Eine Überprüfung der Methadontabletten zur Schmerzbehandlung
Methadone clearance may Beryllium increased during pregnancy. Several small studies have demonstrated significantly lower trough methadone plasma concentrations and shorter methadone half-lives hinein women during their pregnancy compared to after their delivery.When treating pain, methadone given on a fixed-dose schedule may have a narrow therapeutic Register rein certain patient populations, especially when combined with other drugs, and should Beryllium reserved for cases where the benefits of opioid analgesia with methadone outweigh the known potential risks of cardiac conduction abnormalities, respiratory depression, altered mental states and postural hypotension.
When methadone is used with certain drugs, it may not work as well to treat your condition. This is because the amount of methadone hinein your body may be decreased. Examples of these drugs include:
Methadone should Beryllium used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Switching a patient from another chronically administered opioid to methadone requires caution due to the uncertainty of dose conversion ratios and incomplete cross-tolerance. Deaths have occurred hinein opioid tolerant patients during conversion to methadone. Conversion ratios hinein many commonly used equianalgesic dosing tables do not apply hinein the Rahmen of repeated methadone dosing.
Patients developing QT prolongation while on methadone treatment should be evaluated for the presence of modifiable risk factors, such as concomitant medications with cardiac effects, drugs which might cause electrolyte abnormalities, and drugs which might act as inhibitors of methadone metabolism. For use of methadone to treat pain, the risk of QT prolongation and development of dysrhythmias should Beryllium weighed against the benefit of adequate pain management and the availability of alternative therapies.
Abnormal fetal nonstress tests (NSTs) have been reported to occur more frequently when the test is performed 1 to 2 hours after a maintenance dose Methadontabletten 10 mg online of methadone hinein late pregnancy compared to controls.
Patients should Beryllium cautioned that alcohol and other CNS depressants may produce an additive CNS depression when taken with this product and should Beryllium avoided.
For people with kidney problems: If you have kidney problems or a history of kidney disease, you may not be able to clear this drug from your body well. This may increase the levels of methadone in your body and cause more side effects. Your doctor should watch you closely if you take this drug.
Zensur – Equianalgesic methadone dosing varies not only between patients, but also within the same patient, depending on baseline morphine (or other opioid) dose. Table 1 has been included hinein order to illustrate this concept and to provide a safe starting point for opioid conversion. Methadone dosing should not be based solely on these tables. Methadone conversion and dose titration methods should always be individualized to account for the patient's prior opioid exposure, general medical condition, concomitant medication, and anticipated breakthrough medication use.
This drug can make you very drowsy. You shouldn’t drive, use machinery, or do other activities that require alertness after you’ve taken this drug.
Deaths have been reported during conversion to methadone from chronic, high-dose treatment with other opioid agonists and during initiation of methadone treatment of addiction rein subjects previously abusing high doses of other agonists.
Dosage adjustment using higher doses or administering the daily dose hinein divided doses may be necessary in pregnant women treated with methadone (Teich CLINICAL PHARMACOLOGY and DOSAGE AND ADMINISTRATION).
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