Page last updated: 2024-10-30

methadone and Constipation

methadone has been researched along with Constipation in 23 studies

Methadone: A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3)
methadone : A racemate comprising equimolar amounts of dextromethadone and levomethadone. It is a opioid analgesic which is used as a painkiller and as a substitute for heroin in the treatment of heroin addiction.
6-(dimethylamino)-4,4-diphenylheptan-3-one : A ketone that is heptan-3-one substituted by a dimethylamino group at position 6 and two phenyl groups at position 4.

Constipation: Infrequent or difficult evacuation of FECES. These symptoms are associated with a variety of causes, including low DIETARY FIBER intake, emotional or nervous disturbances, systemic and structural disorders, drug-induced aggravation, and infections.

Research Excerpts

ExcerptRelevanceReference
"The efficacy and safety of oral lubiprostone for relieving symptoms of opioid-induced constipation (OIC) in patients with chronic noncancer pain were evaluated in a randomized, double-blind, placebo-controlled study."9.27Efficacy and Safety of Lubiprostone in Patients with Opioid-Induced Constipation: Phase 3 Study Results and Pooled Analysis of the Effect of Concomitant Methadone Use on Clinical Outcomes. ( Cryer, B; Drossman, DA; Losch-Beridon, T; Mareya, SM; Mazen Jamal, M; Spierings, ELH; Wang, M, 2018)
"To evaluate the efficacy of methylnaltrexone, the first peripheral opioid receptor antagonist, in treating chronic methadone-induced constipation."9.09Methylnaltrexone for reversal of constipation due to chronic methadone use: a randomized controlled trial. ( Foss, JF; Karrison, T; Moss, J; O'Connor, M; Osinski, J; Roizen, MF; Yuan, CS, 2000)
"Preference for sweet-tasting foods, weight gain, and constipation characterize patients receiving methadone maintenance treatment (MMT)."8.02The prevalence of constipation and its relation to sweet taste preference among patients receiving methadone maintenance treatment. ( Adelson, M; Peles, E; Sason, A; Schreiber, S, 2021)
"Opioid-induced constipation (OIC) is one of the major side effects in patients receiving methadone maintenance treatment (MMT)."7.81Opioid-induced constipation reversal in response to placebo in a patient with a history of IBS receiving methadone maintenance therapy. ( Rehm, J; Samokhvalov, AV, 2015)
"Postoperatively, he developed OIC and Ogilvie syndrome, then following treatment with methylnaltrexone experienced an acute bowel perforation."5.51Methylnaltrexone-Associated Bowel Perforation in Postoperative Opioid-Induced Constipation and Ogilvie Syndrome: A Case Report. ( Blackney, KA; Edwards, DA; Kamdar, NV; Liu, CA, 2019)
"Constipation is a common symptom in cancer patients, especially in those who are receiving opioid analgesics for pain."5.30Reduction in constipation and laxative requirements following opioid rotation to methadone: a report of four cases. ( Bruera, E; Daeninck, PJ, 1999)
" First-pass glucuronidation limits systemic bioavailability of oral naloxone."5.28Treatment of opioid-induced constipation with oral naloxone: a pilot study. ( Culpepper-Morgan, JA; Foley, K; Houde, RW; Inturrisi, CE; Kreek, MJ; Marsh, F; Portenoy, RK, 1992)
"The efficacy and safety of oral lubiprostone for relieving symptoms of opioid-induced constipation (OIC) in patients with chronic noncancer pain were evaluated in a randomized, double-blind, placebo-controlled study."5.27Efficacy and Safety of Lubiprostone in Patients with Opioid-Induced Constipation: Phase 3 Study Results and Pooled Analysis of the Effect of Concomitant Methadone Use on Clinical Outcomes. ( Cryer, B; Drossman, DA; Losch-Beridon, T; Mareya, SM; Mazen Jamal, M; Spierings, ELH; Wang, M, 2018)
"To evaluate the efficacy of methylnaltrexone, the first peripheral opioid receptor antagonist, in treating chronic methadone-induced constipation."5.09Methylnaltrexone for reversal of constipation due to chronic methadone use: a randomized controlled trial. ( Foss, JF; Karrison, T; Moss, J; O'Connor, M; Osinski, J; Roizen, MF; Yuan, CS, 2000)
"Preference for sweet-tasting foods, weight gain, and constipation characterize patients receiving methadone maintenance treatment (MMT)."4.02The prevalence of constipation and its relation to sweet taste preference among patients receiving methadone maintenance treatment. ( Adelson, M; Peles, E; Sason, A; Schreiber, S, 2021)
"The present study shows that patients affected by opioid-dependence in OST with methadone and buprenorphine have a high prevalence of constipation and reduced QoL."3.83High prevalence of constipation and reduced quality of life in opioid-dependent patients treated with opioid substitution treatments. ( Addolorato, G; Casari, R; Cossari, A; Faccini, M; Gasbarrini, A; Lugoboni, F; Mirijello, A; Zamboni, L, 2016)
"Opioid-induced constipation (OIC) is one of the major side effects in patients receiving methadone maintenance treatment (MMT)."3.81Opioid-induced constipation reversal in response to placebo in a patient with a history of IBS receiving methadone maintenance therapy. ( Rehm, J; Samokhvalov, AV, 2015)
"A case of severe constipation is described in a 75-year- old cancer patient receiving methadone for pain."3.77Neostigmine for the treatment of gastrointestinal atony: a report of one case. ( Papa, P; Turconi, L, 2011)
"In this preliminary study, we evaluated the effects of methylnaltrexone, a peripheral opioid-receptor antagonist, on chronic opioid-induced gut motility and transit changes in four subjects with chronic methadone-induced constipation."3.70Effects of intravenous methylnaltrexone on opioid-induced gut motility and transit time changes in subjects receiving chronic methadone therapy: a pilot study. ( Foss, FJ; Moss, J; O'Connor, M; Osinski, J; Roizen, FM; Yuan, SC, 1999)
"Postoperatively, he developed OIC and Ogilvie syndrome, then following treatment with methylnaltrexone experienced an acute bowel perforation."1.51Methylnaltrexone-Associated Bowel Perforation in Postoperative Opioid-Induced Constipation and Ogilvie Syndrome: A Case Report. ( Blackney, KA; Edwards, DA; Kamdar, NV; Liu, CA, 2019)
"IV-PCA provided timely, safe and useful analgesia for patients with severe breakthrough pain and may be useful to help titration of opioids, weaning to oral analgesia and to decide for interventional procedures."1.40Safety profile of intravenous patient-controlled analgesia for breakthrough pain in cancer patients: a case series study. ( Ashmawi, HA; Cascudo, GM; de Santana Neto, J; Guimaraes, GM; Neto, JO; Sousa, AM, 2014)
"Constipation is a common symptom in cancer patients, especially in those who are receiving opioid analgesics for pain."1.30Reduction in constipation and laxative requirements following opioid rotation to methadone: a report of four cases. ( Bruera, E; Daeninck, PJ, 1999)
" First-pass glucuronidation limits systemic bioavailability of oral naloxone."1.28Treatment of opioid-induced constipation with oral naloxone: a pilot study. ( Culpepper-Morgan, JA; Foley, K; Houde, RW; Inturrisi, CE; Kreek, MJ; Marsh, F; Portenoy, RK, 1992)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19903 (13.04)18.7374
1990's6 (26.09)18.2507
2000's5 (21.74)29.6817
2010's8 (34.78)24.3611
2020's1 (4.35)2.80

Authors

AuthorsStudies
Sason, A1
Adelson, M1
Schreiber, S1
Peles, E1
Spierings, ELH1
Drossman, DA1
Cryer, B1
Mazen Jamal, M1
Losch-Beridon, T1
Mareya, SM1
Wang, M1
Haber, PS1
Elsayed, M1
Espinoza, D1
Lintzeris, N1
Veillard, AS1
Hallinan, R1
Blackney, KA1
Kamdar, NV1
Liu, CA1
Edwards, DA1
Sousa, AM1
de Santana Neto, J1
Guimaraes, GM1
Cascudo, GM1
Neto, JO1
Ashmawi, HA1
Samokhvalov, AV1
Rehm, J1
Lugoboni, F1
Mirijello, A1
Zamboni, L1
Faccini, M1
Casari, R1
Cossari, A1
Gasbarrini, A1
Addolorato, G1
Garlassi, E1
Rossi, G1
Bedini, A1
Richeldi, L1
Papa, P1
Turconi, L1
Yennurajalingam, S1
Braiteh, F1
Bruera, E2
Langrod, J1
Lowinson, J1
Ruiz, P1
Cheskin, LJ1
Chami, TN1
Johnson, RE1
Jaffe, JH1
Yuan, CS3
Foss, JF3
O'Connor, M3
Moss, J3
Roizen, MF2
Daeninck, PJ1
Yuan, SC1
Foss, FJ1
Osinski, J2
Roizen, FM1
Karrison, T1
Scholz, M1
Stephenson, J1
Culpepper-Morgan, JA1
Inturrisi, CE1
Portenoy, RK1
Foley, K1
Houde, RW1
Marsh, F1
Kreek, MJ1
Yaffe, GJ1
Strelinger, RW1
Parwatikar, S1
Cassidy, WJ1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pomegranate Juice Consumption by Patients Under Medication for Addiction Treatment as a Regulator of Craving and Blood Redox Status: The Study Protocol of a Randomized Control Trial (the NUTRIDOPE Study)[NCT05861544]58 participants (Anticipated)Interventional2023-03-23Enrolling by invitation
Naloxegol for Opioid-Related Gastroparesis: A Double-Blind Study With an Open Label Extension[NCT03036891]Phase 20 participants (Actual)Interventional2016-12-29Withdrawn
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

1 review available for methadone and Constipation

ArticleYear
Pain and terminal delirium research in the elderly.
    Clinics in geriatric medicine, 2005, Volume: 21, Issue:1

    Topics: Aged; Algorithms; Analgesics, Opioid; Anti-Infective Agents; Constipation; Delirium; Drug Interactio

2005

Trials

4 trials available for methadone and Constipation

ArticleYear
Efficacy and Safety of Lubiprostone in Patients with Opioid-Induced Constipation: Phase 3 Study Results and Pooled Analysis of the Effect of Concomitant Methadone Use on Clinical Outcomes.
    Pain medicine (Malden, Mass.), 2018, 06-01, Volume: 19, Issue:6

    Topics: Adult; Analgesics, Opioid; Chloride Channel Agonists; Chronic Pain; Constipation; Double-Blind Metho

2018
Assessment of nalmefene glucuronide as a selective gut opioid antagonist.
    Drug and alcohol dependence, 1995, Volume: 39, Issue:2

    Topics: Adult; Arousal; Autonomic Nervous System; Constipation; Dose-Response Relationship, Drug; Gastrointe

1995
Methylnaltrexone for reversal of constipation due to chronic methadone use: a randomized controlled trial.
    JAMA, 2000, Jan-19, Volume: 283, Issue:3

    Topics: Adult; Analgesics, Opioid; Constipation; Double-Blind Method; Female; Gastrointestinal Transit; Huma

2000
Oral methylnaltrexone for opioid-induced constipation.
    JAMA, 2000, Sep-20, Volume: 284, Issue:11

    Topics: Administration, Oral; Adult; Analgesics, Opioid; Constipation; Humans; Methadone; Naltrexone; Narcot

2000

Other Studies

18 other studies available for methadone and Constipation

ArticleYear
The prevalence of constipation and its relation to sweet taste preference among patients receiving methadone maintenance treatment.
    Drug and alcohol dependence, 2021, 08-01, Volume: 225

    Topics: Constipation; Humans; Methadone; Opiate Substitution Treatment; Opioid-Related Disorders; Prevalence

2021
Constipation and other common symptoms reported by women and men in methadone and buprenorphine maintenance treatment.
    Drug and alcohol dependence, 2017, 12-01, Volume: 181

    Topics: Adult; Analgesics, Opioid; Australia; Buprenorphine; Case-Control Studies; Constipation; Depression;

2017
Methylnaltrexone-Associated Bowel Perforation in Postoperative Opioid-Induced Constipation and Ogilvie Syndrome: A Case Report.
    A&A practice, 2019, Jan-15, Volume: 12, Issue:2

    Topics: Analgesics, Opioid; Colonic Pseudo-Obstruction; Constipation; Decompression, Surgical; Humans; Hydro

2019
Safety profile of intravenous patient-controlled analgesia for breakthrough pain in cancer patients: a case series study.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2014, Volume: 22, Issue:3

    Topics: Adult; Analgesia, Patient-Controlled; Analgesics; Breakthrough Pain; Constipation; Female; Fentanyl;

2014
Opioid-induced constipation reversal in response to placebo in a patient with a history of IBS receiving methadone maintenance therapy.
    BMJ case reports, 2015, Nov-13, Volume: 2015

    Topics: Analgesics, Opioid; Constipation; Cross-Over Studies; Female; Humans; Irritable Bowel Syndrome; Laxa

2015
High prevalence of constipation and reduced quality of life in opioid-dependent patients treated with opioid substitution treatments.
    Expert opinion on pharmacotherapy, 2016, Volume: 17, Issue:16

    Topics: Adult; Analgesics, Opioid; Buprenorphine; Constipation; Female; Heroin Dependence; Humans; Italy; Ma

2016
Unexpected identification of bilateral masses in an asymptomatic heavy smoker.
    Thorax, 2010, Volume: 65, Issue:9

    Topics: Constipation; Humans; Male; Methadone; Middle Aged; Mineral Oil; Pneumonia, Lipid; Smoking; Tomograp

2010
Neostigmine for the treatment of gastrointestinal atony: a report of one case.
    Journal of palliative medicine, 2011, Volume: 14, Issue:11

    Topics: Aged; Analgesics, Opioid; Constipation; Female; Humans; Injections, Subcutaneous; Methadone; Neoplas

2011
Methadone treatment and physical complaints: a clinical analysis.
    The International journal of the addictions, 1981, Volume: 16, Issue:5

    Topics: Bone Diseases; Constipation; Female; Humans; Male; Methadone; Sexual Dysfunction, Physiological; Sle

1981
Drugs for pain.
    The Medical letter on drugs and therapeutics, 1998, Aug-14, Volume: 40, Issue:1033

    Topics: Acetaminophen; Administration, Oral; Amitriptyline; Analgesics; Analgesics, Non-Narcotic; Analgesics

1998
Gut motility and transit changes in patients receiving long-term methadone maintenance.
    Journal of clinical pharmacology, 1998, Volume: 38, Issue:10

    Topics: Adult; Breath Tests; Chromatography, Gas; Constipation; Female; Gastrointestinal Motility; Gastroint

1998
Reduction in constipation and laxative requirements following opioid rotation to methadone: a report of four cases.
    Journal of pain and symptom management, 1999, Volume: 18, Issue:4

    Topics: Analgesics, Opioid; Cathartics; Constipation; Female; Humans; Methadone; Middle Aged; Morphine

1999
Effects of intravenous methylnaltrexone on opioid-induced gut motility and transit time changes in subjects receiving chronic methadone therapy: a pilot study.
    Pain, 1999, Volume: 83, Issue:3

    Topics: Adult; Analgesics, Opioid; Constipation; Female; Gastrointestinal Motility; Gastrointestinal Transit

1999
Managing constipation that's opioid-induced.
    RN, 2000, Volume: 63, Issue:6

    Topics: Administration, Oral; Adult; Analgesics, Opioid; Breast Neoplasms; Chemistry, Pharmaceutical; Consti

2000
Methylnaltrexone reverses opioid-induced constipation.
    The Lancet. Oncology, 2002, Volume: 3, Issue:4

    Topics: Administration, Oral; Analgesics, Opioid; Clinical Trials, Phase II as Topic; Constipation; Humans;

2002
Treatment of opioid-induced constipation with oral naloxone: a pilot study.
    Clinical pharmacology and therapeutics, 1992, Volume: 52, Issue:1

    Topics: Adult; Constipation; Dose-Response Relationship, Drug; Female; Humans; Male; Methadone; Middle Aged;

1992
Physical symptom complaints of patients on methadone maintenance.
    Proceedings. National Conference on Methadone Treatment, 1973, Volume: 1

    Topics: Constipation; Dose-Response Relationship, Drug; Female; Heroin Dependence; Humans; Male; Methadone;

1973
Maintenance methadone treatment of drug dependency.
    Canadian Psychiatric Association journal, 1972, Volume: 17, Issue:2

    Topics: Administration, Oral; Adult; Constipation; Erectile Dysfunction; Evaluation Studies as Topic; Female

1972