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What are the Pros and Cons of Methadone Treatment?

By Rhonda Rivera
Updated Feb 17, 2024
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Methadone treatment is routinely used to help ween opiate addicts off drugs. The advantages of this kind of withdrawal treatment is that it suppresses withdrawal symptoms without giving the patient an opiate rush, and it is long-lasting. Methadone’s disadvantages are that it is a habit-forming drug, and people can accidentally overdose on the medication. The drug also has numerous side effects, including weight gain, increased frequency of urination, and delayed ejaculation. Even with these cons and side effects, the drug is effective and considered safe by many experts.

This prescription drug is highly effective at eliminating withdrawal symptoms of all opioid drugs. Not only does it reduce a patient’s desire to use an opioid, it prevents him or her from getting high when an opioid is acquired and used. On this medication, drug addicts have a better chance of recovering than if they were not using an aid to recover.

Another pro of methadone treatment is that the drug is long-lasting. It can successfully reduce withdrawal symptoms for at least one day, sometimes up to a day and a half. The medication does not even have to be administered intravenously; it can be prescribed as a once-a-day tablet taken by mouth.

A drawback of methadone treatment is that it is itself habit-forming and can be abused. This can be prevented with close medical supervision, but the fact remains that a patient can become addicted to methadone and feel withdrawal symptoms when finishing a methadone treatment. Under normal circumstances, an addict is treated with methadone in a facility to overcome addiction, so his or her activities are closely watched and the potential for abuse is small.

While methadone is considered a safe prescription drug, it can be lethal if too much is consumed and help is not available quickly. Since the drug is metabolized at different rates based on genetics, it is possible for someone who slowly metabolizes methadone to accidentally overdose on a dose that is fine for someone else. An overdose can be treated if caught quickly, but otherwise results in death due to a gradual shutdown of the respiratory system.

Many methadone treatment patients experience weight gain and constipation as a side effect. Other mild symptoms that are commonly observed are nausea and vomiting, headache, and dry mouth. Research indicates that it does not have a direct long-term effect on the heart, lungs, or other important organs, however.

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Discussion Comments
By SZapper — On Nov 24, 2011

@indemnifyme - You do raise some good points. However, I feel like in this case the pros really outweigh the cons. As the article says, this stuff allows people to stop using drugs without going through withdrawal. Also, the addict doesn't really have any reason to use drugs while they're on this stuff because they won't feel anything. Addiction is a terrible problem, and I can't argue against any medicine that can help with it.

However, I will say that I think methadone treatment should be done at methadone treatment centers. You shouldn't just prescribe someone methadone and turn them loose-they should be closely supervised to watch for potential health problems.

By indemnifyme — On Nov 23, 2011

I think it seems really counterintuitive to treat a drug addiction with another addictive drug. I mean, if the patients becomes addicted to methadone they might need methadone withdrawal treatment, when the methadone was supposed to be their withdrawal treatment in the first place!

Also, the fact that this stuff can cause death sounds pretty sketchy to me. Wouldn't it be smarter to just wean the addict of the drug slowly? Then when they go through withdrawal they'll be done-no more withdrawal. It sounds like methadone just kind of delays the inevitable, unless you keep taking it forever. Obviously it's not desirable to continue taking methadone forever either.

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