There is a patient who was recently switched to oral methadone as he was abusing the injectable solution (injecting into femoral vein) and experienced health problems due to this. I am aware that oral methadone solution should not be injected as the components can damage veins. Any other adverse effects that the oral solution can produce when injected? Can still people inject it despite the harmful effects? I would like to use the information you can provide as an intervention in this case and in the future. If you can provide a reference, it would useful
Thanks in advance for your help
Some clients have told me that the sugared variety is hard to inject compared to the SF version which is not as viscous. However, I understand that both varieties are extremely painful to inject........
Link to injecting info
Link to injecting issues
I can still picture the problems some of my patients used to have with this when i worked over in Manchester.
Had a patient who was injecting over 100ml oral methadone daily. He developed a severe iron deficiency anaemia.
This he achieved by leaving the needle in his femoral vein dripping blood into a glass whilst drawing the methadone up into a 20ml syringe six times!
After suspecting the methadone was causing the anaemia per se, I had to ask how he injected it to discover the cause of the anaemia. Avoided a haematology referral, and able to advise the patient in the strongest terms about harm reduction.
He was still doing the same thing a week later.
Very helpful information, thank you very much
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