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Monitoring electrocardiograms of service users on high-dose methadone substitution therapy: an audit

  • Soumya Ghosh (a1), Anil Kodagalli (a1), Faiz Bhatti (a1) and Timothy Bradbeer (a1)
Abstract
Aims and method

To explore the extent to which 2007 Department of Health guidelines on monitoring of high-dose (⩾100 mg) methadone were followed, the reasons for non-adherence to these and the prevalence of QTc prolongation. We developed a simple tool for collecting data from case notes.

Results

Out of 25 service users, 11 had had an electrocardiogram (ECG) and 7 had evidence of requests sent to general practitioners. After implementation of our recommendations, ten more service users had ECGs within 1 month. All but one ECG was normal. Methadone prescribing in favour of lower doses has been observed. QTc interval prolongation was not common.

Clinical implications

Effective communication between primary and secondary care services is important in identifying cases and arranging ECGs.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Soumya Ghosh (drsoumya@indiatimes.com)
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Declaration of interest

None.

Footnotes
References
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Monitoring electrocardiograms of service users on high-dose methadone substitution therapy: an audit

  • Soumya Ghosh (a1), Anil Kodagalli (a1), Faiz Bhatti (a1) and Timothy Bradbeer (a1)
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