Which statement about methadone is correct?

Prepare for the Lippincott Pharmacology Exam with interactive flashcards and multiple-choice questions, each accompanied by detailed hints and explanations. Master your exam with ease!

Choosing the statement that the duration of analgesia for methadone is much shorter than its elimination half-life highlights an important characteristic of the drug's pharmacokinetics.

Methadone has a long elimination half-life that can range from 8 to 59 hours, depending on the individual and other factors such as metabolic rate and dosing regimen. However, its duration of analgesic effect typically does not extend as long as its half-life. This discrepancy leads to a situation where patients may require more frequent dosing for effective pain control, especially if they are using methadone solely for analgesia. Understanding this principle is critical for healthcare providers to ensure effective pain management and to avoid potential complications associated with prolonged use or underdosing.

The other statements do not accurately describe methadone’s properties. Though methadone can be effective for pain management, it does have significant drug interactions due to its effect on liver enzymes. Its equianalgesic potency varies and can be more complex than that of morphine, often requiring careful consideration in clinical use. Additionally, while methadone's metabolites are less significant in terms of renal impairment compared to other opioids, the main concern is its long half-life, which can complicate dosing in patients

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