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Methadone is a narcotic analgesic used to treat moderate to severe pain that is not relieved by other pain medicines. Methadone HCl is also used in treating narcotic addiction as part of a treatment program. Methadone HCl may also be used to treat other conditions as determined by your doctor: THE MEDICINE MAY CAUSE SEVERE AND SOMETIMES FATAL HEART AND BREATHING PROBLEMS. These problems may occur some time after you take a dose.