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Clear/Colourless Methadone / Metharose / Methadose Formulation

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  • Clear/Colourless Methadone / Metharose / Methadose Formulation

    Hi all,
    After some advice,

    Can somebody tell me the price (with pack size) for a clear (colourless) solution of Methadone? Or where I can find out from?

    I have a feeling it's mighty expensive and I'm currently considering the benefit vs cost implications. This is for a patient who has a Tartrazine allergy - I'm aware Physeptone tablets are available so may consider this an option. But need to find out the price of clear Methadone first.



  • #2
    Originally posted by momo1103 View Post
    Hi all,
    After some advice,

    Can somebody tell me the price (with pack size) for a clear (colourless) solution of Methadone? Or where I can find out from?

    I have a feeling it's mighty expensive and I'm currently considering the benefit vs cost implications. This is for a patient who has a Tartrazine allergy - I'm aware Physeptone tablets are available so may consider this an option. But need to find out the price of clear Methadone first.

    for one of my clients I used to make my own from the powder. Doubt this would be allowed now. Ridiculous that we cannot be trusted to make any simple stuff. As you say from a specials manufacturer it is going to be horrendously expensive.

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    • #3
      I used to make from powder supplied by Sigma. Very easy to do and just leave out colour.
      johnep

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      • #4
        The "I'm allergic to the colouring" excuse

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        • #5
          Originally posted by Racer2 View Post
          The "I'm allergic to the colouring" excuse
          That’s what I thought, but this person has been tested and they do actually have an allergy.

          If only we were allowed to make it nowadays!

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          • #6
            Is that so? No extemp dispensing at all? Get an estimate from a specials lab.
            johnep

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            • #7
              Back in the day, I had one comedian ask if he could have the powder as he didn’t like taking the liquid

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              • #8
                In Lancashire guidance says can only dispense colour free or sugar free if specifically says so on script. Therefore should be available.
                johnep

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                • #9
                  Thanks all. Did some research and turns out Physeptone SF although not colourless doesn't contain any tartrazine so is suitable for the patient. Crisis averted.

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                  • #10
                    Originally posted by momo1103 View Post
                    Crisis averted.
                    Oooh I wouldn't be too sure. Let's hope the service user believes you!

                    There are, incidentally, many cases recorded where people allergic to e.g. peanuts have had an allergic reaction to some food, if they believed that it contained peanuts, EVEN WHEN IT DIDN'T!

                    The placebo effect (in this case, it's reverse) is truly remarkable.

                    ....just my opinion

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                    • #11
                      Yes, I was visited by a clinic worker who had a client say that colour variations in his Diazepam tablets affected him. I remember when aspirin was available in several colours. Mist Pot Brom and Nux Vom was coloured red as "tonics" were traditionally red.(Originally often had a red wine case ....Buckfast is an example)
                      johnep

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