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Methadone dosages for ESRD pt, heroin addict

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Specializes in Nephrology, Cardiology, ER, ICU. Has 27 years experience.

I have a pt who is on hemodialysis (anuric) who is currently on 335mg methadone per day with no plans (per the addictions MD) to wean or decrease.

He has had a cardiac arrest this year as well as several syncopal episodes. Hes had complete work ups by neuro and cards.

What amts of maintenance doses of methadone do you all see?

Everything I've read says 80-120mg per day.