Question

scenario: a patient on methadone for opioid use disorder reports experiencing sedation. question: what is an appropriate management strategy? add an adjunct stimulant. switch to buprenorphine/naloxone. decrease the dose of methadone. increase the dose of methadone.

Explanation:

Methadone can cause sedation, especially if the dose is too high or the patient is sensitive. Decreasing the methadone dose is a key strategy to reduce sedation while still addressing opioid use disorder. Adding a stimulant is not standard, switching medications may not be the first step, and increasing the dose would worsen sedation.

Answer:

C. Decrease the dose of methadone.