Methadone treatment programs should ensure that HIV positive patients have access to specialist HIV medical care so that the patient's overall health may be monitored and appropriate treatment provided as required.
In general, patients who are HIV positive are able to comply with the requirements and conditions of the program, however, the medical, psychological and social implications of HIV infection may necessitate the provision of additional services.
Methadone doses must be monitored due to the potential for interactions between methadone and HIV medications and the effects of related illnesses.
- Higher methadone doses may be necessary if HIV medications increase methadone metabolism (see also Appendix 1).
- Collection of daily methadone dose by a responsible adult;
- Home deliveries;
- Takeaway doses.