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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What S Causing Sleepiness And Slurred Speech In A Person Who Smokes Cannabis Regularly And Does Meth?

Hi, my partner is on methadone for last 9 weeks.....he smokes cannabis on a regular basis.....but every evening when he is doing so he appears as if he is goofing off.....every night he is sleepy and his words are slurred....I went with him to clinic lst week and he gave clean urine for heroin.....please is there any advice or explanation for this. Kind regards
Mon, 24 Feb 2014
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Addiction Medicine Specialist,  's  Response
Hi,

It appears that amount of either methadone or cannabis that he is taking, is more than what his body is tolerant to. That is why, he appears to be intoxicated in the evenings. He need not be doing heroin to be intoxicated as both cannabis and methadone can be responsible for that. If his eyes appear to be congested, with dryness of mouth, rapid heart beat, increased appetite and behavioral changes, then it is most probably due to cannabis. If none of these are present, and there is just drowsiness with slurred speech, then methadone is likely to be responsible. Pinpoint pupils also suggest that methadone is implicated.

Best wishes.
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What S Causing Sleepiness And Slurred Speech In A Person Who Smokes Cannabis Regularly And Does Meth?

Hi, It appears that amount of either methadone or cannabis that he is taking, is more than what his body is tolerant to. That is why, he appears to be intoxicated in the evenings. He need not be doing heroin to be intoxicated as both cannabis and methadone can be responsible for that. If his eyes appear to be congested, with dryness of mouth, rapid heart beat, increased appetite and behavioral changes, then it is most probably due to cannabis. If none of these are present, and there is just drowsiness with slurred speech, then methadone is likely to be responsible. Pinpoint pupils also suggest that methadone is implicated. Best wishes.