Most people know that methadone is used not only as treatment for opiate addiction but also as a pain reliever. When a person begins use of methadone for pain, they are carefully monitored as the dose is adjusted to the right level, sometimes in a hospital or hospice setting. It is quite dangerous to give a person too-high a dose and ineffective in handling pain if they are given too little. When a person abuses methadone, however, they have no such protection. They are on their own to try to work out how much of the drug to abuse so that it won’t kill them.
Methadone can come as a small pill that is intended to be swallowed or dissolved, or as a liquid to be drunk, diluted or injected. Methadone is not expected to cause the same initial euphoric rush as heroin and other drugs, but the person who is abusing methadone is probably still going to feel high when they first start abusing it. As they develop a tolerance, if they don’t increase their dosage, they will probably just feel numb and drugged without the high.