Methadone in Hospice & Palliative Care
Appropriate ...
262
Description

Methadone in Hospice & Palliative Care

Appropriate Candidates:

 - Moderate to severe pain

 - Pain refractory to opioids

 - True phenanthrene allergy

 - Significant renal impairment

 - Needs a long acting opioid

 - High opioid tolerance

 - Neuropathic pain

 - Hx of dysphagia. inability to swallow etc

Inappropriate Candidates:

 - Patient lives alone. or poor cognitive functioning

 - Lack of primary care outpatient

 - History of opioid nonadherence

 - History of substance misuse

 - Multiple risk factors for methadone toxicty (ie clinical instability. transplant, TOC)

 - Hx of QTc prolongation or at high risk

 - Prognosis is less than projected time to methadone steady state



cindybobindy, PharmD, MPH @cindyPharMPH



#Methadone #Hospice #PalliativeCare #Pharmacology #Management
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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