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Methadone Maintenance Program: Clinical Pracce Guideline

College of Physicians and Surgeons of British ColumbiaMethadone Maintenance Program: Clinical Practice GuidelineFebruary 2014 Revised July 2014 | Updated September 2015 Methadone Maintenance Program: Clinical Practice Guideline College of Physicians and Surgeons of British Columbia i September 2015 CONTENTS Preface .. 1 Introduction .. 2 1. The History of Methadone .. 2 2. Authorization to Prescribe Methadone .. 2 Full Authorization .. 3 Temporary Authorization .. 4 Hospitalist Authorization .. 4 3. Pharmacology of Methadone .. 4 Absorption .. 5 Duration of Action/Metabolism .. 5 Tolerance .. 5 Admission to the Methadone Maintenance Program .. 6 1. Criteria for Admission to the Methadone Maintenance Program .. 6 2. DSM-IV-TR Diagnostic Definition of Opioid Use Disorder .. 7 3. Treatment Considerations .. 8 Detoxification .. 8 Outpatient and Day Treatment Programs.

physicians prescribing methadone for analgesia (both for palliative and chronic non-cancer pain) should refer to the handbook Recommendations for the Use of Methadone for Pain . These clinical guidelines are evidence-based, represent the expert opinion of the Methadone Panel, and

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