Does Methadone help with Alcohol Withdrawal?

Robert Gerchalk

Robert is our health care professional reviewer of this website. He worked for many years in mental health and substance abuse facilities in Florida, as well as in home health (medical and psychiatric), and took care of people with medical and addictions problems at The Johns Hopkins Hospital in Baltimore. He has a nursing and business/technology degrees from The Johns Hopkins University.

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Does Methadone Help With Alcohol Withdrawal?

To ensure a safe and successful recovery, medical assistance is frequently necessary throughout the difficult and unpleasant process of alcohol withdrawal. Some people benefit from using certain medicines to alleviate their symptoms, but methadone is not normally one of these drugs unless the person also suffers from an opioid addiction. This article delves into the function of methadone in alcohol withdrawal, its adverse effects, the rationale for its prescription for alcoholism, and the possible dangers of mixing the two substances.

What Is Methadone?

Methadone is a synthetic opioid medicine that doctors sometimes prescribe to treat substance use disorders, like opioid addictions. To alleviate withdrawal symptoms and cravings, it binds to the same brain receptors that opioids trigger. 

What Are the Side Effects of Methadone?

Methadone can help with substance use disorders, but it also comes with certain risks. Nausea, sweating, constipation, and tiredness are a few of the most common adverse effects. Some people may have more serious side effects, such as asthma attacks or allergic responses. To reduce the likelihood of negative reactions, it’s imperative to use methadone under the close supervision of a medical expert.

Why Doctors Prescribe Methadone for Alcoholism?

As part of an all-encompassing strategy for alcoholism therapy, physicians may prescribe methadone in certain instances. These cases usually involve clients who have an addiction to alcohol and opioids at the same time. In the early phases of alcohol and opioid detox, methadone can help with withdrawal symptoms, even if it doesn’t address cravings for alcohol directly. The medicine can be especially helpful in avoiding delirium tremens and seizures, two serious withdrawal symptoms linked to alcohol.

The Dangers of Mixing Methadone and Alcohol

The hazards of mixing methadone with alcohol are substantial. When used together, these two drugs have a depressive effect on the central nervous system, leading to drowsiness, reduced cognitive function, and depression of the respiratory system. Using methadone with alcohol at the same time is very risky because of the synergistic effects, which increase the likelihood of overdosing.

How Long Does Methadone Treatment Last? 

Individual demands and treatment objectives determine the length of methadone therapy. It is not uncommon for people to be on methadone maintenance treatment for many years. Several variables, including the degree of opioid dependency, the client’s level of improvement throughout treatment, and the effectiveness of the medication, dictate the typical duration of treatment. Healthcare providers routinely evaluate the need for continuous therapy and may modify the length as needed. The end objective is to help the person recover and be healthier in the long run.

Is Methadone Addictive?

The use of methadone, when not administered according to medical advice, carries with it the risk of addiction and dependency. In order to avoid abuse or diversion, healthcare providers should regularly observe those receiving methadone therapy for alcohol addiction. To make sure methadone works as intended, it’s important to take it exactly as recommended and to see the doctor often. Some doctors require their clients to visit the office once a week or daily to receive their doses of methadone. 

How to Treat Alcohol Addiction

The physical and mental components of alcohol dependency are usually treated together in a comprehensive program. Managing withdrawal symptoms and ensuring a safe transition to sobriety are the goals of medical detoxification, which often takes place in an inpatient environment. When it comes to dealing with the mental side of alcoholism, behavioral therapy, counseling, and support groups are vital.

How to Treat Methadone Addiction

Those addicted to methadone usually require a special form of treatment. Many clients go through a process of lowering their dosages to help them overcome their addictions. An essential part of treating methadone addiction is participating in behavioral therapy, counseling, and support groups. The objective is to lessen the likelihood of recurrence and assist clients in achieving long-term recovery.

Best Way to Treat Alcohol and Methadone Addiction at the Same Time

It takes a holistic and integrated strategy to treat alcohol and methadone addictions that occur simultaneously. For the best results, it is essential to undergo dual diagnosis therapy, which deals with alcohol and other drug disorders at the same time. Individuals with multiple addictions may benefit from a multi-pronged approach that includes counseling, behavioral therapy, detox, and support groups.

Are There Alternatives to Methadone?

People addicted to drugs typically look for helpful medications to aid in their rehabilitation processes. Methadone has been the go-to for a long time for those with opioid dependence. There are a variety of other medicines that work specifically to help a person avoid alcohol withdrawal symptoms. 

Buprenorphine

As a partial agonist, buprenorphine binds to receptors but with a lower affinity. One of the most sought-after medication-assisted therapy options, it alleviates both cravings and withdrawal symptoms. This medicine works exceptionally well for treating alcoholism and opioid addictions at the same time. Sublingual pills and long-acting injections are two of the many forms of buprenorphine that are on the market. Because it is a partial agonist, it has a ceiling effect that reduces the likelihood of respiratory depression and abuse.

Benzodiazepines

Because of their efficacy in reducing withdrawal symptoms and avoiding serious problems, benzodiazepines are an important tool for alcohol withdrawal. Medications like diazepam and lorazepam are CNS depressants that calm the overactive neuronal pathways that occur during withdrawal. They are quite helpful in reducing the severity of seizures and delirium tremens, both of which can be fatal. In addition to improving patient comfort, benzodiazepines reduce anxiety, sleeplessness, and restlessness. These drugs, when used as directed, may make withdrawal less dangerous, lessen the likelihood of problems, and help people through the difficult process of quitting alcohol. Nevertheless, to avoid dependence and make sure that dose modifications are adequate, close medical monitoring is necessary.

Sublocade

Another effective method for treating alcoholism is Sublocade, an injectable version of buprenorphine that a client receives once a month. Thanks to its extended-release properties, this medicine lessens the frequency of the daily dose by delivering the medicine steadily and sustainably over time. This gives people in recovery ongoing assistance while they recover and helps them take their medicine more regularly. As a powerful tool in the entire treatment of alcohol consumption disorder, Sublocade effectively reduces cravings and withdrawal symptoms.

Clonidine

During the early phases of alcohol withdrawal, clonidine may help treat certain elements of alcoholism. It is a non-opioid medicine that helps reduce anxiety, perspiration, and high blood pressure, all of which are signs of the autonomic nervous system. Clonidine is not a replacement for other treatments although it may alleviate certain withdrawal symptoms and make detoxification more bearable. Those in recovery from alcoholism find it easier to make the shift when they take it temporarily under medical supervision.

Factors That Determine the Best Alcohol Treatment Plan

Developing a personalized strategy for alcohol therapy calls for in-depth familiarity with the many aspects impacting your specific situation. Personalized treatment is the key to meeting each individual’s unique requirements. Here are some of the most important factors that a treatment specialist will consider when developing a treatment plan. 

Severity of Addiction

The degree of alcoholism determines the length and intensity of therapy. Clients with mild dependency often find relief via support groups and outpatient therapy while those with severe dependence may need inpatient rehabilitation. To determine the appropriate degree of therapy for an individual’s addiction, a thorough evaluation is necessary.

Co-Occurring Mental Health Issues

Achieving long-term sobriety requires attending to the root causes of mental health issues. People who suffer from both addiction and mental health problems simultaneously need treatment that takes both disorders into account. Overall outcomes improve by adopting a comprehensive strategy as dual diagnosis therapy ensures.

Personalized Health History

Preexisting medical illnesses and other personal health factors influence treatment choices. It may be necessary to modify drug selection and detoxification protocols for those suffering from liver disease or other medical conditions. To design treatments in a safe and effective manner, a treatment specialist must take into account a client’s complete medical history.

Motivation and Readiness to Change

Results are highly dependent on the client’s level of desire and preparedness to participate in therapy. Your chances of success increase when treatment specialists adapt the therapy to your degree of motivation. Individuals can enhance their will to change and learn more about themselves through the use of motivational interviewing methods.

Social Support and Environment

Having a strong support system and a supportive living environment are essential for maintaining recovery. Outpatient therapy may be helpful for those who have strong family support, but inpatient or residential treatment may be necessary for individuals who live in settings that encourage recurrence. It is important to take social aspects into account while planning therapy since they affect the likelihood of success.

What Is the Best Way to Get Help for Alcoholism?

A multifaceted strategy is the most effective method for overcoming alcoholism. Important steps include making first contact with medical doctors, addiction counselors, or mental health practitioners. A person’s chances of a successful recovery improve when they reach out to loved ones or join a support group. Counseling, medication-assisted therapy, and behavioral treatments are all components of a comprehensive treatment plan. For the best and longest-lasting outcomes in beating alcohol use disorder, you must fully commit to the recovery process, keep lines of communication open with healthcare experts, and actively participate in a specific treatment plan.

Why Professional Help Matters When Treating Alcoholism

The intricacy of alcoholism makes professional assistance crucial for treatment. Thorough evaluations, diagnosis of co-occurring illnesses, and the development of individualized treatment programs are all within the purview of competent healthcare practitioners. With the help of a professional, you can take precautions and follow a plan, which will improve your chances of a successful recovery. However, the efficacy of professional interventions in promoting long-term sobriety always depends on continuous monitoring, support, and treatment plan modifications.

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