Detoxing from oxycodone

[Kssb17]

I am trying to detox off of oxycodone. I was taking 20 mg oxy's roughly every 3 hours for 3 years. I took the first step and talked to the doctor. Today is my first day on methadone, 5 mg three times a day. So far this day has been hard. My legs are very achy and heavy. Withdraw has been awful even with the methadone.
My question is is there any way to take any oxycodone while on methadone? I'm able to split the 20 oxy's. Would 10 mg be dangerous to take? I need some help because I'm almost ready to stop the methadone and go back on the oxy's.

 

[gmlifer]

Hang in there. Someone will be along in a bit that knows the answer for sure. I know you said every three hours but what is your total for the day?

 

[Kssb17]

Anywhere between 160-180 mg a day. Which I know doesn't sound like a lot. But for me, it really is.

 

[keeping]

yeah, you can take oxy on methadone but you're just putting one opioid ontop of another, seems a bit pointless if you're trying to get off?
oh, and you could OD, don't forget that man.

 

[Nod Alot]

I had about the same habit as you (160mg's oxy) and when my dealer would run out of oxy and I'd be sick as hell I'd buy methadone from him and it always worked like a charm. Took away 100% of the WD's.

I think your issue is not enough methadone. I'd take 40 or 50mg's once a day and I'd be good to go. You should let your doc know that you're still having extreme discomfort and see how he'd feel about upping the dose.

 

[Kssb17]

That's exactly my fear. OD. I did take a 10 mg oxycodone just now. But it's been 4 hours since I took a 5mg of methadone.

 

[Kssb17]

I believe I do need more methadone. 5 mg doesn't seem to cut it. But I guess I just want to see if alternating methadone and 4 hours later, oxycodone will be ok?!

 

[keeping]

i would either get your methadone to an appropriate level and cut out the oxy or just do oxy and forget the detox

 

[Nod Alot]

Yeah with that low of a dose of methadone you'll be fine with the oxy. Just don't over do it. Methadone has such a long halflife that it's normally unnecessary to dose it more than once a day. That's strange he has you taking it multiple times a day..

yeah id definitely see if he'd up the dose. 15mg's a day seems awful low.

 

[Kssb17]

Thank you all. I'll be updating throughout the weekend. I've been on oxy's for 3 years due to having bone pain from Gaucher's Disease. But I'm not even sure what is real pain anymore and what is withdrawal pain.
I'm seeing a pain specialist finally.... hopefully within the next week or so.
I'm starting to think methadone isn't the right choice for me. Maybe weening off of the oxy would be better. I don't like the feeling of this methadone.

 

[Ksa]

I'm not even sure what is real pain anymore and what is withdrawal pain.

Pain is pain. No such thing as fake pain, withdrawal pain or real pain. Opioid withdrawals last up to a week. If the pain persists a week after quitting oxy, your doctor is responsible for managing that pain.

 

[Kssb17]

Ksa, you make a good point!!!

 

[CfZrx]

Thank you all. I'll be updating throughout the weekend. I've been on oxy's for 3 years due to having bone pain from Gaucher's Disease. But I'm not even sure what is real pain anymore and what is withdrawal pain.
I'm seeing a pain specialist finally.... hopefully within the next week or so.
I'm starting to think methadone isn't the right choice for me. Maybe weening off of the oxy would be better. I don't like the feeling of this methadone.

Ask for a genetic test (cheek swab). Ever since I saw a pain specialist and got the results of my test, I have been on the opioid that effects me the most at the smallest dose, which dramatically lessens the side effects I suppose. For me the drug is actually methadone,lol, but for you methadone is possibly the wrong genetic choice with the least pain relief and most side effects.

 

[BeachBum4u]

Anywhere between 160-180 mg a day. Which I know doesn't sound like a lot. But for me, it really is.

Actually that is a pretty decent daily dosage IMO. However, I do agree with some of the other posts that say go with one or the other. It would seem to me that the oxy is the one I'd choose since the methadone is clearly at such a low level. I think I read that you're going to see a PM specialist. If that's true, then I think they'll probably get you properly squared away. Since that is "what they do". Good luck on however you proceed.

 

[kleinerkiffer]

Methadone and oxycodone are pretty much equipotent so you'll need more than 5 mg three times a day

And methadone will block other opioids from attaching to the opioid receptors in high doses, but with 15 mg a day you might feel the oxycodone, but imo hang in there, tell your doctor to up the methadone dosage, but don't stay too long on it

 

[Kssb17]

Update..... so I couldn't take the withdrawals... I ended up taking oxy's Sunday and today. I also spoke with my doctor. He is having me up my dose of methadone to 10 mg three times a day. I am very scared to make the switch again in fear of going through the god awful withdrawals. My doc said that since this is an increase in methadone I won't have any withdrawal symptoms. I need opinions. Is my doctor right?
My main concern is starting this during the week when I have to work full time.
Any suggestions/ opinions is greatly appreciated.

 

[Nod Alot]

I hate to steer you towards going against your doctors dosing instructions, but if it were me I'd take all 30mg's at once in the morning. Methadone clinics generally dose their patients once a day, because of its long halflife it holds people fine for 24 hours.

I think this dose will help you significantly more than the previous one for sure, and if you are still having discomfort make sure to communicate in detail to your doc.

30mg's may or may not be the right dose for you, you just have to give it a chance and see. But once you are on the right dose you should absolutely not have any withdrawal.

 

[Kssb17]

Will 30 MG all at once make me too tired to be able to focus at work?

 

[Erikmen]

Maybe. I think you should follow your doctor's instructions though. I was on methadone for years and when I took it all at once I didn't feel like myself by the end of the day. Having that distributed within the day you'll be okay all day long, you'll sleep better too.

I am trying to detox off of oxycodone. I was taking 20 mg oxy's roughly every 3 hours for 3 years. I took the first step and talked to the doctor. Today is my first day on methadone, 5 mg three times a day. So far this day has been hard. My legs are very achy and heavy. Withdraw has been awful even with the methadone.
My question is is there any way to take any oxycodone while on methadone? I'm able to split the 20 oxy's. Would 10 mg be dangerous to take? I need some help because I'm almost ready to stop the methadone and go back on the oxy's.

That would be counterproductive as you are using methadone so you can go on and not use oxy anymore. Idk, but as it seems, you started low and they adjusted your dose up to 30 mg. Methadone is quite powerful and it's a strong medicine, if you were feeling like that with 15 mg, 30 mg will definitely work for you. Suggest you try to hold on to that just for a couple of days, and when you'll get over the withdrawal period you'll be feeling way better.

It can only take 3 to 4 days for you to start feeling much better. To be quite honest with you, it's best to stay on a lower dose of methadone so that you can come off of it easily after a small period of time. Some people tend to have difficulties getting off of methadone in larger doses taken for longer periods. Be patient, you'll be fine and 30 mg of methadone will make you feel really good great after these first few days are over.

 

[third_eye_lasik]

Anywhere between 160-180 mg a day. Which I know doesn't sound like a lot. But for me, it really is.

Trust me outside of bluelight and other drug forums 160-180 mg a day is a huge amount. I take 25mg of hydrocodone a day and experience terrible w/d from even that....opioids are strange.