I started thinking about this cause I’m currently going through kratom withdrawal myself, which is an opioid receptor agonist. I’m basically going through a very mild version of opioid withdrawal, which is certainly manageable, but not pleasant, with its flu-like symptoms.
So, opioid use disorder used to be (and still is) a huge problem in some countries. The stronger and commonly abused opioids, like heroin, morphine and fentanyl, as I understand it, are extremely addicting, but I’m no expert on this subject.
What I don’t get tho…is for opioid use disorder, doctors prescribe methadone? Another synthetic opioid? Why? I’m genuinely curious.
From a quick Wikipedia read, it seems that methadone does cause addiction itself and withdrawal is actually longer than other opioids, that are used recreationally. Are the withdrawal symptoms less severe? Is it an effective form of treatment? I really do not know and I’m quite curious.
If someone had personal experience to share, that would probably be best.
But my question is basically: Methadone? Why the fuck do they prescribe that for opioid use disorder?
Sorry for the stupid question, I’m not very well educated on this subject and also really curious.


From what I understand, methadone is used to prevent or reduce withdrawal symptoms from other opioids without providing the same high, with the goal being to taper off eventually. That is safer and easier to accomplish with clinically approved opioids in regulated doses where purity is consistent across batches than with street drugs.