Can a single dose of methadone cut opioid use after surgery?
NCT ID NCT03726268
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compared methadone to standard opioids like fentanyl for pain relief during and after outpatient surgery. Over 900 adults aged 18-65 having moderately painful procedures took part. The goal was to see if methadone could reduce the total amount of opioids patients used at home after discharge, lowering the risk of side effects and misuse.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Methadone
- What this could lead to
- If successful, this could point toward a better way to manage pain after outpatient surgery while reducing the risk of opioid misuse.
- What could go wrong
- This is a completed Phase 4 trial, but results may not apply to all surgeries or patients. Methadone itself carries risks like respiratory depression and requires careful dosing.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
907 people
The number who actually took part.
- Started
-
Nov 2018
- Finished
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Jan 2024
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 65 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria * Age 18-65 years Undergoing general anesthesia and moderately painful ambulatory surgery with anticipated postop stay of \< 24 hours * Signed, written, informed consent Exclusion Criteria * History of liver or kidney disease. * Females who are pregnant or nursing. * Chronic opioid use (e.g. preoperative daily use of methadone, fentanyl transdermal patches, or ≥ 3 oxycodone pills)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Duke University Medical Center
Durham, North Carolina, 27710, United States
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