Methadone
The effects, the risks, the law
AKA:
Juice, green, meth, Phy and dollies.
Background:
Methadone is a synthetic drug with painkilling properties. The effects are similar to heroin, though less addictive. This is why methadone is often used as a substitute to help heroin users withdraw.
Methadone is available in various forms and strengths. Generally, it is offered as a green liquid preparation, but can also come in tablet, ampoules (for injection) or linctus form. The drug is available on prescription only, and is intended to be taken as part of a supervised reduction or maintenance programme.
The effects:
- The effects are similar to heroin (feelings of well-being, relief from any physical pain or psychological unease). This is why methadone is used primarily to ease the withdrawal symptoms from heroin;
- Drowsiness can occur when methadone is taken in larger quantities;
- The effects last up to 24 hours, which is longer than heroin. This means heroin users attempting to withdraw do not need to take methadone so frequently;
- Withdrawal symptoms are slower to develop but last longer than heroin.
The risks:
- Methadone is a very addictive drug. It may be effective in helping heroin users to withdraw, but methadone misuse can lead to dependency problems;
- Tolerance develops. This means the user increasingly needs more methadone to get the same effect;
- Side effects can include constipation, nausea, sweating and itchy skin;
- Unsupervised or sudden withdrawal can lead to a period of diarrhea, insomnia, vomiting, hot and cold sweats, and cramps;
- Methadone is a powerful drug. Excessive doses can lead to overdose or coma. Misuse can also be fatal.
The law:
Methadone is a Class A drug. Under the Misuse of Drugs Act, it is an offence to possess methadone without a prescription. Supply of the drug without a license is an offence under any circumstances.
If you are planning to take this drug:
Stick closely to supervision instructions to avoid side-effects and other risks. For more details, consult your dispensing pharmacist or local prescribing service.
Prescription methadone users in possession of a UK driving license are required to disclose their use to the DVLA. A medical may be required to evaluate whether you can continue to be licensed to drive.
