Case Study 3: 150 Of Methadone

America has a major problem with opioid addicts, and many facilities are helping the addicts by providing safer options to taking the drugs their bodies crave. Methadone clinics are places where people addicted to opioids can receive medicine-based therapy. Opioid use, drugs such as heroin, morphine, and prescribed painkillers, has increased in the US with all age groups and incomes. People become addicted to these drugs when they are prescribed, recreationally used with other addicts, or they are born addicted. Many health institutions are addressing this issue with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted

The patient is a 34 year old black male. The patient reports he is single with 3 daughter ages 3, 11, and 13. The 3 year old live with him. He reports currently live with his mother and brother. The patient reports he has 14 years of education however has not received his degree. The patient reports being on probation for Injury to a child for the next two years. The patient is scheduled to be complete his probation in September 2016. The patient reports Cannabis is primary substances and his last use July 20, 2015. He stated on that day he smoked about 5 joint. The patient also report that he tried Xanax . The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Thursday, July 30, 2015 at

When concerning the patient situations there are some important facts that need to be reviewed. The important facts about this case is the patient was a 16 years old guy that got in an automobile accident. The patient stated that he was in a methadone treatment program. A methadone are drugs approved for use in treating opioid dependence patient such as

Methadone Maintenance Therapy (MMT) is used with opioid dependency and is an opioid replacement therapy. MMT typically replaces heroin with Methadone which is a cleaner substance than heroin, and is used to avoid withdrawal and allow the user to function normally within society. MMT has been around for the last 50 years, and research studies have been conducted to address the benefits and the complications associated with this replacement therapy. This paper will examine some of the advantages and disadvantages associated with MMT and reflect on personal ideals in accordance with MMT.

Methadone is a synthetic opioid drug which was first used in World War II for the treatment of pain. Since then, methadone has become a popular choice for treating those addicted to other opioid drugs such as heroin, oxycodone, morphine, and hydrocodone. It is used to reduce dependency and the treatment should help them become clean. Even though, the policy of giving methadone to drug addicts is not a cure, it is a good one. Fortunately, the Methadone Maintenance Treatment (MMT) is a reliable way for those with an opioid addiction to stop and not restart the use of opioids. For many, methadone treatment provides an opportunity to regain balance in both lifestyle and priorities. (“Opiate Addiction and Treatment Resource”). Everyone deserves

Methadone is a synthetic (man-made) narcotic. There is a chemical in methadone known as opioid. Methadone is a depressant and can cause symptoms as such as sweating, itchy skin, and sleepiness. “When the use of this drug is stopped it causes withdrawal symptoms as such as anxiety, muscle tremors, abdominal cramps” and etc (dea.gov).

included in The Harrison Act, that was supposed to protect physicians, “in the course of

Throughout the case of how Ashley had ingested the methadone, there had been many inferences being constructed. Through all the inferences, none of them are fully explaining everything that had happen that night on the cruise ship. All of the inferences are focusing on how the fiancé might have been involved in the ingested methadone, but hardly any are focusing on anything else. Due to Ashley consuming alcohol that night, the abortion causing her to be exhausted with emotion, is is very clear that she had mistaken the methadone for NyQuil and thus causing this case to be an accidental suicide.

It has a greater treatment retention than detoxification, 439 days for methadone treatment vs 174 days for detoxification method (Sees, Delucchi, Masson, Rosen, Clark, Robillard et al., 2000).

Methadone is a drug that is primarily used to treat patients who have developed and addiction to opiate agonists such as Heroin, Oxycodone, Morphine and Hydromorph Contin. (Canadian Public Health Association. N/D.) Methadone is also used to treat chronic pain. In treatment patients will undergo a physical exam and blood work to ensure their body can handle the drug. A test is also done on the patient to determine the level of opiate withdrawal the patient is in. Once the patient is determined to require treatment they will be prescribed a dose of Methadone to relieve their withdrawal symptoms as well as reduce cravings. Methadone itself is a synthetic opioid which acts on the same opioid receptors as other agonistic opiates. (Canadian Public

Besides preventing withdrawal, methadone treats the mom’s opioid addiction. About 70% of pregnant opioid addicts will relapse back to illicit opioid use (heroin or pain pills not prescribed to them) if they are taken off methadone. We also know that women enrolled in a methadone treatment program are much more likely to get prenatal care, and babies born to moms on methadone have higher birth weights than mothers in active addiction. If the mother is dosed with methadone, the baby is much less likely to be exposed to infectious agents like HIV and hepatitis from shared needle use. The baby also won’t be exposed to adulterants that can cause fetal damage, if heroin is being used.

Counselor met with Pt. for his monthly therapy session. In this session, Pt. discussed his recovery progress, new tx plan and his assignment on Relapse Prevention. Client was upset about not moving on 4/12/12. He asked writer if he was moving forward this week, and writer shared with the Pt. that he needs to keep improving and leave the take home privileges up to staff. Pt shared with writer his Comprehensive relapse prevention plan. Pt. processed roadblocks and barriers that interrupt his recovery plan. He said having cravings t the moment is one of the problems. Pt. reported that he is currently receiving 60 mg of methadone and he thinking about going up. Pt. denied having any mental health issues and no suicidal ideations. Counselor helped Pt. to

Methadone is a commonly used opioid to relieve pain in both veterinary and human medicine. To help develop appropriate pain management practices and to develop a quantitative model for predicting methadone dosimetry in plasma and specific tissues, a flow-limited multi-route physiologically based pharmacokinetic (PBPK) model for methadone in dogs constructed with Berkeley MadonnaTM was developed, specifically examining the Beagle and Greyhound breeds. The model accounts for intravenous (IV), subcutaneous (SC), and oral administrations, and compartmentalizes the body into components of venous blood, arterial blood, muscle, lung, brain, heart, liver, GI tract, kidney, and rest of body. This model was calibrated from plasma pharmacokinetic data

Counselor met with Pt. for a scheduled individual session. Counselor and Pt. discussed his progress, current recovery progress, any personal concern and his treatment plan update. Pt. reported that he has no serious mental health issue and reported not experiencing suicidal thoughts. Pt is financially stable and he is taking his methadone as prescribed by AMS Doctor. Pt. explained that his current prescribed dosage of methadone isn’t working because around 3 pm he gets tired, start sweating and experiencing hot flashes and cravings. Counselor helped Pt. to discuss and complete an AMS Dose Evaluation form. Counselor asked him, “How do you currently see yourself and are you happy with what you see?” Pt. was expected to answer the question and

Pt. has been in the AMS program for 2 years. Pt. has made no progress in achieving her goal of becoming abstinent from all illicit substance use over the last quarter, as evidenced by her positive UDS for crack cocaine. Pt. is attending daily for her dose. Counselor advised Pt. to speak to nursing staff or this writer if she feels her dose needs to be changed. Pt. has shown no effort to attend AMS groups or show up her individual session. Pt. continues to maintain deficit with TX payments, Counselor will continue to monitor UDS, discuss thought processes that lead to continued using of drugs this past quarter and work on developing seeing herself as having a desire to work on recovery. Pt. reports she is struggling with anxiety and physical