution treatment in opiate dependence.
Dosage (summary)
Initial dose: 20 mg once daily, adjusted to 60-120 mg daily.
Special Populations
- Elderly
- Hepatic impairment
- Renal impairment
Pregnancy & Breastfeeding
Not recommended during pregnancy or lactation due to risks of neonatal withdrawal and respiratory depression.
Key Drug Interactions
- CYP3A4 inhibitors
- CYP3A4 inducers
- CNS depressants
- MAOIs
Contraindications
- Hypersensitivity
- Children
- Respiratory depression
- Acute alcoholism
- Head injury
- Severe hepatic impairment
Common side effects
- Respiratory depression
- Constipation
- Dizziness
- Nausea
- Fatigue
Counselling Points
- Avoid alcohol and CNS depressants
- Monitor for signs of overdose
- Do not drive until stabilized
- Gradual dose reduction for withdrawal
Serious warnings
- Risk of dependence
- QT prolongation
- Respiratory depression
- CNS depression
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