Examination for Professional Practice of Psychology (EPPP) Practice Test

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Why is careful monitoring essential during methadone administration for a heroin addict undergoing withdrawal?

To maintain therapeutic levels
To prevent overdose
To maximize dosage at all times
To minimize drops in drug levels

The correct answer is: To maintain therapeutic levels

Careful monitoring during methadone administration for a heroin addict undergoing withdrawal is essential primarily to maintain therapeutic levels of the medication. Methadone is a long-acting opioid agonist that is used in the treatment of opioid dependence. It acts on the same receptors as heroin but does so in a way that can prevent withdrawal symptoms and reduce cravings without producing the intense highs associated with heroin use. Maintaining therapeutic levels is crucial because if the dose is too low, the patient may experience withdrawal symptoms, which can lead to relapse. Conversely, if the levels rise too high, there is an increased risk of side effects and complications. Monitoring ensures that the dosage is adjusted appropriately based on the individual's response, allowing for a balance that supports recovery while minimizing risks. This careful management also helps to ascertain the right titration of methadone; as individual responses can vary widely. By closely watching how a patient is responding to treatment, healthcare providers can make timely adjustments to dosing, ensuring that the methadone is effective in stabilizing the patient’s condition while promoting healing and recovery from addiction.