Pain Management vs OUD Treatment/methadone clinics - with only THC in system.

I learned something the other day. I find myself asking AI so many questions now but still it just doesn't make any sense... Make it make sense... 😒

"Why can pain management only prescribe 60 mg daily methadone but an oud treatment they can prescribe upward of 200 mg of methadone a day?"

The difference in methadone prescription limits between pain management and opioid use disorder (OUD) treatment is due to the distinct purposes and regulatory frameworks governing each use.

For pain management, methadone is prescribed to manage chronic pain, and the dosages are typically lower (max 60 mg) to minimize the risk of addiction and other side effects. The dosages are carefully monitored and adjusted based on the patient's response and pain levels.

In contrast, for OUD treatment, methadone is used as a part of medication-assisted treatment (MAT) to help individuals with opioid addiction reduce withdrawal symptoms and cravings. The dosages in OUD treatment can be higher because the goal is to stabilize the patient and support their recovery process. The treatment is also closely monitored by healthcare professionals in specialized opioid treatment programs (OTPs).

So... Someone coming off fent/heroin gets treated more compassionately than one does with chronic pain? So frustrating because personally I like methadone for my pain but individual physicians whether it's pain management or OUD specialists cannot prescribe Methadone outside of an MAT program in my state. I smoke cannabis and it's the only thing I do, no booze, no other drugs, clean UA's for 2 years but the state I live in (WI) will not allow take-home doses if there is cannabis in your system. Yet, OUD treatment at a Suboxone clinic you can have cannabis in your system and still be prescribed outpatient. 🤨 But with pain management you can't have any cannabis either.... I don't understand the regulations, they don't make any sense.

Then I find out some states don't even test for THC anymore. With all the different legal status there is state to state I get why most wouldn't want to test anymore. My clinic has a sister clinic in FL, which mind you is a completely illegal state like WI but they don't test for THC. In NC I came across a patient in Pain Management on here today where they test literally EVERYTHING from duloxetine(cymbalta) to morphine to nicotine, but not THC...

Sorry end of rant. I'm just so sick of the system I'm living in.