I don't understand the logic behind the five days of short-acting opiates when you're mostly blocked, unless it's to get those final hits (for old time's sake, just to piss Begbie off, etc.). the sub would do the same thing.
I went from about 120mg of methadone to a sub taper about three weeks ago. It's extremely unpleasant, but it's better than two weeks of cold turkey methadone withdrawal.
I also have anxiety, insomnia, and I had RLS even as an opiate-free kid. If you can find something to knock you out, power to you but I sure couldn't. Everything except phenobarb makes the RLS worse when I'm in withdrawal (even benzoes), and if you ask a doctor here for a barbituate they look at you like you've just threatened to make love to their newborn baby.
Suboxone made me manic at doses higher than 4mg. I went up to 10mg of sub but that was too high for me (and, as I remarked in a previous post, a month ago I was IV'g 1000 mg of oxy a day when I wasn't drinking methadone). I wonder if that's due to a predisposition to anxiety.
I don't know what the right number for you is, but I think I would have been better off not going higher than 4mg and doing a 10-day taper. I'd have felt like crap, but I felt like crap at higher doses anyway. I haven't slept more than two hours for the past three weeks, but because Sub is sort of speedy I don't really feel that tired.
I went from 2mg to 1mg yesterday and was up all night again with RLS, mega-yawns, sneezes, etc. I didn't feel the tapers from 10 to 8, 8 to 6, 6 to 4 and barely felt 4 to 2, but I think that's because I was so sick the week I transferred onto bupe that I went through a lot of the w/d. Now I'm dealing with the receptors that are truly wired to the bupe. Bring it on, I say.
Best of luck, Brokedown Palace. Hope you can rest your bones by the waterside.
Thanks bud, I will definitely keep y'all updated on how my progress goes. I agree that I feel that this is the only way I am effectively going to get off of the methadone. Doing the slow taper at the clinic will take another year, and it'll just feel like a slow death the whole time.
I feel like my plan of supplementing a shorter acting opiate for a few days, then using suboxone for no more than 2-3 weeks to taper down with will be better. I'm not expecting a walk in the park or for it to be pain free , but I have enough comfort meds I think to get me through it. Right now I have a few days of another opiate, then plenty of sub, as well as scripts for klonopin, soma, neurontin, seroquel. Also have ibuprofen and loperamide. With those meds I can (hopefully) effectively make this detox as painless as I can, and hopefully be successful.
With my mom controlling my meds and helping with the taper, i believe as long as I stick to my plan i will succeed.
Thanks again for the positive words/vibes,and i'll definitely let you know how I am doing periodically.