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

Misyo

Active Ingredient:
Methadone Hydrochloride
Origin:
EU

Misyo (Methadone Hydrochloride)

Methadone Hydrochloride, the active ingredient in Misyo, is an opioid agonist presented as an oral formulation for oral use. It is employed to manage opioid dependence and to provide analgesia for moderate to severe pain in adult patients, helping to reduce withdrawal symptoms and control chronic pain when other treatments are insufficient.

GNH India supplies Misyo as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with a focus on reliable quality and regulatory compliance and timely delivery.

Manufacturer / TM Owner

Inn-Farm D.O.O.

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Indications & Clinical Uses

Methadone Hydrochloride is used in the management of opioid‑related conditions and pain.

  • Opioid dependence: reduces cravings and withdrawal symptoms, facilitating maintenance therapy.
  • Moderate to severe pain: provides analgesia when other opioids are inadequate.
  • Opioid withdrawal: alleviates acute withdrawal signs during detoxification.

How It Works

  • Methadone Hydrochloride acts primarily as a full agonist at the μ‑opioid receptors, producing analgesia and suppressing opioid withdrawal by mimicking the effects of endogenous opioids. Its long half‑life provides stable plasma concentrations, reducing the peaks and troughs associated with shorter‑acting opioids. Additionally, methadone exhibits antagonistic activity at N‑methyl‑D‑aspartate (NMDA) receptors, which may contribute to its efficacy in neuropathic pain and in limiting opioid tolerance.

Side Effects

Methadone Hydrochloride may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Constipation: reduced gastrointestinal motility.
  • Nausea: feeling of sickness.
  • Drowsiness: increased sleepiness.
  • Dry mouth: reduced salivation.

Serious or Rare Side Effects

  • Respiratory depression: slowed breathing that can be life‑threatening.
  • QT interval prolongation: cardiac rhythm disturbance that may lead to arrhythmia.
  • Severe hypotension: marked drop in blood pressure.

Precautions & Warnings

When prescribing Methadone Hydrochloride, clinicians should observe several safety considerations.

  • Cardiac assessment: evaluate QT interval and correct electrolyte imbalances.
  • Respiratory monitoring: watch for signs of depression, especially during initiation.
  • Hepatic function: adjust dosing in patients with liver impairment.
  • Concomitant CNS depressants: avoid or use with caution to prevent additive effects.
  • Pregnancy and lactation: weigh benefits against potential risks before use.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Methadone Hydrochloride has notable drug interactions that may require dose adjustment or avoidance.

Major Interactions (Avoid)

  • Central nervous system depressants: combined use can cause profound respiratory depression.
  • Monoamine oxidase inhibitors: may precipitate serotonin syndrome.
  • QT‑prolonging agents: increase risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): raise methadone levels, requiring monitoring.
  • Selective serotonin reuptake inhibitors: may enhance serotonergic effects.
  • Antihistamines: can add to sedation and dizziness.

Frequently Asked Questions

Misyo contains methadone hydrochloride and is prescribed to treat opioid dependence, to manage withdrawal symptoms during detoxification, and to provide analgesia for moderate to severe pain when other opioid options are insufficient.

Methadone hydrochloride binds to μ‑opioid receptors as a full agonist, producing analgesic effects and suppressing withdrawal by mimicking endogenous opioids. Its long half‑life maintains steady plasma levels, and its NMDA‑receptor antagonism may help reduce tolerance and neuropathic pain.

The appropriate dose of Misyo is individualized and must be determined by a qualified prescriber based on the patient’s clinical condition, prior opioid exposure, and response to therapy. Dosage adjustments are made according to therapeutic goals and safety monitoring.

Methadone can be used during pregnancy when the benefits outweigh potential risks, as it reduces the chance of illicit opioid use and associated complications. However, it crosses the placenta and is excreted in breast milk, so clinicians should assess each case carefully and monitor the infant for respiratory depression.

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 the necessary import documentation.

The primary alternative for opioid dependence is buprenorphine, a partial μ‑opioid agonist with a ceiling effect on respiratory depression. Methadone, a full agonist, offers more flexible dosing for severe pain but carries a higher risk of respiratory depression and cardiac QT prolongation, requiring closer monitoring.

Misyo should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date indicated on the label.

Misyo is administered orally, typically as a tablet or solution, and should be taken exactly as prescribed. Swallow tablets whole with water; if a liquid form is supplied, measure the dose with a calibrated device. Do not crush or chew extended‑release formulations unless directed by a healthcare professional.

The most serious risks include respiratory depression, especially during dose initiation or when combined with other depressants, and cardiac arrhythmias due to QT interval prolongation. Patients should be monitored for signs of severe sedation, shallow breathing, or irregular heart rhythms, and any concerning symptoms should prompt immediate medical attention.

Misyo is contraindicated in individuals with known hypersensitivity to methadone, those with severe respiratory depression, uncontrolled asthma, or significant cardiac arrhythmias such as prolonged QT syndrome. Caution is also advised for patients with severe hepatic impairment or those taking interacting medications that could elevate methadone levels.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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