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Indications And Usage 1. For The Management Of Pain Severe Enough To Require An Opioid Analgesic And For Which Alternative Treatment Options Are Inadequate. Limitations Of Use Because Of The Risks Of Addiction, Abuse, And Misuse With Opioids, Even At Recommended Doses (See Warnings: Addiction, Abuse, And Misuse ) Reserve Methadone Hydrochloride Injection For Use In Patients For Whom Alternative Treatment Options [E.g., Non-Opioid Analgesics Or Opioid Combination Products]: Have Not Been Tolerated, Or Are Not Expected To Be Tolerated, Have Not Provided Adequate Analgesia, Or Are Not Expected To Provide Adequate Analgesia. 2. For Use In Temporary Treatment Of Opioid Dependence In Patients Unable To Take Oral Medication. Limitations Of Use Injectable Methadone Products Are Not Approved For The Outpatient Treatment Of Opioid Dependence. In This Patient Population, Parenteral Methadone Is To Be Used Only For Patients Unable To Take Oral Medication, Such As Hospitalized Patients. Conditions For Distribution And Use Of Methadone Products For The Treatment Of Opioid Addiction Code Of Federal Regulations, Title 42, Sec 8. Methadone Products When Used For The Treatment Of Opioid Addiction In Detoxification Or Maintenance Programs, Shall Be Dispensed Only By Opioid Treatment Programs (And Agencies, Practitioners Or Institutions By Formal Agreement With The Program Sponsor) Certified By The Substance Abuse And Mental Health Services Administration And Approved By The Designated State Authority. Certified Treatment Programs Shall Dispense And Use Methadone In Oral Form Only And According To The Treatment Requirements Stipulated In The Federal Opioid Treatment Standards (42 Cfr 8.12). See Below For Important Regulatory Exceptions To The General Requirement For Certification To Provide Opioid Agonist Treatment. Failure To Abide By The Requirements In These Regulations May Result In Criminal Prosecution, Seizure Of The Drug Supply, Revocation Of The Program Approval, And Injunction Precluding Operation Of The Program. Regulatory Exceptions To The General Requirement For Certification To Provide Opioid Agonist Treatment: During Inpatient Care, When The Patient Was Admitted For Any Condition Other Than Concurrent Opioid Addiction (Pursuant To 21cfr 1306.07(C)), To Facilitate The Treatment Of The Primary Admitting Diagnosis. During An Emergency Period Of No Longer Than 3 Days While Definitive Care For The Addiction Is Being Sought In An Appropriately Licensed Facility (Pursuant To 21cfr 1306.07(B)).
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