Wednesday 3 April 2013

Methadone Side Effects | Arrhythmia | Edema | Thrombocytopenia

Methadone Side Effects | Arrhythmia | Edema | Thrombocytopenia



Adverse effects of methadone may decrease over several weeks with prolonged administration. However, constipation and sweating may persist.

Cardiovascular: arrhythmia, bigeminal rhythms, radycardia, cardiac arrest, cardiomyopathy, 

ECG changes, edema, extrasystoles, faintness, flushing, heart failure, hypotension, palpitation, peripheral vasodilation, phlebitis, orthostatic hypotension, QT interval prolonged, shock, syncope, tachycardia, torsade de pointes, T-wave inversion, ventricular fibrillation, ventricular tachycardia

Central nervous system: Agitation, confusion, disorientation, dizziness, drowsiness, dysphoria, euphoria, hallucination, headache, insomnia, light-headedness, sedation, seizure

Dermatologic: Hemorhagic urticaria, pruritus, rash, urticaria (more common when administered intravenously but are rare side effects)

Endocrine & metabolic: Antidiuretic effect, amenorrhea, hypokalemia, hypomagnesemia, decreased libido

Gastrointestinal: Abdominal pain, anorexia, biliary tract spasm, constipation, glossitis, nausea, stomach cramps, vomiting, weight gain, xerostomia

Hematologic: Thrombocytopenia which is reversible, reported in patients with chronic hepatitis

Neuromuscular & skeletal: weakness

Local (intramuscular or subcutaneous injection): Erythema, pain or swelling.

Ocular Miosis, visual disturbances

Respiratory: Pulmonary edema, respiratory depression, respiratory arrest

Miscellaneous: Death, diaphoresis, physical and psychological dependence

3 comments:

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