Product image of Methadone Macarthys Laboratories (Methadone Hydrochloride) supplied by GNH India

Methadone Macarthys Laboratories

Active Ingredient:
Methadone Hydrochloride
Origin:
EU

Methadone Macarthys Laboratories (Methadone Hydrochloride)

Methadone Hydrochloride, the active ingredient in Methadone Macarthys Laboratories, is an opioid presented as an injection for intramuscular and subcutaneous use. It is employed to manage severe pain and to support opioid dependence maintenance therapy in appropriate patients.

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

Manufacturer / TM Owner

Macarthys Laboratories Ltd

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Indications & Clinical Uses

Methadone is an opioid analgesic used in the management of pain and opioid dependence.

  • Severe pain: provides long‑acting analgesia for patients with chronic or breakthrough severe pain.
  • Opioid dependence maintenance therapy: reduces withdrawal symptoms and cravings in individuals undergoing opioid substitution treatment.

How It Works

  • Methadone acts primarily as a full agonist at the µ‑opioid receptor, producing analgesia and suppressing withdrawal by mimicking endogenous opioids. It also antagonizes N‑methyl‑D‑aspartate (NMDA) receptors, which may contribute to its efficacy in neuropathic pain and in reducing opioid tolerance. The combined µ‑receptor activation and NMDA antagonism underlie its dual role in pain control and opioid dependence maintenance.

Side Effects

Methadone may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Constipation: reduced gastrointestinal motility leading to hard stools.
  • Drowsiness: sedation or feeling of fatigue.
  • Nausea: upset stomach and possible vomiting.
  • Sweating: increased perspiration without exertion.

Serious or Rare Side Effects

  • Respiratory depression: slowed or shallow breathing that can be life‑threatening.
  • QT interval prolongation: cardiac rhythm changes that may lead to arrhythmia.
  • Seizures: rare occurrence of convulsive episodes.
  • Severe hypotension: marked drop in blood pressure causing dizziness or fainting.

Precautions & Warnings

When prescribing methadone injection, clinicians should observe several safety measures to minimize risk.

  • Assess opioid tolerance: confirm patient has prior opioid exposure before initiating therapy.
  • Monitor respiratory function: watch for signs of depression, especially after dose changes.
  • Evaluate cardiac risk: obtain baseline ECG to detect QT prolongation.
  • Avoid use in acute intoxication: do not administer to patients with recent alcohol or sedative overdose.
  • Counsel on dependence potential: inform patients about the risk of physical dependence and withdrawal.
  • Store at controlled room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Methadone interacts with several drug classes that may alter its safety or efficacy.

Major Interactions (Avoid)

  • CNS depressants (e.g., benzodiazepines, barbiturates): may cause profound respiratory depression.
  • MAO inhibitors: can precipitate severe hypotension or serotonin syndrome.
  • QT‑prolonging drugs (e.g., certain antiarrhythmics, macrolide antibiotics): increase risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): may raise methadone plasma levels.
  • CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce efficacy by lowering concentrations.
  • Anticholinergic agents: may exacerbate constipation.

Frequently Asked Questions

Methadone Macarthys Laboratories is an injectable formulation of methadone hydrochloride used primarily for the management of severe chronic pain and as part of opioid dependence maintenance therapy. In the pain setting, it provides long‑acting analgesia, while in dependence treatment it helps suppress withdrawal symptoms and reduce cravings.

Methadone works by acting as a full agonist at the µ‑opioid receptors, which produces analgesic effects and mitigates opioid withdrawal. Additionally, it blocks NMDA receptors, a property that may help limit the development of tolerance and provide benefit in certain neuropathic pain conditions.

The appropriate dose of methadone injection is individualized and must be determined by a qualified prescriber. Dosing depends on factors such as the patient’s opioid tolerance, the severity of pain or dependence, renal and hepatic function, and concurrent medications.

Methadone is classified as pregnancy category unknown, and limited data are available on its safety in pregnancy and lactation. It should only be used when the potential benefit justifies any potential risk to the fetus or infant, and decisions should be made in consultation with obstetric and neonatal specialists.

To place an order, 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 (including any cold‑chain requirements) and the necessary import documentation.

Both methadone and buprenorphine are used for opioid substitution, but methadone is a full µ‑opioid agonist providing more consistent analgesia, whereas buprenorphine is a partial agonist with a ceiling effect on respiratory depression. Methadone generally requires daily dosing and careful monitoring of cardiac effects, while buprenorphine offers a lower risk of overdose but may be less effective for severe pain.

Methadone injection should be stored at controlled room temperature, protected from light and moisture, and kept in its original packaging. Do not freeze the product, and ensure that the vial is sealed when not in use to maintain sterility.

Methadone injection is administered by a qualified healthcare professional via the intramuscular or subcutaneous route. The injection site should be rotated as needed, and the volume administered should not exceed the recommended limits for the chosen route to avoid local irritation.

The most serious risks include respiratory depression, which can be life‑threatening, and cardiac arrhythmias due to QT interval prolongation. Patients should be monitored closely for signs of shallow breathing, excessive sedation, or irregular heart rhythms, especially after dose adjustments or when interacting drugs are introduced.

Methadone injection is contraindicated in individuals with known hypersensitivity to methadone or any component of the formulation, in patients with acute intoxication from alcohol, benzodiazepines or other central nervous system depressants, and in those with uncorrected severe cardiac conduction abnormalities that predispose to QT prolongation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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