Book contents
- Case Studies in Pain Management
- Case Studies in Pain Management
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section 1 Neurological Disorders
- Section 2 Spinal Disorders
- Section 3 Musculoskeletal Pain
- Section 4 Visceral Pain
- Section 5 Headaches and Facial Pain
- Section 6 Cancer Pain
- Section 7 Special Topics
- Chapter 52 A 57-year-old male with chronic pain syndrome, anxiety disorder, and hypertension is seeking mental health counseling
- Chapter 53 Pediatric, infant, and fetal pain
- Chapter 54 Patient with hearing impairment and chronic pain
- Chapter 55 Complementary and alternative medicine
- Chapter 56 Ethical issues in the substance abusing pain patient
- Chapter 57 Approach to the patient with abnormal drug screen
- Chapter 58 Physician exposed to excessive radiation
- Chapter 59 Patient becomes paralyzed following a lumbar transforaminal epidural steroid injection
- Chapter 60 Postepidural steroid injection paraplegia
- Chapter 61 Complications: patient with dural puncture following cervical interlaminar epidural steroid injection
- Chapter 62 Complications: a patient with serotonin syndrome
- Chapter 63 Office-based buprenorphine to wean patients off opioids
- Chapter 64 Patient on chronic opioids who wants to have anesthesia-assisted detoxification
- Chapter 65 Munchausen syndrome and pain
- Chapter 66 Insomnia and chronic pain
- Chapter 67 Opioid-induced constipation
- Chapter 68 Complications: vasovagal response during pain procedures
- Chapter 69 Acute pain management: patient-controlled analgesia
- Chapter 70 Acute pain management: PCEA/continuous epidural catheters
- Chapter 71 New vistas: continuous peripheral catheters/regional anesthesia in postoperative pain management
- Chapter 72 Methadone and treatment of chronic pain
- Chapter 73 Drug testing
- Index
Chapter 72 - Methadone and treatment of chronic pain
from Section 7 - Special Topics
Published online by Cambridge University Press: 05 October 2014
- Case Studies in Pain Management
- Case Studies in Pain Management
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section 1 Neurological Disorders
- Section 2 Spinal Disorders
- Section 3 Musculoskeletal Pain
- Section 4 Visceral Pain
- Section 5 Headaches and Facial Pain
- Section 6 Cancer Pain
- Section 7 Special Topics
- Chapter 52 A 57-year-old male with chronic pain syndrome, anxiety disorder, and hypertension is seeking mental health counseling
- Chapter 53 Pediatric, infant, and fetal pain
- Chapter 54 Patient with hearing impairment and chronic pain
- Chapter 55 Complementary and alternative medicine
- Chapter 56 Ethical issues in the substance abusing pain patient
- Chapter 57 Approach to the patient with abnormal drug screen
- Chapter 58 Physician exposed to excessive radiation
- Chapter 59 Patient becomes paralyzed following a lumbar transforaminal epidural steroid injection
- Chapter 60 Postepidural steroid injection paraplegia
- Chapter 61 Complications: patient with dural puncture following cervical interlaminar epidural steroid injection
- Chapter 62 Complications: a patient with serotonin syndrome
- Chapter 63 Office-based buprenorphine to wean patients off opioids
- Chapter 64 Patient on chronic opioids who wants to have anesthesia-assisted detoxification
- Chapter 65 Munchausen syndrome and pain
- Chapter 66 Insomnia and chronic pain
- Chapter 67 Opioid-induced constipation
- Chapter 68 Complications: vasovagal response during pain procedures
- Chapter 69 Acute pain management: patient-controlled analgesia
- Chapter 70 Acute pain management: PCEA/continuous epidural catheters
- Chapter 71 New vistas: continuous peripheral catheters/regional anesthesia in postoperative pain management
- Chapter 72 Methadone and treatment of chronic pain
- Chapter 73 Drug testing
- Index
Summary
Methadone is familiar to most laypersons as a treatment for heroin addiction, dispensed at special clinics. Methadone is also a powerful, inexpensive, and effective analgesic, but it has many unique and potentially lethal aspects that have to be well understood before using it for pain relief. Addiction treatment with methadone requires a special license, but any provider who can prescribe Schedule II medications can write for methadone for pain. Unfortunately, because no special training is required to prescribe methadone and because poor insurance coverage is leading to the increased use of inexpensive methadone, there has been a tragic dramatic increase in opioid deaths attributed to methadone. This chapter reviews the indications, contraindications, drug interactions, metabolism, genetic issues, ethics, and initial evaluation and treatment for methadone.
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- Information
- Case Studies in Pain Management , pp. 498 - 503Publisher: Cambridge University PressPrint publication year: 2014