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  • Cited by 4
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    2015. Arzneimitteltherapie in der Palliativmedizin.


    Aghabiklooei, Abbas Edalatparvar, Maryam Zamani, Nasim and Mostafazadeh, Babak 2014. Prognostic Factors in Acute Methadone Toxicity: A 5-Year Study. Journal of Toxicology, Vol. 2014, p. 1.


    Gelfman, Laura P. and Chai, Emily J. 2013. Evidence-Based Practice in Palliative Medicine.


    Walley, Alexander Y. Doe-Simkins, Maya Quinn, Emily Pierce, Courtney Xuan, Ziming and Ozonoff, Al 2013. Opioid overdose prevention with intranasal naloxone among people who take methadone. Journal of Substance Abuse Treatment, Vol. 44, Issue. 2, p. 241.


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Consensus guideline on parenteral methadone use in pain and palliative care

  • Lauren Shaiova (a1), Ann Berger (a2), Craig D. Blinderman (a3), Eduardo Bruera (a4), Mellar P. Davis (a5), Susan Derby (a6), Charles Inturrisi (a7), Jill Kalman (a8), Davendra Mehta (a9), Marco Pappagallo (a10) and Eugene Perlov (a11)
  • DOI: http://dx.doi.org/10.1017/S1478951508000254
  • Published online: 01 May 2008
Abstract
ABSTRACT

Once used only as third-line therapy for chronic pain management, methadone is now being used as first- and second-line therapy in palliative care. The risks and stigma associated with methadone use are known, but difficulties with dosing methadone and lack of an established conversion protocol from other opiates have limited the access for patient populations who could potentially benefit from this medication. For palliative care patients, the benefits of methadone can far outweigh its risks. This article provides an overview and specific recommendations on the use of parenteral methadone in pain and palliative care, with a focus on the transition from hospital to home/hospice care. The goal of this consensus guideline is to assist clinicians who are providing chronic pain management in acute care hospital and nonhospital settings (i.e., hospice, long-term care facilities, and community) for patients with life-limiting illnesses, where the goals of care are focused on comfort (i.e., palliative care). The recommendations in this article intend to promote a standard of care involving the use of intravenous methadone with the aim of reaching a broader population of patients for whom this drug would provide important benefits.

Copyright
Corresponding author
Address correspondence and reprint requests to: Lauren Shaiova, Department of Pain Medicine and Palliative Care, Metropolitan Hospital Center, Health and Hospital Corporation of New York City; 1901 First Ave. New York, NY 10029. E-mail: lauren.shaiova@nychhc.org or lshaiova@gmail.com
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Palliative & Supportive Care
  • ISSN: 1478-9515
  • EISSN: 1478-9523
  • URL: /core/journals/palliative-and-supportive-care
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