Methadone

Question 1

22 yo heroin dependent female is pregnant and wants to detox. What way would you recommend?

Answer 1

Methadone maintenance until delivery then detox

Question 2

What avg dose range of methadone yields best results in decreasing illicit use?

Answer 2

60-100mg

Question 3

Patient in methadone tx earns a number of take home doses based on compliance with attendance and participation groups. What kind of intervention is this?

Answer 3

Contingency management

Question 4

Med that has potential to decrease methadone blood level

Answer 4

Carbamazepine

Question 5

C&L psych sees a 20 yo pt with cancer pain on a methadone maintenance program. The staff feels that the pt’s request for additional narcotics represent drug-seeking behavior. most appropriate recommendation

Answer 5

The pt should be given more opioid medication to achieve adequate pain control because of the pt’s tolerance.