Page last updated: 2024-10-30

methadone and Heart Diseases

methadone has been researched along with Heart Diseases in 8 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.

Heart Diseases: Pathological conditions involving the HEART including its structural and functional abnormalities.

Research Excerpts

ExcerptRelevanceReference
"There are few studies that describe cardiac adverse events in patients prescribed methadone for pain management."7.80Methadone for pain and the risk of adverse cardiac outcomes. ( Delate, T; Kurz, D; Price, LC; Shanahan, R; Wobeter, B, 2014)
"There are few studies that describe cardiac adverse events in patients prescribed methadone for pain management."3.80Methadone for pain and the risk of adverse cardiac outcomes. ( Delate, T; Kurz, D; Price, LC; Shanahan, R; Wobeter, B, 2014)
"Abstract Methadone maintenance therapy is an established treatment for heroin dependence."3.79Functional genetic polymorphisms in CYP2C19 gene in relation to cardiac side effects and treatment dose in a methadone maintenance cohort. ( Chang, YS; Chen, AC; Chen, CH; Ho, IK; Hsiao, CF; Huang, CL; Kuo, HW; Lin, KM; Lin, L; Liu, ML; Liu, SC; Liu, SW; Liu, YL; Su, LW; Tan, HK; Tsou, HH; Wang, SC; Wu, CS; Wu, HY; Yang, YH, 2013)
"Methadone is a synthetic opioid, a pure agonist of the μ receptor."1.62Forensic pathological study of methadone-related deaths in the Genoa (Italy) district: A six-year study. ( Barranco, R; Bedocchi, D; Bonsignore, A; Drommi, M; Errico, S; Ventura, F, 2021)
"Parenteral substance abuse is widespread."1.27Primary care of parenteral substance abusers. ( Williams, A, 1986)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19901 (12.50)18.7374
1990's0 (0.00)18.2507
2000's2 (25.00)29.6817
2010's4 (50.00)24.3611
2020's1 (12.50)2.80

Authors

AuthorsStudies
Errico, S1
Bedocchi, D1
Drommi, M1
Barranco, R1
Bonsignore, A1
Ventura, F1
Pilgrim, JL1
McDonough, M1
Drummer, OH1
Wang, SC1
Ho, IK1
Tsou, HH1
Liu, SW1
Hsiao, CF1
Chen, CH1
Tan, HK1
Lin, L1
Wu, CS1
Su, LW1
Huang, CL1
Yang, YH1
Liu, ML1
Lin, KM1
Liu, SC1
Wu, HY1
Kuo, HW1
Chen, AC1
Chang, YS1
Liu, YL1
Price, LC1
Wobeter, B1
Delate, T1
Kurz, D1
Shanahan, R1
Perrin-Terrin, A1
Pathak, A1
Lapeyre-Mestre, M1
Besson, J2
Eap, C1
Rougemont-Buecking, A1
Simon, O2
Nikolov, C1
Bonsack, C1
Gothuey, I1
Eap, CB1
Khazaal, Y1
Montagrin, Y1
Rihs-Middel, M1
Tissot, H1
Tomei, A1
Zumwald, C1
Zullino, D1
Williams, A1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Effect of Methadone vs. Fentanyl Administration on Postoperative Pain Control in Pediatric Patients Undergoing Cardiac Surgery: A Randomized, Double-Blinded Controlled Trial[NCT02747875]26 participants (Actual)Interventional2016-09-30Terminated (stopped due to Drug Shortage)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Total Opioid Dose, in Morphine Equivalents, in the First 24 Hours After Pediatric Cardiac Bypass Surgery.

The distribution of the total opioid dose in the first 24 hours will be evaluated by randomization group (methadone vs. fentanyl) and differences between groups will be tested. It is hypothesized that compared to fentanyl, methadone administered intraoperative will result in a significantly lower total opioid dose (morphine or oxycodone) during the first 24 hour postoperative period. Assuming no difference between the two treatment strategies in the population, a total sample size of 52 in each group will provide 80% power to detect an effect size of 0.1. Significance will be measured as a 30% reduction in postoperative pain requirement. (NCT02747875)
Timeframe: 24 hours

Interventionmg postop morphine equivelant 24hr (Mean)
Control - Fentanyl0.55
Treatment - Methadone0.48

Opioid-related Adverse Events Including: Respiratory Failure, Cardiovascular Instability, and Postoperative Nausea and Vomiting

Opioid-related adverse events will be monitored closely and a secondary analysis will compare the incidence of side effects between the two groups during the first 24-hour postoperative period. The Pearson's contingency chi-square test will be used to evaluate any differences between the randomization groups in opioid-related adverse events during the first 24-hour postoperative period. (NCT02747875)
Timeframe: 24 hours

,
Interventionevents (Mean)
Ondansetron DosesEmesis EpisodesHypoventilation EpisodesArrhythmias
Control - Fentanyl3.812.7200
Treatment - Methadone3.432.0800

Reviews

1 review available for methadone and Heart Diseases

ArticleYear
[Addiction].
    Revue medicale suisse, 2008, Jan-09, Volume: 4, Issue:139

    Topics: Gambling; Heart Diseases; Humans; Internet; Marijuana Abuse; Methadone; Substance-Related Disorders

2008

Trials

1 trial available for methadone and Heart Diseases

ArticleYear
QT interval prolongation: prevalence, risk factors and pharmacovigilance data among methadone-treated patients in France.
    Fundamental & clinical pharmacology, 2011, Volume: 25, Issue:4

    Topics: Adult; Death, Sudden; Death, Sudden, Cardiac; Female; France; Heart Diseases; Humans; Long QT Syndro

2011

Other Studies

6 other studies available for methadone and Heart Diseases

ArticleYear
Forensic pathological study of methadone-related deaths in the Genoa (Italy) district: A six-year study.
    Journal of forensic and legal medicine, 2021, Volume: 79

    Topics: Adult; Analgesics, Opioid; Blood Alcohol Content; Child, Preschool; Female; Forensic Pathology; Hear

2021
A review of methadone deaths between 2001 and 2005 in Victoria, Australia.
    Forensic science international, 2013, Mar-10, Volume: 226, Issue:1-3

    Topics: Adolescent; Adult; Australia; Cause of Death; Chronic Pain; Dose-Response Relationship, Drug; Female

2013
Functional genetic polymorphisms in CYP2C19 gene in relation to cardiac side effects and treatment dose in a methadone maintenance cohort.
    Omics : a journal of integrative biology, 2013, Volume: 17, Issue:10

    Topics: Adult; Aryl Hydrocarbon Hydroxylases; Cohort Studies; Cytochrome P-450 CYP2C19; Dose-Response Relati

2013
Methadone for pain and the risk of adverse cardiac outcomes.
    Journal of pain and symptom management, 2014, Volume: 48, Issue:3

    Topics: Age Factors; Analgesics, Opioid; Dose-Response Relationship, Drug; Female; Heart Diseases; Humans; M

2014
[Addictions].
    Revue medicale suisse, 2006, Jan-04, Volume: 2, Issue:47

    Topics: Cannabis; Eye Movements; Gambling; Heart Diseases; Methadone; Narcotics; Physician-Patient Relations

2006
Primary care of parenteral substance abusers.
    The Nurse practitioner, 1986, Volume: 11, Issue:6

    Topics: Acquired Immunodeficiency Syndrome; Administration, Intranasal; Antibodies, Viral; Body Weight; Coca

1986