Medically Reviewed

Methadone: Examining the Addiction Risks and Benefits

Updated June 22, 2023
8 min. read
10 sections

Methadone, used to treat opioid addiction, can become addictive when misused. Properly administered, it aids in withdrawal management. Misuse can result in severe side effects, including potential overdose. Treatment options and support networks exist for those struggling with methadone addiction.

What you will learn:
  • Methadone helps manage opioid withdrawal but can be addictive if misused.
  • Misuse can lead to severe, potentially fatal side effects.
  • Treatment options and support networks are available for methadone addiction.

Methadone, like other opioid agonists, can become addictive when misused. However, when methadone is used according to a structured treatment program for opioid addiction, it should not present a significant addiction risk. Regular use can lead to physical dependence, which is the body’s normal adaptation to the drug, and can make stopping more challenging. If you decide to quit, your doctor will devise a plan to manage withdrawal symptoms, reducing discomfort. Since methadone is an opioid, it has potential for misuse and abuse. People who misuse methadone may develop an addiction and require professional help at a specialized methadone rehab or detox center.

The Negative Consequences of Methadone Addiction

Methadone is sometimes used to manage acute opioid withdrawal, reduce cravings, and lower the risk of relapse. It can be a valuable tool when used appropriately. However, some individuals may misuse methadone for its calming and euphoric effects, leading to negative outcomes. The side effects of methadone misuse, which can be fatal in severe cases, include nausea, restlessness, respiratory depression, drowsiness, itching, sweating, mood swings, vision problems, unusual sexual behavior, and sleep disturbances. An overdose of methadone can be deadly. Symptoms of a methadone overdose include blue, cold skin, slow breathing, pinpoint pupils, sluggish muscles, and coma. If you suspect a methadone overdose, call 911 immediately.

Long-term misuse can lead to tolerance and dependence, creating a cycle of increasing dosages, continuous use to avoid withdrawal, and ultimately addiction.

“Am I a Drug Addict?” Self-Assessment Quiz

If you or someone you know may be struggling with drug addiction, we encourage you to take our free, 5-minute “Am I A Drug Addict?” self-assessment quiz. This tool consists of 11 yes-or-no questions and can help provide insight into the severity of a potential substance use disorder. The quiz is confidential and does not require any personal information.

Self-Assessment: Am I Addicted?
Self-Assessment: Am I Addicted?

Are you concerned about your own substance use or that of a loved one?

If you’ve observed that your drug usage is becoming unmanageable, or is adversely affecting your life, relationships, or health, you may be wondering if you’re struggling with a substance use disorder. If you’ve been consuming drugs and have doubts about potential addiction, honestly respond to the following 11 questions.

Disclaimer: Only a medical or clinical professional may diagnose a substance use disorder. This assessment may serve as an indicator of a potential addiction but should not replace a diagnosis from a professional treatment provider.

Tolerance Versus Dependence

Tolerance and physical dependence are often confused. Tolerance to methadone occurs when an individual needs increasing doses to achieve the same effects. However, dependence develops as the body adapts to the continuous presence of a drug and may not function optimally when usage decreases or stops. This is a natural response and does not necessarily indicate addiction. Medical professionals create a slow tapering plan for those who wish to stop using methadone, as abruptly stopping can lead to withdrawal symptoms. Misuse of methadone can lead to a cycle of usage that may result in addiction.

Inpatient and Outpatient Methadone Detox Programs

Treatment options for methadone addiction include inpatient and outpatient detox and rehab. Inpatient detox programs offer round-the-clock care, support, and treatment in a controlled environment. Conversely, outpatient programs offer more flexibility, allowing patients to continue living at home while receiving treatment.

Determining the Need for Inpatient Rehab

Inpatient rehab utilizes various therapeutic methods to help addicts achieve sobriety. Healthcare professionals can help you determine the most appropriate level of care based on your physical and mental health, the severity of your addiction, and the risk of severe withdrawal.

Privacy in Methadone Treatment Centers

Methadone rehab centers are legally required to maintain the confidentiality of all patient information, including medical history, treatment details, and personal data.

Length of Methadone Maintenance Treatment

Recovery from methadone addiction can vary and can be influenced by factors such as co-occurring mental disorders. Treatment durations often range from 30, 60, to 90 days, and longer stays may be necessary for severe cases or those who need more time to stabilize their sobriety.

Stages of Methadone Addiction Therapy

Methadone addiction therapy typically includes stages such as intake, residential detox, substance abuse treatment, and specialized treatment for co-occurring disorders, followed by aftercare to prevent relapse.

Methadone, while potentially addictive when misused, can be a helpful tool in managing opioid addiction. It is crucial to use it under the guidance of a medical professional to prevent misuse and potential addiction.

Continuing Education and Support Networks for Methadone Addiction

While treatment at a rehab center is a crucial step in overcoming methadone addiction, continuous learning and support from peers are also integral parts of the recovery process. Various organizations offer educational resources and support networks for individuals dealing with methadone addiction and their families. These include:

  • The Substance Abuse and Mental Health Services Administration (SAMHSA): Offers numerous resources to those struggling with substance abuse, including a national helpline and a treatment services locator.
  • Narcotics Anonymous (NA): A global community-based organization where members support each other in overcoming addiction. NA operates under the principles of the 12-step program.
  • SMART Recovery: A science-based addiction recovery support group. It offers tools for self-empowerment and self-directed change.

Why Does Methadone Require Careful Management?

Due to its opioid nature, methadone can be habit-forming and potentially dangerous if misused. Therefore, it needs to be carefully managed by medical professionals to ensure it is used appropriately. Overuse can result in overdose or other health complications, and withdrawal symptoms can be severe without proper supervision. If you or a loved one are using methadone and have concerns about misuse or addiction, it’s important to seek help immediately.

Methadone Treatment and Relapse Prevention

Relapse is a common part of the recovery journey and should be treated as an opportunity for learning and growth rather than a failure. Many treatment programs include relapse prevention strategies to help individuals recognize and avoid triggers, develop healthy coping mechanisms, and manage cravings.

Help is Available

If you or a loved one are struggling with methadone addiction, please know that help is available. It’s never too late to reach out for assistance, and a variety of treatment options are available to meet your unique needs. Contact a healthcare professional or a trusted support network to discuss your options and begin your journey towards recovery.

Remember: It’s not about the journey’s end, but the courage to start.

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About The Contributor
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Pernell Baisden
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With over three decades in recovery advocacy, this counselor advises county leaders, trains law enforcement, and crafts innovative rehabilitation techniques, epitomizing resilience and hope in the addiction recovery sphere.
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