Rutrex 10 mg Concentrate for oral solution
Clinical Summary
Quick overview from the medicine insert
Indication
Substitution treatment in opiate dependence.
Dosage (summary)
Initial dose: 20 mg once daily, titrated to 60-120 mg/day.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
- Hypothyroidism
- Prostatic hypertrophy
- Paediatric population
Pregnancy & Breastfeeding
Not recommended during pregnancy or breastfeeding due to risks of neonatal withdrawal syndrome.
Key Drug Interactions
- CYP3A4 inhibitors/inducers
- CNS depressants
- MAO inhibitors
- Opiate antagonists
Contraindications
- Hypersensitivity to methadone
- Respiratory depression
- Acute asthma attack
- Acute alcoholism
- Severe hepatic impairment
Common side effects
- Dizziness
- Euphoria
- Nausea
- Constipation
- Fatigue
Counselling Points
- Avoid driving until stabilized.
- Monitor for signs of misuse.
- Gradual dose reduction required upon discontinuation.
Serious warnings
- Risk of dependence and overdose
- QT prolongation
- Respiratory depression
- Drug withdrawal syndrome
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