Eine Überprüfung der Methadontabletten zur Schmerzbehandlung
Eine Überprüfung der Methadontabletten zur Schmerzbehandlung
Blog Article
Prescribers should always follow appropriate pain management principles of careful assessment and ongoing monitoring.
Several factors complicate the Perspektive of investigations of the children of women Weltgesundheitsorganisation take methadone during pregnancy. These include the maternal use of illicit drugs, other maternal factors such as nutrition, infection, and psychosocial circumstances, limited information regarding dose and duration of methadone use during pregnancy, and the fact that most maternal exposure appears to occur after the first trimester of pregnancy. In addition, reported studies generally compare the benefit of methadone to the risk of untreated addiction to illicit drugs; the relevance of these findings to pain patients prescribed methadone during pregnancy is unclear.
Since the metabolism of methadone is mediated primarily by CYP3A4 isozyme, coadministration of drugs that inhibit CYP3A4 activity may cause decreased clearance of methadone. The expected clinical results would be increased or prolonged opioid effects. Thus, methadone-treated patients coadministered strong inhibitors of CYP3A4, such as azole antifungal agents (e.
Methadone should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
The total daily dose, potency and specific characteristics of the opioid the patient had been taking previously, if any;
If you become pregnant while taking this drug, call your doctor right away. Children Weltgesundheitsorganisation are born to mothers Weltgesundheitsorganisation used this drug for a long time during pregnancy are at risk of neonatal withdrawal syndrome. This can be life threatening to the child.
Fertility – Reproductive function hinein human males may Beryllium decreased by methadone treatment. Reductions in ejaculate volume and seminal vesicle and prostate secretions have been reported in methadone-treated individuals. Rein addition, reductions in serum testosterone levels and sperm motility, and abnormalities rein sperm morphology have Methadontabletten online zu verkaufen been reported. Published animal studies provide additional data indicating that methadone treatment of males can alter reproductive function.
Methadone is a mu-agonist opioid with an abuse liability similar to that of morphine and is a Schedule II controlled substance. Methadone, like morphine and other opioids used for analgesia, has the potential for being abused and is subject to criminal diversion.
The principal therapeutic uses for methadone are for analgesia and for detoxification or maintenance hinein opioid addiction. The methadone abstinence syndrome, although qualitatively similar to that of morphine, differs hinein that the onset is slower, the course is more prolonged, and the symptoms are less severe.
Pro die Sichtvergabe erforderlichkeit zusammen mit Doktor ansonsten Apotheke eine entsprechende Vereinbarung bestehen, die schriftlich oder elektronisch festgehalten zumal dokumentiert werden bedingung.
These side effects include slowed breathing and sedation. Magnesiumsilikathydrat to your doctor if you breastfeed your child. You may need to decide whether to stop breastfeeding or stop taking this medication.
Methadone hydrochloride tablets may not Beryllium right for you. Before starting methadone hydrochloride tablets, tell your doctor about all your medical and mental conditions including a history of drug or alcohol abuse or addiction.
Respiratory depression is the chief hazard associated with methadone hydrochloride administration. Methadone's peak respiratory depressant effects typically occur later, and persist longer than its peak analgesic effects, particularly during the initial dosing period.
Primary attention should Beryllium given to the reestablishment of adequate respiratory exchange through provision of a patent airway and institution of assisted or controlled ventilation. If a non-tolerant person, takes a large dose of methadone, effective opioid antagonists are available to counteract the potentially lethal respiratory depression. The physician must remember, however, that methadone is a long-acting depressant (36 to 48 hours), whereas opioid antagonists act for much shorter periods (one to three hours).