Methadone Treatment: Pros, Cons, and Cost

methadone treatment cost

Methadone Treatment: Pros, Cons, and Cost

January 1, 2024

Methadone is a key player in the fight against opioid addiction. It’s a synthetic opioid that sticks around in your system for a while, preventing you from craving actual opioids, and it’s a big deal in medication-assisted treatment (MAT) programs. These programs use methadone to help people deal with withdrawal symptoms and cravings, giving them a solid base to kickstart their recovery journey. 

However, just like anything good, there are downsides to methadone as well. Some people worry about getting hooked on methadone, dealing with potential side effects, and the scary chance of an overdose. Additionally, the cost of methadone doses and clinic visits can be a deal breaker for people trying to overcome opioid addiction.

It’s a bit of a tightrope walk, but methadone does have its pros and cons in the battle against opioid addiction.

What is Methadone?

Methadone is basically a synthetic opioid used for treating opioid addiction. It acts similarly to other opioids by interacting with the brain’s receptors, but it doesn’t produce the same “high” as opioids and stays in your system for a longer period of time, leaving a more lasting impact. People often get it as part of medication-assisted treatment (MAT) to help them break free from opioid addiction. 

The fact that methadone hangs around for a while means it can help ease withdrawal symptoms and cravings, making the whole recovery journey a bit smoother. Unlike some other medications, methadone is usually given once a day in a controlled setting, which helps keep things in check and reduces the chances of misuse. It’s like a steady support system for folks trying to kick the opioid habit.

How Does Methadone Work?

So, how does methadone do its thing? 

Methadone works by hooking up with the same brain receptors that other opioids mess with, but it doesn’t give you that super intense high like heroin or strong pain meds do. Then, it stays in the body longer than opioids, so it’s not a rollercoaster ride from awesome to awful.

When you take methadone, your body thinks it’s getting the opioids it craves without overdoing it. This feeling helps smooth out the withdrawal symptoms and cravings that make giving up opioids so difficult. Methadone becomes a steady buddy in your system, keeping things on an even scale and making the whole recovery journey more manageable.

However, just a heads up! It’s crucial to get methadone through healthcare professionals in specialized clinics so they can keep an eye on the dosage and make sure everything’s on track without any unwanted side effects. 

How is Methadone Used to Treat Addiction?

Methadone plays a big role in medication-assisted treatment (MAT), where your healthcare provider may mix medications with counseling and therapy to help people kick the opioid habit. Methadone comes into play because it hits the same brain spots as other opioids but in a more controlled manner.

The main job of methadone in addiction treatment is to take the edge off withdrawal symptoms and intense cravings. It gives people a more stable and longer-lasting substitute for opioids, ensuring a more stable ride to recovery without the harmful highs. This way, individuals can focus on their recovery journey without constantly battling the urge to get more opioids or dealing with the ups and downs of withdrawal.

When someone starts methadone treatment, healthcare professionals closely monitor them. They figure out the right dosage for each person and check to make sure they are working effectively. The whole idea behind using methadone, along with counseling and therapy, is to increase the chances of successful treatment, keep people committed, and cut down on the risk of slipping back into old habits.

Pros and Cons of Methadone Treatment

While methadone treatment has a lot of advantages, there are also some disadvantages that we need to take into consideration. Some of the pros and cons related to methadone treatment are as follows:

Pros of Methadone Treatment Cons of Methadone Treatment
Withdrawal symptom relief Higher chance of dependency on Methadone
Craving reduction Side effects like constipation, sweating, and lack of sleep
Stabilized substitute for opioids Social stigma related to Methadone treatment among people 
Reduced risk of overdose Limited accessibility
Supervised administration Risk of misuse

Side Effects of Methadone

Even though methadone is good at treating opioid addiction, your body can still experience some side effects from it. 

Some of the short-term side effects related to methadone are:

  • Constipation
  • Weight gain
  • Headache
  • Dry mouth
  • Mood changes
  • Nausea and vomiting

Methadone treatment can also cause some long-lasting side effects, such as:

  • Trouble breathing
  • Seizures
  • Hallucinations
  • Trouble swallowing
  • Allergic reaction

Methadone Treatment Programs

Methadone treatment programs are a crucial part of helping people deal with addiction. They’re all about using methadone in a well-thought-out plan to fight opioid dependence. These programs fall under the bigger umbrella called medication-assisted treatment (MAT), where they mix medication with counseling and behavioral therapies to give people solid support on their road to recovery.

So, here’s what these programs usually consist of:

  • Clinic-Based Treatment: You’ll find these programs in special clinics run by healthcare professionals who are knowledgeable about addiction. These clinics are a safe space for getting your methadone dose and having a doctor keep a close eye on your progress.
  • Initial Assessment and Induction: Before diving into methadone treatment, they do a thorough check to figure out the right dose and address any health concerns. The starting phase, called induction, kicks off with a low methadone dose, gradually increasing it until it does its job.
  • Regular Counseling and Support: These programs don’t just rely on medication; they make a big deal about counseling and behavioral support as well. Regular one-on-one and group counseling sessions in such programs help you deal with the mental and social aspects of addiction, build coping skills, and set goals for your recovery journey.
  • Urine Drug Testing: Healthcare professionals keep tabs on things with regular drug tests to make sure you’re on track and not using other substances.
  • Stabilization and Maintenance: Once your methadone dose is doing its job, you move into the stabilization phase. Cravings go down, withdrawal symptoms level off, and you become more stable. The maintenance phase is about sticking with that dose for a while, giving you a stable foundation to focus on the bigger picture of recovery.
  • Holistic Approach: These programs take a well-rounded approach, not just dealing with the physical side of addiction but also diving into the emotional, social, and environmental aspects that play a role in your addiction.
  • Accessibility and affordability: Getting into these programs can be a challenge, and the cost might be a hurdle for some. But many people are working on making these programs more accessible to a wider crowd, lowering barriers for those seeking treatment.

Cost of Methadone Treatment

Getting into methadone treatment can hit your wallet in different ways, and the total cost depends on where you are, the specific program, and your situation. You’ll likely face expenses for clinic visits, where you might pay for medical checkups, counseling sessions, and drug testing.

The actual cost of the methadone treatment can vary based on whether you get it from private clinics, public health programs, or pharmacies. While some public health programs and insurance plans might cover a part of these costs, the overall accessibility and affordability of methadone treatment remain a major concern. 

There’s an ongoing push to make these treatments more budget-friendly and reachable for everyone, breaking down financial barriers and making sure more people can access the care they need while dealing with opioid dependence.

Alternatives to Methadone-Based Treatment

If you’re looking for something other than methadone to deal with opioid dependence, there are a few options to consider, both with and without medication.

  • Buprenorphine: It’s a common substitute that works like methadone but has a lower risk of causing dependence or overdose.
  • Naltrexone: Naltrexone doesn’t act like an opioid but helps curb cravings. There’s also an extended-release version given by injection for a longer effect. These medications are often used alongside counseling and therapy in what they call medication-assisted treatment (MAT).

If you’re not comfortable with medicine, there are non-medical options, too. Behavioral therapies, including therapies like cognitive behavioral therapy (CBT) and counseling, can tackle the psychological side of addiction, helping you build coping skills and change behaviors tied to substance abuse. Additionally, 12-step programs and support groups, such as Narcotics Anonymous, can provide peer support and community.

On the more holistic side, things like mindfulness practices, yoga, and acupuncture have shown promise in helping folks during recovery. 

However, keep in mind that the practicality of each program can vary from person to person, so it’s crucial to figure out a treatment plan that suits your preferences and needs. Talking to healthcare professionals can help you navigate these alternatives and find what’s the best fit for your journey to recovery.

Conclusion

To sum it up, if you’re dealing with opioid dependence, there are various options out there, along with methadone treatment. Whether it’s medications like buprenorphine or naltrexone, behavioral therapies, or holistic approaches, finding what works best for you is key to a successful recovery. At New Era Rehabilitation, our team of caring mental healthcare professionals and psychiatric experts will help you navigate these choices, providing personalized support and guidance. Whether you’re leaning towards methadone or exploring other paths, we are your partner in overcoming opioid dependence, guiding you towards a fresh start and a healthier future.