title: Pain management discussion forum.
abstract: A 23-year-old hemophilia patient with severe pain from bleeding into his joints who developed problematic opioid use is described. The potential value of methadone in such a patient is described, as are the risks of drug interactions leading to toxicity and cardiac arrhythmias.
authors.affiliation: University of Oslo, Oslo, Norway. harald.breivik@medisin.uio.no
authors.forename: Harald
authors.initials: H
authors.lastname: Breivik
mesh_terms: D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D002836:Hemophilia B / Q000150:complications*; D006801:Humans; D008297:Male; D008691:Methadone / Q000008:administration & dosage; D058850:Opiate Substitution Treatment / Q000379:methods; D009293:Opioid-Related Disorders / Q000209:etiology*; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D012720:Severity of Illness Index; D055815:Young Adult
chemical_list: D000701:Analgesics, Opioid; D008691:Methadone