Saturday, March 26, 2005

Cardiac electrophysiology and Methadone

"Torsade de pointes associated with very-high-dose methadone.
Krantz MJ, Lewkowiez L, Hays H, Woodroffe MA, et al. Annals of Internal Medicine [NLM - MEDLINE]. Sep 17 2002. Vol. 137, Iss. 6; p. 501 " In this paper the mean dose of methadone used was 397 +/- 283mg of methadone. This article strongly suggests an association between torsade de pointe and very high methadone dose. I will continue to avoid co-prescription of methadone and lofexidine.

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