Max dose is 300 mg bid. Reduce dose in renal Total daily oral morphine dose. Estimated oral methadone as a % of total daily morphine.
Max 3 doses in 24hrs. On day 4/5 – doses consolidated. Hold 10mg PRN dose Methadone 40mg PO OD starting dose. Addition of Hydromorphone IR
Methadone 10mg q3h PRN. Max 3 doses in 24hrs. On day 4/5 – doses METHADONE BENEFITS. Better treatment retention than buprenorphine/naloxone. No
❑ Give Day 3 max dose. Continue protocol until reaching 60mg daily DO continue methadone or bup dosing before and after surgery.
Calculate starting lorazepam dose: Midazolam: Multiply current midazolam drip rate (mg/kg/h) X 0.5 = _____ mg/kg lorazepam q6h (max initial dose 0.2 mg/kg/dose q6h AND max 4 mg q6h) Weaning Methadone and Lorazepam Once stable on methadone and/or lorazepam for 24 h with no withdrawal symptoms, wean methadone and lorazepam as follows. Methadone
The methadone max dose for pain for the starting dose is 20 mg per day. In the case of elderly patients, the upper limit is 10 mg per day.
Methadone is safe in pregnancy and in breastfeeding. DISCHARGE - Methadone may not be prescribed for OUD. Must be administered in a methadone clinic - Naloxone 4mg/0.1ml After initial 72 hours: cont same dose for 5 days, can increase dose by 10mg q5days Day 1: Max dose 40mg YES YES If no sedation give mg methadone
Methadone 10mg q3h PRN. Max 3 doses in 24hrs. On day 4/5 – doses Methadone 40mg PO OD starting dose. Addition of Hydromorphone IR tablets.
Max 3 doses in 24hrs. On day 4/5 – doses consolidated. Hold 10mg PRN dose Methadone 40mg PO OD starting dose. Addition of Hydromorphone IR
Comments