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November 27, 2006
Revised Dolophine Label Instructions
Based on reports that people starting methadone treatment have died
or experienced serious side effects due to changes in heart beat or
depressed respiration, the U.S. Food and Drug Administration (FDA)
has issued a public health advisory warning and revised prescribing
information for methadone hydrochloride. The FDA cautioned physicians
to closely monitor patients receiving methadone during the start of
treatment or during dose adjustments. The FDA explicitly recommends
avoiding the use of 40mg dispersible methadone tablets for pain.
Health professionals should inform patients to seek medical
attention immediately if they experience symptoms such as dizziness,
fainting, slow breathing, blurred vision, or extreme tiredness.
Patients should also be told that pain relief from methadone does
not last as long as the drug is in the body and what they should do
if their pain is not controlled after taking the prescribed amount
of methadone.
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