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Opioids The Opioid Withdrawal Megathread and FAQ

Anybody use MXE to reduce tolerance or completely quit opiates? I've read posts about how people use MXE for a couple days and when they stop they are withdrawal free but when I search for threads regarding this everyone always says that it will only prevent tolerance from building and not really lower tolerance so in my head these two contradict each other. Anyone have success using MXE to kick or even lower tolerance.

I know people who have used it to totally detox. I have tried it and it does take away the withdrawal symptoms. I just do not like the way it makes me feel so I'd rather not use it, but it does work. The key is to take small doses of it so you don't get overwhelmed if you don't really enjoy its effects.
 
^^^

You can't avoid withdrawals entirely. When one stops suboxone, they will still get withdrawals, it's just a matter of how light they are. That's the point of suboxone. It lowers your tolerance from full opiates, but not leaving you sick in the process, then as you ween down on the subs, your eventual withdrawal becomes easier and easier.


Mr.S... I am so thankful for your advice on this forum. Here's a quick background. Ive been on opiates since '09 from failed back surgery. Maintained at 60-80 total mg daily of vikes for 4 yrs. Past 4 months I've been using up to 150-200 mgs of vikes/oxys. Friday was last oxy. 15 mg at 5 pm. Have only used 16 mg of suboxone over the past 5 days. Took .5 mg sub this morning. Can I jump? If so what should I expect as far as WD's? When will they set in? Duration, symptoms and severity? Any answers are truly appreciated. Giving myself a pat on the back for being a rockstar and taking back my life.....!!!!
 
This morning was .25 sub.... I really want to jump, but I also don't want bad withdrawals. Been on subs 6 days. Day 1 4mg in am, 2mg pm. Day 2 2mg am, 2mg pm. Day 3 1mg am 1mg pm. Day 4 .5mg am .5mg pm. Day 5 same as day 4. Day 6 (today) .25 mg am...... How much longer to taper???
 
^^^

.25 is a good place to jump off. You could try go to lower if you want to. .125mg's maybe.

You will get withdrawals no matter what but by tapering to that low of a dose, you did yourself a big favor in that your withdrawals will be a lot milder then if you came off a higher dosage.
 
My key worker may be able to get me to see doctor about increasing suboxone on Thursday. I hope he lets me the last few months, since May has been awful. Hope you're all doing ok n have a good weekend.
 
hydrocodone withdraw, and dosing

I've been taking hydrocodone almost everyday for a year now that all started with gallbladder problems but I'm sure no one is too interested in that aspect of it. I've gotten bad enough that I'm now using while at work to hold withdraw at bay (very long shifts). My standard dosing is two 40mg doses a day and it's worked very well for me. So I made overtime recently at work which means that I'm at work for 48 hours straight, and withdraw was starting to get kind of intense, so I took 30mg of hydro to stop some of the uncomfortable withdraw symptoms and maybe a little sedation so I can sleep tonight. I still feel like I want to jump out of my skin, racing heart chills ect. Does withdraw cause you to need a higher dose until you get back on track? I'm really at the limit of what I can afford to take per day as prices are high in my area and my doc gives me enough to last me 3 days that's supposed to last a month. After I get home for a couple days and continue my normal dose should it start working again or has my tolerance suddenly jumped up and screwed me? like seriously I took 40mg 72 hours ago and it was very pleasant I just cant imagine my tolerance changing so quickly.
 
My experience is. It depends how bad of wd's you are in. If you are only a couple hours into it then a dose and a half will prolly break it. If you are 8 hours you will need like 3 doses.

I was having a hard time in the morning because of this same thing. So I would just take 5 mg of hydro twice through out the night. My regular dose is like 90MG a time sometimes more sometimes less.

So just a little can carry you through sometimes.

And any kind of upper can push you through a longer time before you need to re does.

Today I took some adderall and I was able to avoid a whole dose, but I'm tyring to taper and quit.

Tomorrow I will take some provigil as I don't want the adderall to be something my body is used to.

Last time I took the provigil i was also able to go a very long time between doses, but provigil is a little bit of a blocker it seems. If I take 50 mg I definetly can't feel the next dose of oxy or hydro.

I would say to you.

start your day with a normal dose. Then when it comes time for the next one take half , then a full. Try that.

You don't want to go into wd's at all, getting back out is a chore sometimes.
 
thanks for the quick reply. I want to get off the stuff, but I can't do it yet waiting for my surgery in January. Then I plan to taper off. I was just really concerned about the tolerance issues, so you think I probably need to take 80-100mg cwe of course to make this stop? that's a huge bummer that 100 bucks in my neck of the woods.
 
thanks for the quick reply. I want to get off the stuff, but I can't do it yet waiting for my surgery in January. Then I plan to taper off. I was just really concerned about the tolerance issues, so you think I probably need to take 80-100mg cwe of course to make this stop? that's a huge bummer that 100 bucks in my neck of the woods.

You need to see a DR and get it rx'd to you. Buying it off the streets is no way to go. Although I've done it...
Sometimes it's not howmuch as compared to how you dose.

Dosing the right way is key.
 
Im coming off 150 mgs of opiates a day using 2 8mg suboxone. Was on pills for the better part of 7 years for back surgery. No pills now for 8 days. Feeling good. I'm down to .125 of suboxone a day and I have minimal opiate withdrawals. IT CAN BE DONE. I'm about a third of the way thru as to the subs having a long half life but I can tell you right now, in this very second. I feel better right now, feeling like I'm me again for the first time in 7 years, feeling feelings, smelling smells, tasting foods, not chasing pills, having money, smiling, wanting to be around people. Laughing is great. Sex is great again. You don't really realize what pills take away from you. Like I said, I'm not out of the woods yet but I have great motivation and that motivation cones back more and more every damn day. I'm not here to preach to you. I want you to believe you can do it. BECAUSE YOU CAN!!!!!!! Xoxo
-Jules
 
If one were to fully detox from Oxycodone and then started taking Nucynta (much weaker) or Tramadol occasionaly when needed for pain, would this keep opiate tolerance levels high, or more appropriately, would this fail to bring Oxycodone tolerance down? I'm trying to reduce my tolerance to the Oxy and wondered about replacing it with Nucynta for a while when I have pain, but I really need to bring my Oxy tolerance down. I'm pretty sure they work on the same receptors but Nucynta is also SNRI so just not sure if this works or how it works.

The only problem with Nucynta is that I have to go to like 4 different pharmacies to find it =/

Bumping to see if anyone can help with some info?

Does anyone one know what would work better for Oxycodone withdrawal (80mg-120mg aevery other day or for few days in a row): weaning from 100mg-200mg of Nucynta for a few days or taking 150mg of Tramadol for a few days?

Would taking Nucynta only prolong the withdrawal being that it is an opiate?

I've also read that Tramadol can be quite beneficial for withdrawal.

Anyone?
 
Bumping to see if anyone can help with some info?

Does anyone one know what would work better for Oxycodone withdrawal (80mg-120mg aevery other day or for few days in a row): weaning from 100mg-200mg of Nucynta for a few days or taking 150mg of Tramadol for a few days?

Would taking Nucynta only prolong the withdrawal being that it is an opiate?

I've also read that Tramadol can be quite beneficial for withdrawal.

Anyone?

Hiya Numb,

Sorry I don't really know about nucynta, never heard of it. In my opinion I would not use tramodol as it has antidepressant properties in it n tranodol with can lead to seizers. Why not just taper from oxy or use hydrocodone as a way of reducing?

Sorry I can't be any more help.

Evey
 
Everyone knows tapering is always the best way but it never happens. Best of luck. I'm still fighting the fight
 
^^^

It can be done, but it is often very difficult. Takes a lot of will power. I've been able to do it at certain points in my addiction and not in others. Depends where you are at mentally.

If you are going to attempt it though, the key is to do it as slow as possible.
 
Hey everyone. So for about two months I've been taking doses 2-5 times a week, longest period clean would be 5 days in the 2 moths with a couple 2 or 3 day gaps. Typical doses would be 80-160mg oral oxy, 150mg oral morphine, 16mg hydromorph, and methadone maybe 6 times ranging from 10-25mg. I am wondering if I quit now. Will the 6 methadone doses in the last 8 weeks make the withdrawal alot worse?

My last week of use follows, today 20mg meth, yesterday 40mg oxy, two days before that 16mg dilly, two days before than 100mg oxy, day before that 10mg meth, 5 days sober before that. What am I in for here?? Thanks, I have to quit after today, leaving country

One more thing where I am going there is tramadol OTC. Should I take some to alleviate or no? I have 2000mg gabapentin, 2 ambiens, 100mg Valium, and 1mg klonopon Til then
 
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Tramadol carries its own risks of dependance, addiction, and withdrawal. For some people worst withdrawals than typical opioids.

Stick to the gabapentin and benzodiazepines. The gabapentin will be extremely helpful in mitigating most of the withdrawal symptoms.

Try taking 600 milligrams of gabapentin x 3 daily with 5-10 milligrams of diazepam x 2 daily for a week.
 
Hiya Numb,

Sorry I don't really know about nucynta, never heard of it. In my opinion I would not use tramodol as it has antidepressant properties in it n tranodol with can lead to seizers. Why not just taper from oxy or use hydrocodone as a way of reducing?

Sorry I can't be any more help.

Evey

Thanks for the reply.

Nucynta is Tapentadol. It is an opioid but much weaker than Oxycodone...supposed to be between Tramadol and Morphine apparently as far as analgesia...supposedly 15mg Oxycodone = 100mg Nucynta/Tapentadol. My Dr. wanted me to try them but they don't do much for me. I still have 14.5 X 50mg left and was thinking of using them to wean myself and avoid WD. But they also have SNRI properties to them.

I have a ton of Tramadol though, handfuls in various pill bottles plus another box of 60 or 90. They are the Tramacet with 325mg APAP/Acet. Again, another mild opioid.

I was also considering Codeine, which I have a good few as well.

At the same time I want to cleanse my body from opioids completely so that I can have it out of my system for a period of time. In between I will probably need to continue to use Nucynta or Tramacet for when I have pain and just deal with it and I'm not sure how that is going to effect my Oxycodone tolerance.

The real truthful reason I don't want to wean with Oxycodone is because honestly, I like them too much. I will always start tomorrow (that never seems to come) and just get deeper and deeper as far as tolerance goes (and it is already way to high for my liking). I need to gut it out and get back down to 20mg or so, which will probably take a few months.

The reason I don't or can't use Hydrocodone is because my Dr. doesn't prescribe me that and I'm not going to open a can of worms. I don't think it would help much anyways.

I took 200mg Nucynta on Monday night and it helped a little bit and I've taken nothing since. Already coming to Thursday now so I might as well just sweat it out (literally? lol).

I've done it before a few times but I've heard it gets harder each time and it seems so. I think part of what makes it so hard is knowing that you can have something to make it all go away instantly, and you want it to all go away instantly.

Opiates/oids can obviously be beneficial but they are really a tricky little animal from so many angles. If one does not go in with extreme care...it can be a deep and dark tunnel.
 
Hiya Numb,

Obviously it's YOUR decision - my suggestion would be to use codeine if you can get it. You don't want to touch anything with antidepressant properties (unless you had depression beforehand n were self-medicating n in that case it would be best to see a doctor) because you will mess up your brain chemistry more n you don't really want to do that.
As part of the withdrawal / tapering process you will experience depression n you must remember that it is part of the process n not actual depression if that makes sense. However if it persisted for say months after withdrawal then that may be different.

You see opiates hit a different receptor to say Tramodol (if I'm wrong here someone please correct me n I apologise) I think it is the mu receptor that opiates latch on to so really tapering with trams isn't the best thing to do.

That's my suggestions, however I'm not a doctor n only you can decide what's best for YOU.

PLEASE TAKE N PM ANYTIME IF YOU'd like someone to chat to.

Evey x
 
new to the board. .need help detoxing from Heroin using 5 day Methadone taper

I posted this on the new board members section as well. Sorry.

Swim been iving dope for 3 years now. Now ready to stop, this time around she needs to do it at home. Shes been to detox twice, both used a different protocol. The first detox did a 5mg a day taper using methadone. She also have comfort meds. She has 20 1mg kpins, baclofen.imodium. doxepins for sleep. And have access to gabapentine.

day 1. 25mg
day 2.. 20mg
day 3. 15mg
day 4. 10mg
day 5. 5mg

detox 2 - she snuck in 25mgs of my her own methadone bc she was terrified at the low dose they start u on. Ultimetly she followed the protocol from the first detox.

day 1/2. 15mg
day 3/4. 10mg
day 5/6. 5mg

Can someone please give me a taper schedule. She has 100mgs of liquid done and the above mentioned comfort meds. Thank you in advance.
 
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