The opioid crisis continues to devastate communities across the United States, claiming thousands of lives each year. In the face of this epidemic, effective treatment options are critical, and methadone has emerged as a potential lifeline for those battling opioid use disorder (OUD). Recovery can be achieved through various pathways, including abstinence-based programs, inpatient facilities, and outpatient programs utilizing Medication-Assisted Treatment (MAT). Methadone, when dispensed through an Opioid Treatment Program (OTP), is one of these effective, evidence-based methods.

Unfortunately, stigma and misconceptions surrounding methadone treatment often prevent individuals from accessing this life-saving care in a safe and regulated environment. This is particularly concerning as some “cash-based” operations have tarnished the reputation of methadone treatment, leading to concerns about their negative impacts and a lack of awareness about how reputable OTPs actually operate. At Cedar Recovery, we believe everyone deserves access to quality care within their community, eliminating the burden of traveling outside their support network for the help they need.

This blog post aims to debunk some of the most common myths about methadone and shed light on its crucial role in addiction recovery. We’re committed to providing evidence-based treatment options, including methadone therapy, to help individuals achieve lasting recovery.

A woman undergoing a methadone maintenance treatment program.

Common Misconceptions About Methadone

Let’s explore some of the most prevalent misconceptions about methadone:

Misconception 1: Methadone just replaces one addiction with another.

One of the most pervasive myths about methadone is that it simply replaces one addiction with another. This misconception stems from a misunderstanding of the difference between addiction and dependence. Addiction is a chronic brain disease characterized by compulsive drug seeking and use despite harmful consequences. Dependence, on the other hand, is a physical state in which the body adapts to the presence of a drug, leading to withdrawal symptoms when the drug is discontinued.

Methadone medication does not create a new addiction. Instead, it helps manage withdrawal symptoms and cravings, allowing individuals to stabilize their lives and focus on recovery. Research has consistently shown that methadone is effective in reducing relapse rates, decreasing criminal activity, and improving the overall quality of life for people with opioid use disorder.

Methadone, when used as prescribed and combined with counseling and behavioral therapies, is a safe and effective treatment for opioid use disorder, according to the Substance Abuse and Mental Health Services Administration (SAMHSA). It’s important to remember that methadone is a medication prescribed by a doctor and used within a structured treatment plan, not something obtained illicitly to get high.

Misconception 2: Methadone makes you high.

Another common misconception is that methadone makes you high. This is not true when methadone is taken as prescribed. Methadone is a long-acting opioid agonist that works by binding to the same receptors in the brain as other opioids, like heroin. However, unlike heroin, methadone produces a gradual and sustained effect, preventing the intense rush and euphoria associated with opioid abuse. This allows individuals to function normally without experiencing the highs and lows that can trigger relapse.

“Methadone helps reduce cravings and withdrawal symptoms without causing the ‘high’ associated with opioid misuse,” explains the Substance Abuse and Mental Health Services Administration (SAMHSA). This stabilization allows individuals to engage in therapy, rebuild relationships, and regain control of their lives.

Misconception 3: Methadone clinics are dangerous places.

Methadone clinics are often portrayed as dangerous and unsavory places. This is far from the truth. Methadone clinics are highly regulated medical facilities that provide comprehensive treatment for opioid abuse. They offer a safe and supportive environment where individuals can receive medication, counseling, and other services to support their recovery.

“Methadone treatment programs are held to high standards and provide a structured environment that helps patients achieve stability,” clarifies the American Society of Addiction Medicine (ASAM). These clinics play a vital role in reducing the negative consequences of opioid addiction, such as overdose deaths and the spread of infectious diseases.

Misconception 4: Methadone is only a short-term solution.

While methadone can be used for short-term detoxification, it is often a long-term treatment option for opioid use disorder. The duration of methadone treatment varies depending on individual needs and progress. Some individuals may benefit from long-term methadone maintenance, which can last for months or even years.

Research indicates that longer treatment durations are associated with better outcomes, including reduced relapse rates and improved social functioning. For some individuals, methadone maintenance can be a lifeline, providing the stability they need to stay abstinent from other opioids and build a fulfilling life.

Misconception 5: Methadone is harmful to your health.

Like any medication, methadone can have side effects. However, when used as prescribed under medical supervision, methadone is safe and effective. Potential side effects, such as constipation, drowsiness, and sweating, are typically manageable and often subside over time.

It’s crucial to weigh the potential risks of methadone against the significant risks of untreated opioid abuse, which include overdose, infectious diseases, and severe opioid withdrawal symptoms. The benefits of methadone treatment far outweigh the potential risks when used appropriately, emphasizes SAMHSA.

A happy mother and baby laying on meadow. Living a sober life after her methadone addiction treatment.

The Benefits of Methadone Treatment

Now that we’ve addressed some common misconceptions, let’s explore the many benefits of methadone treatment:

  • Reduced Cravings and Withdrawal Symptoms: Methadone effectively manages cravings and withdrawal symptoms, which are often the biggest obstacles to recovery. This allows individuals to focus on therapy and other aspects of their recovery without being consumed by the intense discomfort of withdrawal.

  • Improved Physical and Mental Health: Opioid addiction takes a toll on both physical and mental health. Methadone maintenance treatment can help improve overall health and well-being. Studies have shown that methadone treatment is associated with reduced risk of HIV and hepatitis C transmission, improved liver function, and better mental health outcomes.

  • Increased Stability and Functionality: By reducing cravings and withdrawal symptoms, methadone helps individuals regain stability in their lives. They can attend work or school, rebuild relationships, and participate in activities they enjoy. This increased stability is crucial for long-term recovery.

  • Lower Risk of Overdose and Relapse: It significantly reduces the risk of overdose and relapse. By stabilizing brain chemistry and reducing cravings, methadone helps individuals avoid the dangerous cycle of relapse and overdose that is common with opioid addiction.

  • Opportunity to Address Underlying Causes of Addiction: Methadone maintenance treatment provides a stable foundation for individuals to address the underlying causes of their addiction. By participating in therapy and counseling, individuals can develop coping mechanisms, address trauma, and build a strong support system to prevent future relapse.

Don’t Let Misconceptions Hold You Back: Choose Recovery Today

Cedar Recovery offers a comprehensive methadone treatment program that combines medication management with individual and group therapy, counseling, and support services. Our experienced team of medical professionals and therapists is dedicated to providing compassionate, evidence-based care to help individuals achieve lasting recovery from opioid use disorder. We understand that every individual’s journey is unique, and we tailor our treatment plans to meet each person’s specific needs and goals.

If you or someone you love is struggling with opioid addiction, don’t let misconceptions about methadone prevent you from seeking help. Methadone is a safe and effective treatment option that can help you break free from the grip of addiction and reclaim your life. Contact us today to learn more about our methadone treatment program and how we can help you achieve lasting sobriety.

FAQs

Methadone is typically given to patients every day at the clinic by a nurse. However, in certain situations, patients taking methadone may be allowed to take home doses of methadone. These situations are determined by federal and state laws.

While addiction is linked to harmful behaviors, particularly those with negative repercussions despite continued use, methadone, similar to other opioids, can cause dependence. However, when administered correctly, it doesn’t lead to addiction.

Individuals seeking treatment at a methadone program undergo a thorough intake assessment to confirm they meet the criteria for opioid use disorder as defined in the DSM-V. To be eligible, patients must be experiencing active withdrawal symptoms with a Clinical Opioid Withdrawal Scale (COWS) score exceeding eight. Once deemed eligible, patients are assigned a counselor and can begin receiving daily methadone doses.

No. While a drug test and comprehensive assessment will be used to determine if a patient meets the clinical criteria for opioid use disorder, this diagnosis alone does not automatically qualify them for medication-assisted treatment. Even if a patient meets the criteria, they will be informed of all available treatment options, including those that do not involve medication, such as abstinence-based programs.

Treatment duration varies for each patient based on their unique needs and goals. Some may require care for a few months, while others may benefit from longer-term treatment spanning several years. The ultimate aim is to empower patients to achieve lasting stability in their recovery journey and enhance their overall quality of life.

No. Methadone is a safe and effective treatment for opioid dependence. The FDA approves it and helps people manage withdrawal symptoms and cravings. Unlike other opioids, methadone is long-acting, so patients only need to take it once a day.

In addition to medication, methadone treatment programs offer counseling, drug testing, peer support, and care coordination. These services help people address the underlying causes of their addiction and build a strong foundation for recovery.

Yes. Counseling is a mandatory component of this program and is provided to all participants. Please note that one counselor will be assigned to every 50 patients.

Cedar Recovery will accept TennCare ($125/week), Medicare ($257/week), Commercial Insurance ($257/week), and self-pay ($15/day) patients.

Yes. Methadone treatment for addiction is heavily regulated, facing oversight from both federal and state governments. To operate, these facilities must meet stringent requirements, including:

  • Certificate of Need: Demonstrating a community’s need for their services.
  • National Accreditation: Meeting standards set by a recognized accrediting agency.
  • SAMHSA Certification: Certification by the Substance Abuse and Mental Health Services Administration.
  • State Licensure: Obtaining a license from the Tennessee Department of Mental Health & Substance Abuse Services.

Additionally, the authority to prescribe methadone is limited to healthcare professionals who have undergone specialized training. This makes methadone treatment one of the most tightly controlled forms of addiction treatment available.

Studies have shown that methadone programs do not increase crime in a community. They may even help to decrease crime. This contradicts the misconception that methadone programs attract crime.

Absolutely. Many people successfully manage their opioid addiction with treatment programs while holding down jobs. Methadone doesn’t get patients high; instead, it helps control cravings and withdrawal symptoms, allowing them to function normally.

  1. Substance Abuse and Mental Health Services Administration. (n.d.). Methadone. Retrieved from https://www.samhsa.gov/medications-substance-use-disorders/medications-counseling-related-conditions/methadone
  2. Substance Abuse and Mental Health Services Administration. (2023). Medication-assisted treatment (MAT). Retrieved from https://www.samhsa.gov/medication-assisted-treatment
  3. American Society of Addiction Medicine. (2015). The ASAM criteria: Treatment criteria for addictive, substance-related, and co-occurring conditions. Retrieved from https://www.asam.org/asam-criteria
  4. Mattick, R. P., Breen, C., Kimber, J., & Davoli, M. (2009). Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence. Cochrane Database of Systematic Reviews, 2009(3), CD002209. https://doi.org/10.1002/14651858.CD002209.pub2
  5. Metzger, D. S., Woody, G. E., McLellan, A. T., O’Brien, C. P., & Druley, P. (1993). Human immunodeficiency virus seroconversion among intravenous drug users in and out of treatment: An 18-month prospective follow-up. Journal of Acquired Immune Deficiency Syndromes, 6(8), 1049–1056. https://doi.org/10.1097/00126334-199308000-00016

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