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

Misyo

Active Ingredient:
Methadone Hydrochloride
Origin:
EU

Misyo (Methadone Hydrochloride)

Methadone, the active ingredient in Misyo, is an opioid analgesic presented as an oral formulation for oral use. It is employed in the maintenance treatment of opioid dependence and for management of severe chronic pain in adult patients. Methadone acts as a full agonist at the mu‑opioid receptor, providing stable plasma concentrations that reduce withdrawal symptoms and control pain while allowing patients to stabilize their daily activities.

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

Manufacturer / TM Owner

Inn-Farm D.O.O.

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Indications & Clinical Uses

Methadone is used in opioid‑receptor mediated conditions, primarily for dependence and pain management.

  • Opioid dependence: provides maintenance therapy that reduces withdrawal symptoms and cravings, supporting long‑term recovery.
  • Severe chronic pain: offers long‑acting analgesia for patients requiring opioid treatment when other options are insufficient.
  • Supervised detoxification: assists in controlled tapering of opioid use under medical supervision.

How It Works

  • Methadone binds with high affinity to the mu‑opioid receptor as a full agonist, producing analgesia and suppressing withdrawal by maintaining steady opioid receptor activation. Its long half‑life provides stable plasma levels, reducing the peaks and troughs associated with short‑acting opioids and allowing smoother symptom control in dependence and chronic pain settings.

Side Effects

Methadone may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea: mild to moderate upset stomach.
  • Constipation: reduced bowel motility.
  • Drowsiness: increased sleepiness or fatigue.
  • Dry mouth: reduced salivation.

Serious or Rare Side Effects

  • Respiratory depression: slowed breathing that can be life‑threatening.
  • QT interval prolongation: risk of cardiac arrhythmias.
  • Seizures: rare neurologic events.
  • Severe hypotension: marked drop in blood pressure.
  • Cardiac arrhythmia: irregular heart rhythm.

Precautions & Warnings

When prescribing or dispensing Misyo, several safety considerations are essential.

  • Cardiac assessment: evaluate QT interval and correct electrolyte imbalances.
  • Respiratory monitoring: observe for signs of depressed breathing, especially during initiation.
  • Liver function: assess hepatic status as metabolism may be impaired.
  • Renal function: adjust use in patients with significant renal impairment.
  • Discontinuation: avoid abrupt cessation to prevent precipitated withdrawal.
  • Store at ambient temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

Methadone interacts with several drug classes; awareness helps prevent adverse events.

Major Interactions (Avoid)

  • CNS depressants (e.g., benzodiazepines, barbiturates): risk of profound respiratory depression.
  • MAO inhibitors: can precipitate severe hypertension or serotonin syndrome.
  • QT‑prolonging agents (e.g., certain antiarrhythmics, antipsychotics): increase risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): may raise methadone levels.
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may lower methadone concentrations.
  • Certain antiretrovirals (e.g., protease inhibitors): require dose adjustments and close monitoring.

Frequently Asked Questions

Misyo contains methadone and is indicated for opioid dependence maintenance therapy and for the management of severe chronic pain in adults. It helps reduce withdrawal symptoms, cravings, and provides long‑acting analgesia when other pain treatments are insufficient.

Methadone is a full agonist at the mu‑opioid receptor. By binding strongly and persistently, it maintains steady opioid receptor activation, which suppresses withdrawal, diminishes cravings, and produces analgesia. Its long half‑life ensures stable plasma concentrations, reducing the peaks and troughs seen with shorter‑acting opioids.

The dose of Misyo is individualized by the prescribing clinician based on the patient’s opioid use history, pain severity, metabolic status, and response to therapy. No fixed regimen is provided here; the prescriber sets the appropriate dose and titration schedule.

Data on methadone use in pregnancy and lactation are limited. It may be used when the benefit to the mother outweighs potential risks to the fetus or infant, but careful monitoring is required. Breastfeeding while on methadone is possible under medical supervision, with attention to infant sedation and respiratory status.

To order Misyo, 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 necessary import documentation.

Both methadone (Misyo) and buprenorphine are used for opioid dependence, but methadone is a full mu‑opioid agonist with a longer half‑life, offering more potent analgesia. Buprenorphine is a partial agonist, generally associated with a lower risk of respiratory depression but may be less effective for severe pain. Choice depends on patient history, treatment goals, and safety considerations.

Misyo should be stored at ambient temperature, preferably below 25 °C, in its original packaging to protect from moisture and heat. Keep the product out of reach of children and avoid exposure to direct sunlight or extreme humidity.

Misyo is administered orally, typically as a tablet or liquid formulation, as directed by the prescriber. It should be taken with or without food according to the dosing instructions provided, and the patient should not crush or chew extended‑release forms unless specifically advised.

The most serious risks include respiratory depression, which can be fatal if not recognized promptly, and cardiac complications such as QT interval prolongation leading to arrhythmias. Seizures and severe hypotension are also rare but critical adverse events that require immediate medical attention.

Misyo is contraindicated in patients with known hypersensitivity to methadone, those with significant uncontrolled cardiac arrhythmias, severe respiratory insufficiency, or acute severe asthma. Caution is also advised for individuals taking other CNS depressants, MAO inhibitors, or drugs that markedly prolong the QT interval.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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