

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
He rongoā whakahau a Methadone e āwhina ana i te hunga ki te hinga i te waranga opioid me te whakahaere i te mamae nui. E mahi ana tēnei rongoā kaha mā te huri i te āhua o tō roro me tō pūnaha io e urupare ana ki te mamae me ngā tohumate whakawātea, e whai wāhi ana koe ki te whakahoki i tō oranga mai i te waranga, ki te kimi rānei i te whakawātea mai i te mamae roa.
He nui pea te āhua o te māramatanga ki te methadone, engari kei te whai koe i tētahi mahi nui mā te ako mōna. Kua āwhina tēnei rongoā i te miriona o te tangata ki te wehe i te whakawhirinaki opioid i te wā e noho ana i ngā oranga hauora, tū tonu.
He rongoā opioid roa te methadone e whakahau ana ngā tākuta mō ngā take e rua: te rongoā i te waranga opioid me te whakahaere i te mamae nui. Kāore i rite ki ētahi atu opioids, ka noho roa te methadone i roto i tō pūnaha, e whai hua ana mō ēnei hiahia rongoā motuhake.
No tētahi rōpū rongoā tēnei rongoā e kīia ana ko ngā agonist opioid. E mahi ana mā te piri ki ngā kaiwhakawhiwhi roro kotahi e whāia ana e ētahi atu opioids, engari e pērā ana i tētahi ara ngawari, whakahaere. Whakaarohia he whakarato i tō roro ki tāna e hiahia ana me te kore o ngā tiketike me ngā heke kino o ētahi atu opioids.
Ka tae mai te Methadone hei papa, wai, paura rānei e rewa ana i roto i te wai. Ko te āhua wai te mea e whakamahia ana i roto i ngā hōtaka rongoā, i te wā e whakahaua ana ngā papa mō te whakahaere mamae. Mā tō kaiwhakarato hauora e whakatau ko tēhea āhua e pai ana mō tō āhuatanga motuhake.
E rua ngā take rongoā tuatahi a Methadone, e hiahia ana ia ki ngā huarahi me te aroturuki rerekē. Mā tō tākuta e whakatau ko tēhea whakamahi e pā ana ki tō āhuatanga i runga i tō hītori rongoā me ngā hiahia o nāianei.
Mō te rongoā mō te waranga opioid, ka āwhina te methadone ki te whakaiti i ngā hiahia me ngā tohumate o te tangohanga. Mā tēnei ka ahei koe ki te arotahi ki te whakaora me te kore o te mamae tinana e arahina ai te iwi ki ngā rongoā tiriti kino. Ka whakakotahi ngā hōtaka rongoā i te methadone me te tohutohu me ngā ratonga tautoko hei whakatika i ngā āhuatanga katoa o te waranga.
Mō te whakahaere i te mamae nui, ka whakarato te methadone i te whakamaunga roa ina kāore anō ētahi atu rongoā mamae i whai hua. Ko te tikanga ka rāhui ngā tākuta i tēnei whakamahinga mō te hunga e pā ana ki ngā āhuatanga mamae roa kua whakamātau kē i ētahi atu rongoā. Ko te roa o te rongoā te tikanga ka iti ake pea ngā horopeta e hiahiatia ana e koe i te roanga o te rā.
I ngā wā onge, ka tohua pea te methadone mō ētahi atu āhuatanga e whai hua ai ōna āhuatanga ahurei ki ngā āhuatanga rongoā motuhake. Heoi, he mea noa ēnei whakamahinga, ā, e hiahia ana ki te tirotiro rongoā motuhake.
Ka mahi te Methadone mā te here ki ngā kaiwhakawhiwhi opioid i tō roro me tō tuaiwi, ngā kaiwhakawhiwhi kotahi e pā ana ki ētahi atu opioids. Heoi, ka hangaia e ia he pānga tino pūmau, roa ake te roa i te rongoā pēnei i te heroin, i ngā rongoā mamae rānei.
Inā tango koe i te methadone, ka ārai i ngā tohumate tangohanga mō te 24 ki te 36 haora. Ko tēnei mahi roa te tikanga kāore tō tinana e pā ki ngā pikinga me ngā hekenga tere e puta ana me ngā opioids poto ake. Ka whiwhi tō roro i ngā mea e hiahiatia ana e ia kia mahi noa me te kore o te euphoria kaha, o ngā hekenga rānei.
Mō te whakamaunga mamae, ka aukati te methadone i ngā tohu mamae mai i te tae ki tō roro. Ka huri hoki i te āhua o te tukatuka a tō pūnaha io i te mamae, ka waiho te mamae roa kia ngawari ake te whakahaere. Ko te roa o te rongoā te tikanga he whakahaere mamae rite tonu i te roanga o te rā me te pō.
He rongoā kaha te methadone, ā, me mātakitaki pū. Ka tīmata tō tākuta ki te horopeta iti, ā, ka whakatika pōturi i runga i tō urupare. Mā tēnei huarahi tūpato e ārai ngā pānga taha mōrearea, me te whakarite hoki kia whai hua te rongoā mō ō hiahia.
He mea nui kia tango tika i te methadone i runga i te tohutohu, mō tō haumaru me te whai huatanga o te rongoā. Ka hoatu e tō tākuta ngā tohutohu motuhake i runga i tō āhuatanga takitahi, ahakoa kei te whakamahi koe mō te rongoā waranga, te whakahaere mamae rānei.
Mō te rongoā waranga, ka haere koe ki tētahi whare haumanu motuhake ia rā ki te whiwhi i tō horopeta. Ka mātakitaki ngā kaimahi i a koe e tango ana i te rongoā kia tika te horopeta me te aroturuki i tō ahunga whakamua. I te wā e pūmau ana koe, ka taea e koe te whiwhi horopeta hei kawe ki te kāinga mō ngā wiki mutunga, ngā hararei rānei.
Mēnā kei te tango koe i te methadone mō te mamae, ka tango koe i te kāinga i runga i te hōtaka a tō tākuta. Ko te nuinga o te tangata e tango ana i te rongoā ia 8 ki te 12 hāora, engari he rerekē pea tō wā. Whakatūhia ngā whakamaharatanga hei āwhina i a koe ki te pupuri i te wā tika, nā te mea ka pā te horopeta koretake ki te pai o te mahi a te rongoā.
Ka taea e koe te tango methadone me te kore kai, me te kai rānei, engari mā te tango i te ara kotahi i ia wā ka āwhina i te pupuri i ngā taumata pūmau i tō tinana. Mēnā ka pōrearea te rongoā i tō puku, whakamātau ki te tango me te paramanawa māmā, te miraka rānei. Kaua e tango i te wai karepe, nā te mea ka piki ake ngā taumata methadone i tō toto, ka pā ngā pānga mōrearea.
Kaua rawa e kuru, e ngaungau, e whakakore rānei i ngā papa methadone ki te kore e tohutohutia e tō kaiwhakarato hauora. Horomia ngā papa katoa me te wai. Mēnā kei te tango koe i te methadone wai, ine tika i tō horopeta mā te whakamahi i te taputapu ine i whakaratohia, kaua te koko o te whare.
He rerekē te roa o te rongoā methadone i runga i ō āhuatanga takitahi me te take e tango ana koe. Ka mahi tahi tō rōpū hauora ki a koe ki te whakatau i te roa tika i runga i ō ahunga whakamua me ō hiahia hauora.
Mō te rongoā mō te waranga opioid, he maha ngā tāngata e whai hua ana mai i te rongoā tiaki wā roa. Ko ētahi tāngata e tango ana i te methadone mō ngā marama, ēngari ko ētahi e haere tonu ana mō ngā tau, ā, mō ake tonu atu rānei. E whakaatu ana te rangahau ko te wā rongoā roa ake nei te nuinga o te wā ka pai ake ngā hua, tae atu ki te whakaiti i te whakamahi tarukino me te whakapai ake i te kounga o te oranga.
I te rongoā i te mamae mau tonu, ka whakawhirinaki te roa ki tō āhuatanga taketake me te pai o te mahi o ētahi atu rongoā. E hiahia ana ētahi tāngata ki te methadone mō ngā wā roa ki te whakahaere i te mamae e haere tonu ana, ēngari ko ētahi ka neke ki ētahi atu rongoā i te wā e pai ake ana, e huri ana rānei tō rātou āhuatanga.
Ka arotakehia e tō tākuta i ngā wā katoa mēnā kei te tika tonu te methadone mōu. Kei roto i tēnei ko te aromatawai i te pai o tōna mahi, te aroturuki i ngā pānga taha, me te whakaaro ki ētahi atu kōwhiringa rongoā. Kaua rawa e mutu te tango i te methadone ohorere, nā te mea ka puta he tohu tangohanga nui.
Mēnā ka whakatau koe ki te mutu te methadone, ka hangaia e tō kaiwhakarato hauora tētahi mahere whakaiti haere. Ko tēnei tukanga, e kiia nei ko te whakaiti, ka whakaiti haere i tō horopeta i roto i ngā wiki, i ngā marama rānei kia iti ai ngā tohu tangohanga me te noho haumaru.
Pērā i ngā rongoā katoa, ka taea e te methadone te whakaputa i ngā pānga taha, ahakoa kāore te katoa e pā ana ki a rātou. Ko te māramatanga ki te aha e tūmanakohia ana ka āwhina i a koe ki te mōhio ki ngā tauhohenga noa ki ngā tohu e pā ana e hiahia ana ki te āwhina hauora tonu.
Ko ngā pānga taha noa he ngawari, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā:
Ko ēnei pānga noa ka iti ake te kitea i te wa e urutau ana tō tinana ki te rongoā. Ka taea e tō kaiwhakarato hauora te whakaaro i ngā huarahi hei whakahaere i ēnei tohumate, me te whakatau mēnā ka whai hua etahi whakarerekētanga ki tō mahere rongoā.
Ko ngā pānga taha nui ake te hiahia kia tere te rongoā, ahakoa he iti noa iho:
Mēnā ka pā ki a koe etahi o ēnei tohumate nui, rapua tonu te rongoā ohorere. He onge ēnei pānga, engari ka mōrearea te ora ki te kore e tere te rongoā.
Ka pā ki ētahi tāngata ngā pānga taha kāore i te noa, ahakoa kāore i te mōrearea tonu, ka pā ki te kounga o te ora. Ko ēnei pea ko te korenga o te mahi tūāhua, ngā huringa o te ngākau, ngā pānga rānei o te homoni. Kōrerohia ēnei āwangawanga ki tō kaiwhakarato hauora, i te mea ka taea te whakahaere mā ngā rongoā atu, ngā whakarerekētanga rānei ki tō mahere tiaki.
Ko ētahi āhuatanga hauora me ngā wāhi ka kore e haumaru te methadone, ka hiahia rānei kia tūpato. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā kia mōhio he haumaru mōu.
Kaua koe e tango i te methadone mēnā he raruraru nui tō manawa, he āhuatanga rānei e whakaroa ana i tō manawa. Kei roto i tēnei ko te mate huango nui, te mate aukati pūkahukahu mau tonu (COPD) i ngā wāhanga whakamua, ētahi atu āhuatanga rānei o te pūkahukahu e uaua ai te manawa.
Me tino āta arotake ngā tāngata e pāngia ana e ētahi āhuatanga o te ngākau i mua i te tīmatanga o te methadone. Ka pā te rongoā ki te manawataki o te ngākau, inā koa ki te hunga e pāngia ana e ngā raruraru o te ngākau. Ka tono pea tō tākuta i tētahi electrocardiogram (EKG) hei tirotiro i te mahi hiko o tō ngākau i mua i te tīmatanga o te rongoā.
Mēnā he pānga tō mate ki te methadone, ki ētahi o ōna whakauru rānei, e kore e taea e koe te tango i tēnei rongoā. Kōrero ki tō tākuta mō ngā pānga mate katoa e mōhiotia ana, tae atu ki ngā tauhohenga ki ētahi atu rongoā opioid, nā te mea ka tohu pea rātou i tētahi tairongo whānui.
He maha ngā āhuatanga e hiahia ana kia tūpato, kia mātakitaki tata atu i te wā e tango ana i te methadone:
Ka waiho hoki te tau hei āhuatanga, nā te mea ka nui ake te tairongo o ngā kaumātua ki ngā pānga o te methadone. He maha ngā wā e hiahia ana ngā tāngata neke atu i te 65 tau ki ngā horopeta iti ake, me te mātakitaki pinepine ake hei ārai i ngā raruraru.
E hiahia ana te hapūtanga kia āta whakaarohia, nā te mea ka pā te methadone ki te whaea me te pēpi. Heoi anō, mō ngā wāhine hapū e pāngia ana e te waranga opioid, he maha ngā wā ka pai ake te rongoā methadone i te whakamahi rāau taero tonu. Ka āta whakatau tō rōpū hauora i ngā painga me ngā tūponotanga.
Kei te wātea te Methadone i raro i ētahi ingoa waitohu, ahakoa he maha ngā tāngata e whiwhi ana i te putanga generic. Ko ngā ingoa waitohu tino noa ko Methadose, Dolophine, me Diskets.
He maha ngā wā e whakamahia ana a Methadose i roto i ngā hōtaka rongoā waranga, ā, kei te wātea i roto i ngā puka wai me ngā puka papa. He maha ngā wā ka whai reka here te putanga wai kia pai ake ai te inu mō te horopeta ia rā. Ko Dolophine te tikanga ka tohua mō te whakahaere mamae, ā, ka tae mai hei papa i roto i ngā kaha rerekē.
Ko Diskets he papa marara e rewa ana i roto i te wai, e whai hua ana mō ngā tāngata e uaua ana ki te horo i ngā pire. Māu te hōtaka rongoā, te tākuta rānei e whakatau ko tēhea puka e pai ana mō ō hiahia motuhake.
Kei roto i te methadone generic te whakauru kaha kotahi anō ki ngā putanga ingoa waitohu, ā, he pai te mahi. Ko te kōwhiringa i waenga i te ingoa waitohu me te generic ka whakawhirinaki ki tō inihua, ngā manakohanga o te hōtaka rongoā, me te urupare takitahi ki ngā puka rerekē.
He maha ngā kōwhiringa kē mō te methadone mō te rongoā waranga me te whakahaere mamae. Ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te tūhura i ēnei kōwhiringa mēnā kāore te methadone e tika ana mō tō āhuatanga, mēnā rānei kei te rapu koe i ngā huarahi rongoā rerekē.
Mō te rongoā waranga opioid, ko te buprenorphine (Suboxone, Subutex) he kōwhiringa kē noa e mahi ana i te rite ki te methadone engari he ētahi āhuatanga rerekē. Ka taea te tohua e ngā tākuta whaimana i ngā wāhi tari, kaua ki te hiahia i ngā haerenga whare haumanu ia rā, e tuku ana i te nui ake o te ngāwari mō te maha o ngā tāngata.
Ko te Naltrexone (Vivitrol) e whakaatu ana i tētahi huarahi rerekē ki te rongoā waranga. Kāore i te whakakapi i te opioid, engari e aukati ana i ngā kaiwhiwhi opioid katoa, e ārai ana i te opioid kia whai pānga. Ko tēnei kōwhiringa te mea pai mō ngā tāngata kua oti kē te whakawātea i te paitini, ā, he tino hihiko ki te pupuri i te māro.
Mō te whakahaere mamae, he maha ngā kōwhiringa ka whakaarohia i runga i tō āhuatanga motuhake. Ko ngā opioid e roa ana te mahi, pērā i te morphine whānui, te oxycodone rānei, ka taea te whakarato i te roa rite o te whakamaeatanga mamae. Ko ngā kōwhiringa kore-opioid ko ētahi rongoā anti-pōuri, ngā rongoā anti-pōrearea, me ngā rongoā ā-rohe ka whai hua mō ētahi momo mamae.
Ko te kōwhiringa pai rawa atu e whakawhirinaki ana ki ō āhuatanga takitahi, te hītori rongoā, me ngā whāinga maimoatanga. Ka mahi tō rōpū hauora ki a koe ki te kimi i te kōwhiringa tino tika mēnā kāore te methadone i te kōwhiringa tika mō tō āhuatanga.
He rongoā whai hua te methadone me te buprenorphine mō te rongoā i te waranga opioid, engari he rerekē te mahi, ā, he rerekē ngā painga. Kāore tētahi i te pai ake i tētahi; ko te kōwhiringa pai rawa atu e whakawhirinaki ana ki ō hiahia me ō āhuatanga takitahi.
Kua roa te whakamahi i te Methadone, ā, he nui te rangahau e tautoko ana i tōna whai huatanga. He tino āwhina mō ngā tāngata e kaha ana te waranga opioid kāore anō kia pai te urupare ki ētahi atu maimoatanga. Ko te hanganga o ia rā o ngā whare haumanu methadone ka taea te whakarato i te tautoko me te aroturuki e kitea ana e ētahi tāngata he whai hua.
Ka whai wāhi nui te Buprenorphine i ngā wāhi maimoatanga, i te mea ka taea te whakarite i roto i ngā tari tākuta, kaua e hiahia ana ki ngā haerenga whare haumanu o ia rā. Mā tēnei ka māmā ake te pupuri i te mahi, te whānau, me ētahi atu kawenga. He iti ake hoki te tūponotanga o te horopeta nui me te iti ake o ngā pānga rongoā i te methadone.
Ka whakaarohia e tō tākuta ētahi mea i te wā e āwhina ana i a koe ki te kōwhiri i waenga i ēnei rongoā. Kei roto i ēnei ko te kaha o tō waranga, tō āhuatanga noho, te wā mahi, ētahi atu āhuatanga rongoā, me ngā wheako maimoatanga o mua. Ka whakamātau pea ētahi tāngata i tētahi rongoā i te tuatahi, ka huri ki tētahi atu mēnā e tika ana.
He tino whai hua ngā rongoā e rua ina honoa ki te tohutohu me ngā ratonga tautoko. Ko te angitu o tētahi maimoatanga e pā ana ki tō whakapau kaha ki te whakaora me te tautoko whānui ka whiwhi koe i te taha o te rongoā.
Ka pā te Methadone ki te manawataki o te ngākau, nō reira me tino āta arotake te hunga e pāngia ana e te mate ngākau i mua i te tīmatanga o te maimoatanga. Tērā pea ka tono tō tākuta i tētahi electrocardiogram (EKG) hei tirotiro i te mahi hiko o tō ngākau, ā, tērā pea ka hiahiatia te aroturuki i ngā wā katoa o te maimoatanga.
He maha ngā tāngata e pāngia ana e te mate ngākau ka taea te tango methadone me te tirotiro hauora tika. Ka whakataurite tō rōpū hauora i ngā painga o te maimoatanga ki ngā tūponotanga, tērā pea ka tīmata ki ngā horopeta iti ake me te aroturuki i a koe i te tata. Tērā pea ka mahi tahi rātou me tō kairangahau ngākau kia mōhio ai ki te manaakitanga whānui.
Ko te tango i te nui rawa o te methadone he ohorere hauora e hiahia ana kia aro tonu. Waea atu ki te 911, haere rānei ki te ruma ohorere tata tonu mēnā kua tango koe i te nui ake i te mea i whakaritea, ina koa kei te pāngia koe e te moe nui, te uaua ki te manawa, te ngaro rānei o te māramatanga.
Kaua e ngana ki te whakapōuri i a koe anō, tatari rānei kia kite mena ka pai ake ngā tohumate. Ka mōrearea te ora te horopeta nui o te methadone, ā, he mea nui te maimoatanga hauora tere. Ki te taea, mauria te ipu rongoā ki a koe kia whakaatu ki ngā kaiwhakarato hauora te aha me te nui i tango koe.
Ka whakamahi pea ngā kaiwhakautu ohorere i te naloxone (Narcan) hei whakawātea i ngā pānga o te horopeta nui o te methadone. Heoi, nā te mea ka noho roa te methadone i roto i te pūnaha i te naloxone, tērā pea ka hiahiatia ngā horopeta maha, ā, ko te aroturuki hōhipera te tikanga e hiahiatia ana.
Mēnā ka ngaro koe i tētahi horopeta methadone, whakapā atu ki tō kaiwhakarato hauora, ki tō hōtaka rongoā rānei mō te tohutohu. Kaua e tango noa i te horopeta rua i te wā e whai ake nei, he mea tūpono tēnei.
Mō te hunga e uru ana ki ngā hōtaka rongoā methadone, ka pā te ngaronga horopeta ki tō mahere rongoā, ā, tērā pea ka hiahiatia he arotake hauora i mua i te tīmatanga anō. He tikanga motuhake tā tō whare haumanu mō te whakahaere i ngā horopeta ngaro, ā, ka mahi tahi rātou me koe kia hoki haumaru ai ki te ara.
Mēnā kei te tango koe i te methadone mō te whakahaere i te mamae, ā, ka ngaro koe i tētahi horopeta, tangohia i te wā ka mahara koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. I tērā wā, waiho te horopeta ngaro, ka haere tonu ki tō mahere auau. Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta ngaro.
Ko te whakatau ki te mutu i te methadone me mahi tonu i te taha o tō kaiwhakarato hauora. Kaua rawa e mutu ohorere te tango i te methadone, he mea tūpono tēnei ka puta ngā tohumate tangohanga nui, me ngā raruraru tūpono.
Mō te rongoā waranga, ka haere tonu ētahi tāngata i te tiaki methadone mō ngā tau, tae noa ki te kore mutunga, i te mea e whakaatu ana te rangahau i te nuinga o te wā ka puta ngā hua pai. Ka whiriwhiri ētahi atu ki te whakaiti i tō rātou horopeta i te wā, me te tirotiro hauora. Ko tō rite ki te mutu ka whakawhirinaki ki tō pumau i te whakaora, ngā āhuatanga o te ora, me ngā whāinga whaiaro.
Mēnā kei te tango koe i te methadone mō te whakahaere i te mamae, ka āwhina tō tākuta i a koe ki te whakatau i te wā e tika ana kia mutu i runga i tō āhuatanga i raro, me ngā momo kē e wātea ana. Ka waihanga rātou i tētahi mahere whakaiti haere kia iti ai ngā tohumate tangohanga, me te whakarite kia noho whakahaerehia tō mamae.
Ka pā te methadone ki tō kaha ki te taraiwa haumaru, ina koa i te wā tuatahi ka tīmata koe ki te tango, i te wā rānei ka whakatikahia tō horopeta. Ka puta te moe, te whanoke, me te pōturi o te wā urupare e te rongoā, e tūpono ai te taraiwa.
Ināianei kua pūmau koe ki te methadone, ā, kua whakatika tō tinana ki te rongoā, he maha ngā tāngata ka taea te taraiwa marie. Heoi anō, me karo koe i te taraiwa kia mōhio rawa koe ki te pānga o te methadone ki a koe. Me whai tonu i ngā tohutohu a tō tākuta mō te taraiwa, ā, kia pono mō ngā pānga taha e pā ana ki a koe.
Kia mahara, he hē, he tūpono hoki te taraiwa i raro i te mana o tētahi rongoā e pā ana ki ō pūkenga. Ki te pōrangi koe, ki te whai rānei koe i te mahunga, ki te pōrearea rānei, kaua e taraiwa. Whakaarohia ngā kōwhiringa waka kē, tonoa rānei he āwhina mai i te whānau me ngā hoa inā hiahiatia.
Get clear medical guidance
on symptoms, medications, and lab reports.