Methadone in Hospice & Palliative Care
Appropriate ...

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
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: | Twitter:

Related content