Methadone treatment contracts

The nature of methadone treatment, and the common complications which often occur in respect of appointments and unplanned presentations, make some kind of contract between patient and clinic desirable. In health services the standard of information given to users about basic matters such as opening hours, appointment systems and prescriptions has... 

Methadone is a synthetic opioid, clinically available in the U.S. since 1947.8 It exists in the dextro- and levo-rotatory forms with the levo-isoform possessing approximately 8 to 50 times more pharmacological activity.27 34 Methadone acts on the CNS and cardiovascular system producing respiratory and circulatory depression. Methadone also produces miosis and increases the tone of smooth muscle in the lower gastrointestinal tract while decreasing the amplitude of contractions. It is used clinically for the treatment of severe pain and in maintenance programs for morphine and heroin addicts.34... 

Naioxone (Narcan) Surmountably blocks opioid receptors. Has no effect in narcotic-free persons. Treatment of narcotic overdose. Diagnostic agent (for evaluation of addiction) in methadone programs. To reduce postoperative respiratory depression. Induces narcotic withdrawal syndrome (appetite loss, muscle contraction, fever/chills, restlessness, cardiovascular and respiratory symptoms, nausea,vomiting, diarrhea.)... 

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