Background: Methadone is a synthetic mu-opioid receptor agonist used in the treatment of chronic pain and opioid dependence. Exposure to substances like grapefruit juice, that inhibit these isoenzymes may result in increased blood levels of methadone, and thus may manifest clinically as unexpected opioid toxicity.
Case: A year-old male was found unresponsive. To protect your teeth, follow the dental routine recommended for everyone: brush and floss every day, rinse your mouth with mouthwash, go to the dentist at least twice a year, and cut sugar from your diet. Drinking plenty of water can also help to relieve dry mouth. If you're on methadone, and you feel like your bones are rotting, it's probably because you're on too low a dose. Bone ache, which may feel like bone "rot," is a symptom of methadone withdrawal.
When your dose is adjusted correctly you should not experience any aching or other symptoms of withdrawal. Reality: Not everyone gains weight when they go on methadone, but some do. This is usually because methadone improves your health and appetite, and so you eat more.
If you've been using drugs for a long time, you may be underweight and need to gain a few pounds. Even though the methadone drink is not "fattening" like sweets and fatty foods, methadone can slow your metabolism and cause water retention, which can lead to weight gain. You can control weight gain by choosing healthy foods that are high in fibre such as whole grains and fruits and vegetables, and by exercising regularly.
If you nourish your body, you'll keep the pounds off, and more important, you'll feel good. Reality: How could these both be myths? Well it isn't easy to get off methadone, but it doesn't have to be hard either. The symptoms of methadone withdrawal come on more slowly than those of heroin withdrawal, but with methadone, the withdrawal process takes longer.
When you are ready to go off methadone, your dose will be "tapered," or gradually reduced, usually at a rate that you determine. Propoxyphene-containing products may be taken with food to reduce or prevent GI upset. A common side effect of narcotic analgesics is constipation. Increasing dietary fiber especially vegetables and whole-grain foods and water intake can ease constipation.
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