Consideration It is important to gather pertinent medical history when conduction massage for clients with chronic illness and injury. This includes a list of medications and that supplements the client is taking. It would be advisable to consult with members of the treatment team for clients who are participating in methadone, buprenorphine and naltrexone treatment programs. Side effects from those medications include: ● Methadone
○ Dizziness, faintness or lightheadedness when getting up suddenly from a lying or sitting position. ○ Drowsiness. ○ Irregular, fast, slow or shallow breathing. ○ Pale or blue lips, fingernails or skin. ○ Pinpoint pupils. ○ Relaxed and calm feeling. ○ Sleepiness. ○ Unusual tiredness or weakness. (Source: Drugs.com (2018a) ● Naltrexone More common side effects : ○ Abdominal or stomach cramping or pain (mild or moderate). ○ Anxiety, nervousness, restlessness or trouble sleeping. ○ Headache. ○ Joint or muscle pain. ○ Nausea or vomiting. ○ Unusual tiredness. Less common : ○ Chills. ○ Constipation, diarrhea. ○ Cough, hoarseness, runny or stuffy nose, sinus problems, sneezing or sore throat. ○ Dizziness. ○ Fast or pounding heartbeat. ○ Increased thirst. ○ Irritability. ○ Loss of appetite. ○ Sexual problems in males. Serious side effects requiring immediate medical attentio n: Less common: ○ Skin rash. Rare: ○ Abdominal or stomach pain (severe). ○ Blurred vision, aching, burning, or swollen eyes. ○ Chest pain. ○ Confusion. ○ Discomfort while urinating or frequent urination. ○ Fever. ○ Hallucinations or seeing, hearing or feeling things that are not there. ○ Itching. ○ Mental depression or other mood or mental changes. ○ Ringing or buzzing in the ears. ○ Shortness of breath. ○ Swelling of the face, feet or lower legs. Weight gain. (Source: Drugs.com (2018b) Some caution may be necessary when working with those in recovery, however, as they do present certain challenges (DeMatteo, 2017). It may be necessary to be clear and firm in your policies and in setting your boundaries as this population often has trouble following rules and respecting others. There is also an increased likelihood of an emotional release when you are working with clients battling addiction. While addiction is a physical problem, it is also very mental and emotional. Those fighting addiction almost always have some sort of emotional issue that they are holding onto and there is an increased chance for that to surface when they let their guard down on the massage table. East West College suggests: ● Treat lightly : Recognize that addiction is often rooted in childhood trauma, including the violation of personal boundaries. Therefore, work carefully, asking for plenty of client feedback. Also maintain clear professional
Side effects: ○ Headache.
○ Weight gain. ○ Stomach pain. ○ Dry mouth. ○ Sore tongue. ○ Flushing. ○ Difficulty urinating.
○ Mood changes. ○ Vision problems. ○ Difficulty falling asleep or staying asleep. Serious side effects that require immediate medical attention include : ○ Seizures. ○ Itching. ○ Hives. ○ Rash. ○ Swelling of the eyes, face, mouth, tongue or throat. ○ Hoarseness. ○ Difficulty breathing or swallowing. ○ Extreme drowsiness. ○ Agitation, hallucinations (seeing things or hearing voices that do not exist). ○ Fever, sweating. ○ Confusion. ○ Fast heartbeat. ○ Shivering. ○ Severe muscle stiffness or twitching, loss of coordination. ○ Nausea, vomiting, or diarrhea. ○ Nausea, vomiting, loss of appetite. ○ Weakness or dizziness. ○ Inability to get or keep an erection. ○ Irregular menstruation. ○ Decreased sexual desire. (Source: U.S. National Library of Medicine 2017) ● Buprenorphine Common side effects : ○ Back pain. ○ Cough or hoarseness. ○ Difficulty having a bowel movement (stool). ○ Fever or chills. ○ Headache. ○ Lower back or side pain. ○ Nausea, stomach pain, vomiting. ○ Painful or difficult urination. ○ Runny nose, sneezing. ○ Trouble sleeping. Less common : ○ Diarrhea. ○ Feeling faint, dizzy or lightheaded. ○ Feeling of warmth or heat. ○ Flushing or redness of the skin, especially on the face and neck. ○ Lack or loss of strength. ○ Sweating. Serious side effects requiring immediate medical attention : ○ Confusion. ○ Blurred vision. ○ Difficult or troubled breathing.
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Book Code: MTX1324B
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