Makindo Medical Notes"One small step for man, one large step for Makindo" |
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π‘ Always confirm the patientβs methadone dose with their usual dispensing pharmacy. Self-reported doses are often inaccurate, and errors carry high risk of overdose or withdrawal.
| Indication | Typical Starting Dose | Frequency | Route |
|---|---|---|---|
| Opioid dependence (substitution therapy) | 10β30 mg daily, titrated carefully | OD | PO |
| Chronic pain (specialist use) | 2.5β10 mg | 8β12 hourly | PO |
| Cough palliation (palliative) | 1β2 mg | 6 hourly | PO |
β οΈ Dosing must always be individualised, especially in dependence therapy. ECG monitoring is advised at higher doses due to QT risk.