Commentary: Countering the Myths About Methadone by Edwin A. Salsitz, MD

“Methadone maintenance has been used in the United States for approximately 50 years as an effective treatment for opioid addiction. Yet many myths about its use persist, discouraging patients from using methadone, and leading family members to pressure patients using the treatment to stop.” Dr. Edwin A. Salsitz, MD presents the six most common myths about methadone and explains why they are incorrect. The six myths include:

  • Myth #1: Methadone is a substitute for heroin or prescription opioids.
  • Myth #2: Patients who are on a stable dose of methadone, who are not using any other non-prescribed or illicit medications, are addicted to the methadone.
  • Myth #3: Patients who are stable on their methadone dose, who are not using other non-prescribed or illicit drugs, are not able to perform well in many jobs.
  • Myth #4: Methadone rots teeth and bones.
  • Myth #5: Methadone is not advisable in pregnant women.
  • Myth #6: Methadone makes you sterile.

Edwin A. Salsitz, MD, FASAM, is Medical Director, Office-Based Opioid Therapy at Beth Israel Medical Center in New York.

Source: – August 6, 2013