markham


addiction counselling


Suboxone



Addiction Treatment



Scarborough       647-350-6662

Scarborough



newmarket


richmond hill



alcohol abuse


Methadone



drug abuse


Richmond Hill     905-787-8999

​​vistaclinics@hotmail.com

toronto



addiction treatment Clinic


thornhill


Hamilton             905-544-5255

  • New patients to our clinic will be assessed by our physicians and, together with the patient, agree upon the most appropriate treatment program. Methadone therapy is one treatment option


  • It is difficult to determine the dose of methadone that will be required for a patient to discontinue illicit opioid use even when an accurate history of the amount of opioid use has been determined. This is due to the considerable variability in methadone metabolization between individuals


  • As such, patients are started on a low dose of methadone and gradually increased over days to weeks: Usual starting dose is between 10-30 mg Methadone with dose increases of 5-15 mg every 3 to 4 days


  • Starting at a dose that is too high and/or increasing too quickly can lead to overdose and possibly death


  • Dose increases are determined by asking the patient how effective the dose of methadone is at curbing opiate cravings and withdrawals, as well as reducing illicit opiate use


  • Usually people entering a methadone program will follow one of two courses:

  1. Start methadone therapy and continue on therapy for years in order to abstain from illicit opioid use
  2. Start methadone therapy and once illicit opioid use has stopped start a program to reduce methadone dosing with the intent of eventual discharge from the program. It must be noted, however, that this usually caries a significant risk of relapse back into drug use


  • Initially, patients are required to attend the pharmacy daily for observed methadone dosing. When the patient is clinically stable, abstinent form drug use, and has safe housing then take-home doses (Carries) will be granted at the discretion of the physician and in accordance with the guidelines set out by the College of Physician and Surgeons of Ontario


  • Counselling, access to mental health and community services, and harm reduction strategies are also very important interventions in the health and recovery of our patients





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Methadone Program

Hamilton