Methadone Dangers
UpdatedMy father was a chronic pain patient with a spinal tumor who was moved off of Oxycontin and Dilaudid to methadone. Unfortunately, after a long, log battle, he became completely paralyzed and the tumor was in the process of killing him. He asked to be terminally sedated. The doctors put him on a morphine drip, but even after they quadrupled his dose, he was still in pain and awake. Eventually, they got to 4000mg a DAY of IV morphine, and it was ineffective. We did our research, and it showed there is NO conversion rate for methadone to morphine equivalents as there is with every other opioid. In other words, just to duplicate the 30-40mg a day of morphine he was taking would have required anywhere from 240-3000mgs of morphine - forget actually sedating him. They went to something like 4000-5000mgs a day of dilaudid together with a ton of Ativan IV, and finally he was sedated until he dehydrated and passed. This was horrible to watch. It's insane that there was no quick exit for him - our laws are sadistic.
Had he recovered, and wanted to get off the methadone, it is hard to imagine how that would be possible. This drug is infinitely more potent than other opiates, it seems, and can take away other treatment options. If you or a loved one is put on morphine for pain management, I would ask your medical professionals how this will work long term, and if it will ever be possible to get off methadone or on to a different pain med.
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