Methadone

Methadone for analgesia

Although methadone is most commonly used in the treatment of opioid use disorder, it is also used for the treatment of chronic pain. It is not recommended to initiate methadone in patients who are opioid naïve, or only intermittently use opioids, except in certain palliative or end-of-life care situations.

While there is no longer an application and approval process to prescribe methadone, and the College no longer maintains a list of methadone prescribers, the expectation remains that registrants obtain the relevant training and education prior to prescribing. 

Training

Registrants with limited experience in prescribing methadone for pain are expected to acquire the relevant education and training:

Relevant standards and guidelines

Registrants who prescribe methadone should familiarize themselves with relevant College standards and guidelines.

Order prescription pad

To prescribe methadone for analgesia, physicians must use a duplicate prescription pad.

Physicians can now use the same prescription pad to prescribe methadone for analgesia and opioid use disorder.

Harmonized Prescription Pad Order Form

Other health professions

Where necessary, registrants should also communicate with other health professionals who are providing care to a patient.