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 systemic use. It is employed to manage opioid dependence and to provide long‑acting analgesia for patients with severe chronic pain in adult populations under medical supervision. The medication is supplied in compliance with European Union pharmaceutical standards and is intended for prescription‑only distribution.

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 adherence.

Manufacturer / TM Owner

Inn-Farm D.O.O.

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Indications & Clinical Uses

  • Methadone Hydrochloride acts on the opioid system to address dependence and pain conditions.
  • Opioid dependence: helps suppress withdrawal symptoms and supports maintenance therapy.
  • Severe chronic pain: provides long‑acting analgesia for patients requiring strong opioid control.
  • Palliative care: offers effective pain relief for end‑of‑life patients where other opioids are insufficient.

How It Works

  • Methadone Hydrochloride is a full agonist at the μ‑opioid receptor, producing analgesia by inhibiting nociceptive transmission in the central nervous system. It also blocks NMDA receptors and inhibits reuptake of serotonin and norepinephrine, contributing to its effectiveness in opioid withdrawal mitigation. Its long half‑life provides sustained receptor activation, allowing once‑daily dosing in many treatment protocols.

Side Effects

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

Common Side Effects

  • Nausea
  • Constipation
  • Dizziness
  • Dry mouth

Serious or Rare Side Effects

  • Respiratory depression
  • QT interval prolongation
  • Anaphylactic reaction

Precautions & Warnings

  • When prescribing Methadone Hydrochloride, clinicians should observe several safety measures.
  • Assess opioid tolerance: evaluate patient history before initiating therapy.
  • Monitor respiratory function: observe breathing rate and oxygen saturation regularly.
  • Evaluate cardiac status: obtain baseline ECG to detect QT prolongation risk.
  • Avoid use in acute intoxication: do not prescribe to patients with current alcohol or drug overdose.
  • Adjust for hepatic impairment: reduce dose in patients with liver dysfunction.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Methadone Hydrochloride has notable drug interaction potential that requires careful management.

Major Interactions (Avoid)

  • CNS depressants (benzodiazepines, alcohol): may cause profound respiratory depression.
  • MAO inhibitors: risk of severe hypotension and serotonin syndrome.
  • Strong CYP3A4 inhibitors (ketoconazole, erythromycin): increase methadone plasma levels.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (rifampin, carbamazepine): may reduce efficacy.
  • Antidepressants (SSRIs, SNRIs): may enhance serotonergic effects.
  • QT‑prolonging drugs (certain antiarrhythmics, antipsychotics): may increase risk of cardiac arrhythmia.

Frequently Asked Questions

Misyo contains methadone hydrochloride and is prescribed to treat opioid dependence, helping to reduce withdrawal symptoms, and to manage severe chronic pain when a long‑acting opioid analgesic is required.

Methadone hydrochloride acts as a full agonist at the μ‑opioid receptor, blocking pain signals in the central nervous system, while also antagonizing NMDA receptors and inhibiting serotonin and norepinephrine reuptake, which together aid in withdrawal suppression and sustained analgesia.

The appropriate dose of Misyo is individualized by the prescribing clinician based on the patient’s opioid tolerance, clinical condition, response to therapy, and any relevant comorbidities; no standard dosing regimen is provided here.

Safety data for methadone hydrochloride in pregnancy and lactation are limited; clinicians should weigh potential benefits against risks and consider alternative therapies, following local regulatory guidance and obstetric recommendations.

To request 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 and any necessary import documentation.

Compared with buprenorphine, another opioid used for dependence, methadone provides full μ‑receptor activation and a longer half‑life, allowing once‑daily dosing but carries a higher risk of respiratory depression; choice depends on patient‑specific factors and treatment goals.

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

Misyo is taken orally, usually with a glass of water. It may be administered with or without food, but consistent intake with respect to meals helps maintain stable plasma concentrations.

The most critical risks include respiratory depression, especially in opioid‑naïve patients, QT interval prolongation that can lead to arrhythmias, and rare severe allergic reactions such as anaphylaxis; immediate medical attention is required if these occur.

Misyo is contraindicated in patients with known hypersensitivity to methadone, those currently experiencing acute intoxication with alcohol or other central nervous system depressants, and individuals with severe uncontrolled cardiac arrhythmias or significant respiratory compromise.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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