Information for methadone prescribing
Methadone is to be used only if providers have the appropriate skills and training to do so, due to the risks and restrictions affiliated with prescribing methadone.*
- Consider methadone for OAT if treatment with buprenorphine-naloxone is contraindicated or not preferred 9
- Discuss switching to methadone if buprenorphine-naloxone is not relieving the patient’s cravings 7
- May be preferred treatment for individuals who cannot be stabilized on buprenorphine-naloxone 9
Prescribing considerations for methadone
- Before prescribing methadone providers must discuss the risks and side effects of methadone, duration of treatment, and issues of accessibility and logistics (i.e. daily pharmacy visits for two months, potential impact on lifestyle and employment, and special considerations for traveling)
- Keep patient on methadone if they are already stable on the medication
*See the CPSO Methadone Maintenance Program10 and the CAMH course Opioid Dependence Treatment12 for more instructions and support for methadone prescribing.