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Methadone HCl Intensol

Methadone HCl Intensol is a long-acting opioid analgesic used for the treatment of severe pain and as part of a detoxification program for opioid addiction. It is a synthetic opioid that affects the brain's receptors to alleviate pain and manage withdrawal symptoms.

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Frequently Asked Questions

How quickly does Methadone HCl Intensol work?
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Patients may begin to experience pain relief within 1 to 2 hours after taking the medication, but it can take longer to reach optimal pain control.

Can I take Methadone HCl Intensol with food?
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Yes, it can be taken with or without food. However, consistency in how you take it may help with adherence.

What should I do if I miss a dose?
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If you miss a dose, take it as soon as you remember. If it’s close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up.

Is Methadone HCl Intensol safe during pregnancy?
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Methadone should be used during pregnancy only if the potential benefits justify the potential risks. Consult your healthcare provider for guidance.

What are the signs of serious side effects to watch for?
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Monitor for signs of respiratory depression, severe allergic reactions, or significant changes in mood or behavior, and seek immediate medical attention if these occur.

Comprehensive Drug Guide

How Does Methadone HCl Intensol Work?

Methadone works by binding to mu-opioid receptors in the brain, which alters the perception of pain and emotional response to pain. It also has NMDA receptor antagonist properties, which can contribute to its analgesic effects and help manage withdrawal symptoms in opioid dependence.

Common Dosages

  • Oral solution: Concentration of 10 mg/mL.

Typical Dosing

  • For severe pain: Dosing is individualized based on the patient's previous opioid exposure and response; typically, the initial dose may range from 2.5 mg to 10 mg every 8 to 12 hours as needed.
  • For opioid dependence: Dosing will be determined by the treatment program, often starting with a higher initial dose followed by gradual adjustments.


Typical Dosing

FDA Approved Indications

  • Management of severe pain where treatment with an opioid is appropriate.
  • Treatment of opioid dependence as part of a comprehensive treatment plan.

Who Shouldn't Take Methadone HCl Intensol?

  • Known hypersensitivity to methadone or any component of the formulation.
  • Significant respiratory depression or acute asthma.
  • History of severe allergic reactions to opioids.


Advice From The Pharmacist

  • Take Methadone HCl Intensol exactly as prescribed, and do not exceed the recommended dose to avoid serious side effects.
  • Monitor for signs of respiratory depression, particularly during the first few days of treatment or after dosage increases.
  • Avoid alcohol and other CNS depressants while taking methadone, as these can enhance the risk of serious side effects.


Side Effects of Methadone HCl Intensol

Common Side Effects

  • Dizziness
  • Drowsiness
  • Nausea
  • Vomiting
  • Constipation


Uncommon/Severe Side Effects

  • Severe allergic reactions (anaphylaxis)
  • Respiratory depression
  • Cardiac arrhythmias


Risks and Warnings of Methadone HCl Intensol

  • Addiction and Abuse: Methadone has the potential for addiction and misuse; careful monitoring is essential.
  • Withdrawal Symptoms: Abrupt discontinuation after long-term use can lead to withdrawal symptoms; gradual tapering may be necessary.


Interactions with Methadone HCl Intensol

Common Drug Interactions

  • CNS Depressants: Use caution when combining with other CNS depressants, such as benzodiazepines or alcohol.
  • Other Opioids: Be cautious when combining with other opioid medications, as this may increase the risk of overdose.


Alternatives to Methadone HCl Intensol

  • Other Opioid Analgesics: Such as oxycodone or hydromorphone for similar pain management.
  • Non-opioid Analgesics: Such as acetaminophen or NSAIDs for less severe pain management.