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.