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levomethadyl, lee-voe-meth-a-dil, belongs to the group, medicines known as narcotic analgesics , nar-kot-ik an-al-gee-zicks, used as a substitute for illegal narcotics in addiction treatment programs, is not a cure for addiction, used as part, an overall program that may include counseling, attending support group meetings, other treatment recommended by a physician, levomethadyl helps prevent the withdrawal symptoms that may occur when an addict stops using other narcotics, in detoxification programs, levomethadyl used is slowly decreased until an addict becomes drug-free, in maintenance programs, used on a long-term basis to help narcotic addicts stay away from street drugs, with long-term use, levomethadyl may decrease an addict's craving for other narcotics, another narcotic, methadone, is also used in detoxification and maintenance programs, methadone begins to work faster than levomethadyl does when treatment is started, it has, taken every day, levomethadyl starts to work slowly, it does not have, taken every day, some people may start treatment with methadone and then change over to levomethadyl after several weeks, other people may receive only one medicine, the other during the entire time, counselor at the clinic will decide on the best treatment plan for you, levomethadyl, in government-approved treatment clinics, dosage form oral, oral solution, for levomethadyl, allergic reaction to levomethadyl, allergic to any other substances, foods, preservatives, dyes, methadone is the best medicine for treating pregnant narcotic addicts, rare exceptions, levomethadyl is not recommended for use by pregnant women, breathing problems and withdrawal symptoms are likely to occur in babies born to mothers who use levomethadyl during pregnancy, levomethadyl did not cause birth defects , it caused early deliveries and stillbirths in animal studies, the law requires that women who may become pregnant, given pregnancy tests before levomethadyl treatment is started and once a month during treatment, when breast-feeding , not known whether levomethadyl passes into the breast milk in amounts, dependence, other side effects in nursing babies, when breast-feeding , mothers who wish to use levomethadyl, the law does not allow levomethadyl, used for treating addicts younger than 18 years, haven't been studied specifically in older people, problems in older people, levomethadyl, elderly with use in other age groups, an interaction might occur, change the dose, when you are taking levomethadyl, health care professionals, alcohol, barbiturates, carbamazepine, tegretol, chloramphenicol, chloromycetin, cimetidine, tagamet, corticosteroids, cortisone-like medicines, diltiazem, cardizem, disulfiram, antabuse, divalproex, depakote, erythromycins, medicine for infection, griseofulvin, fulvicin, isoniazid, inh, nydrazid, oral contraceptives, birth control pills, containing estrogen, phenylbutazone, butazolidin, phenytoin, dilantin, primidone, mysoline, quinine, quinamm, rifampin, rifadin, ranitidine, zantac, valproic acid, depakene, verapamil, calan, may change the way levomethadyl works, in my body, levomethadyl to start working more quickly, to keep working for a shorter time, than usual, levomethadyl to start working more slowly, to keep working for a longer time, than usual, buprenorphine, buprenex, butorphanol, stadol, dezocine, dalgan, nalbuphine, nubain, pentazocine, talwin, like levomethadyl, narcotics, withdrawal symptoms if they are taken during levomethadyl treatment, central nervous system, cns, depressants, medicine that causes drowsiness , other narcotics, tricyclic antidepressants, medicine for depression, serious side effects is increased; deaths have occurred when people continued to use cns depressant ``street'' drugs, other narcotics, while taking levomethadyl, naltrexone, revia, naltrexone blocks the effects, levomethadyl and will cause withdrawal symptoms if taken during levomethadyl treatment other medical problems, levomethadyl, any other medical problems, asthma, emphysema, other chronic lung disease, brain disease, head injury, colitis, crohn's disease, enlarged prostate, problems with urination, gallbladder disease, gallstones, heart disease , high blood pressure , levomethadyl has side effects that could be dangerous to people with these conditions, kidney disease , liver disease , underactive thyroid, side effects, increased , most patients are given their dose, levomethadyl at the clinic, able, take some doses, levomethadyl at home if my health care professional feels you are responsible to do, most people will have to go to the clinic 3 times a week, levomethadyl will be different for different patients, the average doses, levomethadyl, for oral, dosage form, oral solution, for treating narcotic addiction, the first dose, levomethadyl for patients who have not started treatment with methadone is between 20 and 40 milligrams, the first dose for patients who, receiving methadone will be a little higher than the amount, methadone that was being taken every day, not more than 120 mg, a physician will then adjust my dose, depending on whether you experience withdrawal symptoms, side effects after the first dose, more than one change, dose, until the right dose for you has been found.most people will receive levomethadyl 3 times a week, monday, wednesday, friday, tuesday, thursday, saturday, some people need a larger dose on friday, saturday, so that the medicine will last until the next visit, in detoxification programs, levomethadyl will gradually be decreased until the patient is able to stop taking it, in maintenance programs, continued as long as needed.if you miss one treatment, in my program, health care professional will have to adjust my treatment schedule and dose; you may need to start a new program with a lower starting dose if you miss more than one treatment, off the treatment for more than one week, levomethadyl cannot be used for patients younger than 18 years, precautions, know the side effects, taking levomethadyl is only part, counselor at the clinic will make a treatment plan for, follow, this plan may include seeing my counselor at the clinic regularly, attending support group meetings, making changes, in my lifestyle that will help you stay away from illegal drugs, the success, treatment will depend on how carefully you follow my treatment plan, will add to the effects, alcohol and other cns depressants, medicines that slow down the nervous system, possibly causing drowsiness , some examples, cns depressants are antihistamines, medicine for hay fever, other allergies, colds; sedatives, tranquilizers, sleeping medicine; prescription pain medicine, other narcotics; barbiturates; medicine for seizures; muscle relaxants, anesthetics, some dental anesthetics, do not drink alcoholic beverages, take any cns depressants during levomethadyl treatment unless you, directed to do so by a doctor who knows, taking levomethadyl, continue to have some withdrawal symptoms, crave narcotics for a while after levomethadyl treatment has been started, illegal narcotics, other cns depressant ``street'' drugs, taking ``street'' drugs together with levomethadyl, some people to die from an overdose, levomethadyl, some people to become drowsy, especially when treatment is started, the dose is increased, before you drive, drowsy, not alert and clearheaded, this effect usually goes away after a few days, when my body gets, tell my counselor at my next visit to the clinic if any dose causes drowsiness that is severe enough to interfere with my activities, dizziness , lightheadedness, even fainting may occur when you get up suddenly from a lying, sitting position, getting up slowly may help lessen this problem, lying down for a while may relieve dizziness , lightheadedness, tell all health care professionals you go to, taking levomethadyl, this is especially important if any kind, surgery, emergency treatment is needed, serious side effects can occur if my health care professional gives you certain other medicines without knowing, taking levomethadyl, using narcotics, levomethadyl for a long time can cause severe constipation, to prevent this, counselor may direct, take laxatives, drink a lot, fluids, increase the amount, fiber, in my diet, be sure to follow the directions carefully, continuing constipation can lead to more serious problems, levomethadyl, dryness, the mouth, for temporary relief, use sugarless candy, gum, melt bits, ice, in my mouth, use a saliva substitute, dry mouth continues, more than 2 weeks, check with my dentist, continuing dryness, the mouth may increase the chance, dental disease, tooth decay, gum disease, fungus infections , for women only, rare exceptions, levomethadyl is not recommended for use by pregnant women, tests will be given once a month during treatment, miss, tests you, unable to continue receiving levomethadyl, women who may become pregnant should use effective birth control during levomethadyl treatment, are not sure what method, birth control will work best for you, check with my counselor at the clinic, plan to become pregnant, should first discuss my plans with a physician, counselor, can arrange for, receive methadone instead, levomethadyl, think you have become pregnant during treatment, tell my counselor, transferred to methadone after receiving levomethadyl for a while, are given any take-home doses, methadone, do not take the first dose, methadone for at least 48 hours, 2 days, after my last dose, levomethadyl, taking the 2 medicines too close together, an overdose, think you, narcotics, get emergency help, taking an overdose, narcotics, taking alcohol, cns depressants with narcotics, may lead to unconsciousness, overdose include convulsions, seizures, confusion; severe dizziness , drowsiness , nervousness, restlessness, weakness; and very slow, troubled breathing, the emergency room doctor knows, physically dependent on a narcotic, levomethadyl, that using naloxone to treat my overdose is very likely to cause withdrawal symptoms, will need, watched for a long time because levomethadyl's effects last for several days, unable to give this information to the doctor myself , should direct friends and family members to give this information to the doctor, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, get emergency help immediately, side effects occur, signs and symptoms, overdose, cold, clammy skin, confusion, convulsions, seizures, dizziness , severe, drowsiness , severe, low blood pressure, nervousness, restlessness, severe, pinpoint pupils, eyes, slow heartbeat, slow, troubled breathing, weakness, severe, tell my counselor at the clinic, side effects occur, mental depression, skin rash , swelling, face, fingers, feet, /or lower legs, weight gain, at each visit to the clinic, be sure to tell my counselor if, side effects occurred after my last dose, levomethadyl, too much levomethadyl, drowsiness , severe, feeling ``wired'', not enough levomethadyl, withdrawal symptoms, body aches , diarrhea, fast heartbeat, gooseflesh, increased sweating, appetite, nausea, vomiting, nervousness, restlessness, irritability, runny nose, shivering, trembling, sneezing, stomach cramps , trouble in sleeping, unexplained fever, unusually large pupils, eyes, weakness, yawning, the withdrawal side effects listed above may also occur after levomethadyl treatment has been stopped, during a changeover from levomethadyl to methadone, always check with my counselor at the clinic if withdrawal side effects occur after you stop taking levomethadyl, side effects may go away during treatment, body adjusts to the medicine, check with my counselor at the clinic if, side effects continue, bothersome, abdominal, stomach pain, constipation, general feeling, discomfort, illness, joint pain, sexual problems in males, anxiety, back pain, blurred vision , chills, coughing, decreased desire for sex, dizziness , lightheadedness, feeling faint when rising from a lying, sitting position, drowsiness , dry mouth, false sense, well-being, flu-like symptoms, headache, hot flashes, muscle pain, unusual dreams, watery eyes, other side effects, brand names, orlaam, other commonly used names are laam; lam; levacetylmethadol; levo-alpha-acetylmethadol; levomethadyl acetate; mk790, category opioid, narcotic, abuse therapy adjunct