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=== Withdrawal symptoms === Methadone withdrawal symptoms are reported as being significantly more protracted than withdrawal from opioids with shorter half-lives. When used for opioid maintenance therapy, Methadone is generally administered as an oral liquid. Methadone has been implicated in contributing to significant [[tooth decay]]. Methadone causes [[xerostomia|dry mouth]], reducing the protective role of [[saliva]] in preventing decay. Other putative mechanisms of methadone-related tooth decay include craving for carbohydrates related to opioids, poor dental care, and a general decrease in personal hygiene. These factors, combined with sedation, have been linked to the causation of extensive dental damage.<ref>{{cite journal | vauthors = Brondani M, Park PE | title = Methadone and oral health--a brief review | journal = Journal of Dental Hygiene | volume = 85 | issue = 2 | pages = 92β98 | date = 16 May 2011 | pmid = 21619737 }}</ref><ref>{{cite journal | vauthors = Graham CH, Meechan JG | title = Dental management of patients taking methadone | journal = Dental Update | volume = 32 | issue = 8 | pages = 477β8, 481β2, 485 | date = October 2005 | pmid = 16262036 | doi = 10.12968/denu.2005.32.8.477 }}</ref> ====Physical symptoms==== * [[Lightheadedness]]<ref name=michael>{{cite web | url = https://www.nhtsa.gov/sites/nhtsa.gov/files/809725-drugshumanperformfs.pdf | title = National Highway Traffic Safety Administration. Methadone. Drugs and Human Performance Fact Sheets. | publisher = NHTSA }}</ref> * [[Lacrimation|Tearing]] of the eyes<ref name=michael/><ref name=sadovsky/> * [[Mydriasis]] (dilated pupils)<ref name=michael/> * [[Photophobia]] (sensitivity to light) * [[Hyperventilation]] (breathing that is too fast/deep) * [[Rhinorrhea|Runny nose]]<ref name=sadovsky/> * Yawning * Sneezing<ref name=sadovsky/> * [[Nausea]],<ref name=michael/><ref name=sadovsky/> vomiting,<ref name=michael/><ref name=sadovsky/> and [[diarrhea]]<ref name=michael/> * [[Fever]]<ref name=sadovsky/> * [[Sweating]]<ref name=michael/> * Chills<ref name=sadovsky/> * [[Tremor]]s<ref name=michael/><ref name=sadovsky/> * [[Akathisia]] (restlessness) * [[Tachycardia]] (fast heartbeat)<ref name=sadovsky/> * Aches<ref name=michael/> and pains, often in the joints or legs * Elevated pain sensitivity * Blood pressure that is too high ([[hypertension]], may cause a stroke) ====Cognitive symptoms==== * [[Suicidal ideation]] * Susceptibility to cravings<ref name=michael/> * [[Depression (mood)|Depression]]<ref name=michael/> * Spontaneous [[orgasm]] * Prolonged [[insomnia]] * [[Delirium]] * [[Auditory hallucinations]] * [[Visual hallucinations]] * Increased perception of odors ([[olfaction]]), real or imagined * Marked increase in [[Libido|sex drive]] * [[Psychomotor agitation|Agitation]] * [[Anxiety]]<ref name=michael/> * [[Panic disorder]] * Nervousness<ref name=michael/> * [[Paranoia]] * [[Delusions]] * [[Apathy]] * [[Anorexia (symptom)]]
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