Recommend Starting Low and Going Slow If Patients Switch To Methadone

April 2016

You'll see more caution about using methadone for chronic pain.

Methadone is more risky than other opioids because of its long and variable half-life...interactions...risk of QT prolongation, etc.

And it needs to be given every 8 to 12 hours for pain...but its effects on respiratory depression may occur later and last longer.

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Table of Contents

Gastroenterology Help Put the Risk of Dementia with PPIs in Perspective
Bites & Stings Recommend Repellents With DEET or Icaridin First-Line
Hepatitis C Watch Statin Doses With New Hepatitis C Med Zepatier
Pediatrics Most kids will be treated as outpatients for uncomplicated pneumonia
Insulin Ensure Patients Know They Must Test Glucose Often if They Use an Insulin Pu
Stroke Consider Suggesting Pioglitazone for Patients with Prediabetes and Prior St
Opioids Recommend Starting Low and Going Slow If Patients Switch To Methadone
Diabetes Don't Get Hung Up on Which BP Med to Recommend First in Most Diabetes Patie
Specialty Meds Watch for Insurance Flags or Rejects for Specialty Meds
Supplements Point Out Which Potassium Supplements Leave a "Ghost" Tab in the Stool
Testosterone Explain Testosterone May Only Provide Small Benefits in Older Men