Product image of Metasedin (Methadone Hydrochloride) supplied by GNH India

Metasedin

Active Ingredient:
Methadone Hydrochloride
Origin:
EU

Metasedin (Methadone Hydrochloride)

Methadone Hydrochloride, the active ingredient in Metasedin, is an opioid agonist presented as an oral formulation for oral use. It is employed in the management of opioid dependence and severe chronic pain, primarily in adult patients.

GNH India supplies Metasedin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Esteve Pharmaceuticals, S.A.

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Indications & Clinical Uses

Metasedin, an opioid agonist, is used in conditions where mu‑opioid receptor activation is required.

  • Opioid dependence: provides maintenance therapy to reduce cravings and prevent withdrawal symptoms.
  • Severe chronic pain: offers long‑acting analgesia when other treatments are insufficient.
  • Opioid withdrawal management: eases acute withdrawal signs during detoxification programs.

How It Works

  • Methadone hydrochloride acts as a full agonist at the central mu‑opioid receptors, mimicking the effects of endogenous opioids. By binding to these receptors, it produces analgesia, suppresses the neuronal hyperactivity associated with opioid withdrawal, and stabilizes pain pathways, resulting in reduced cravings and sustained pain control.

Side Effects

Metasedin may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Constipation: reduced gastrointestinal motility.
  • Drowsiness: sedation or fatigue.
  • Nausea: upset stomach or vomiting.
  • Sweating: excessive perspiration.
  • Dry mouth: reduced salivation.
  • Dizziness: light‑headedness or vertigo.

Serious or Rare Side Effects

  • Respiratory depression: slowed or shallow breathing, potentially life‑threatening.
  • Cardiac arrhythmia: QT‑interval prolongation leading to irregular heart rhythm.
  • Severe hypotension: marked drop in blood pressure.
  • Allergic reactions: rash, itching, swelling, or anaphylaxis.

Precautions & Warnings

Before prescribing Metasedin, clinicians should consider several safety measures.

  • Assess cardiac history: evaluate risk of QT prolongation and monitor ECG when indicated.
  • Review respiratory status: avoid use in patients with severe respiratory insufficiency.
  • Check liver function: dose adjustments may be needed in hepatic impairment.
  • Evaluate concomitant CNS depressants: monitor for additive sedation.
  • Counsel on dependence potential: educate patients about misuse risk.
  • Store at ambient temperature: keep below 25 °C in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Metasedin can interact with other medicines, altering its effectiveness or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase methadone plasma levels and risk of toxicity.
  • Concurrent use with other opioids or CNS depressants: can cause profound respiratory depression.

Moderate Interactions (Monitor Closely)

  • CYP2B6 inducers (e.g., rifampicin, carbamazepine): may reduce methadone concentrations, leading to withdrawal.
  • QT‑prolonging agents (e.g., haloperidol, sotalol): increase risk of cardiac arrhythmias.
  • Alcohol: enhances sedative effects and respiratory depression.

Frequently Asked Questions

Metasedin contains methadone hydrochloride and is prescribed for opioid dependence maintenance therapy and for the management of severe chronic pain when other analgesics are inadequate. It helps stabilize patients by reducing cravings and preventing withdrawal, while also providing long‑acting pain relief.

Methadone hydrochloride is a full agonist at mu‑opioid receptors in the central nervous system. By activating these receptors, it mimics the effects of natural opioids, producing analgesia and suppressing the neuro‑chemical pathways that trigger opioid withdrawal, thereby reducing cravings and stabilizing pain perception.

The dose of Metasedin is individualized. A qualified prescriber determines the appropriate amount based on the patient’s clinical condition, prior opioid exposure, and response to therapy. Dosing may be adjusted over time to achieve optimal control of withdrawal symptoms or pain.

Safety data for methadone in pregnancy and lactation are limited. Methadone may be used when the benefits outweigh potential risks, but it can cross the placenta and appear in breast milk. Clinicians should assess each case carefully and monitor both mother and infant closely.

To order Metasedin, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Both methadone (Metasedin) and buprenorphine are used for opioid dependence, but methadone is a full mu‑opioid agonist offering stronger analgesia, while buprenorphine is a partial agonist with a ceiling effect on respiratory depression. Choice depends on patient history, treatment setting, and risk‑benefit considerations.

Metasedin should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability.

Metasedin is taken orally, usually as a tablet or oral solution, according to the prescriber’s instructions. It should be swallowed whole with water and not crushed or chewed unless specifically directed by a healthcare professional.

The most serious risks include respiratory depression, especially when combined with other CNS depressants, and cardiac arrhythmias due to QT‑interval prolongation. Patients should be monitored for signs of overdose, severe sedation, or irregular heart rhythms, and emergency care sought if these occur.

Metasedin is contraindicated in individuals with known hypersensitivity to methadone, those with severe respiratory insufficiency, uncontrolled cardiac arrhythmias, or significant QT prolongation. It should also be avoided in patients taking strong CYP3A4 inhibitors without close medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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