OP, pretty much what cj said above.
Re finding a doctor, it's tough on short notice. If you're in an area with a needle exchange service (you can try looking any up through the
Harm Reduction Coalition site) and see if they can get you in touch with a low cost/free clinic to help you get through the acute withdrawal.
If you can't find any resources through the HRC site, let me know and I'll see if I can't whip something else up for where you're located. Frustrating thing is there are lots of resources and people able/willing to help people get through heroin withdrawal, it's just that they can be hard to find without knowing what to look for.
I mean, any doctor worth their license will quickly realize there is ZERO reason not to help you through withdrawal by prescribing clonidine and gabapentin at a minimum.
Moving on to what you can expect from your upcoming kick...
You're in for a real shitty week. Frankly if I were you I'd get some DXM, as that always worked a hell of a lot better than kratom to come off a heroin habit of your size. There are a lot of caveats using something like DXM for this,
so please ask before making any plans to try that.
With the kratom, it will help but it won't work as well as proper comfort meds. Anything but high quality/potency kratom is going to barely make a difference. Probably will need to dose 2-3 times a day.
Don't start dosing too high though, as getting sick from kratom while kicking heroin seems almost as bad as a horrible hangover while kicking heroin. Sounds like you only have very limited experience with kratom before this?
It would be highly unlikely for you to become dependent on kratom if you're only taking it for 1-2 weeks. The acute withdrawal from the heroin (glad to hear its only intranasal, as 2 bundles/day IV would suck quite a bit more) is going to peak around day 3-5, and mostly have begun subsiding by day 6-8. Some symptoms with probably hang around until week two, but they'll be much less intense.
Compared to your experience with buprenorphine, the symptoms from this heroin kick will come on faster, be more intense, but peak and fade away noticeably faster too.
Yeah crack works amazing. One hit and I am so busy looking for what I am 100% sure I dropped that I forget all about withdrawals. And then re-upping every 5 to 10 minutes. Like 500 crack hits and you will be through the withdrawals. (OF COURSE THIS IS AN INSANE IDEA AND IS MADE IN JEST!!!)
Actually a lot of people do find amphetamines really helpful to get through withdrawal. I generally hate them regardless, but the few times I've been sick and needed to function I was amazed how much a small dose of methampetamine helped me function. I'm not suggesting it's a good idea, but it is a trick that's helped a lot of people out there.
Crack or cocaine on the other hand, that sounds like a horrible idea. Especially crack. That would be a really easy way to induce psychosis or get into some serious fucking trouble, getting all geeked out AND enduring acute heroin withdrawal without comfort meds.
For some reason amphetamine salts and d-amp (as well as other non-cocaine stims) always made me feel like crap when in opioid withdrawal. Don't know why methamp was different from me. Even though it worked to keep me functional I didn't like using methamp to kick though. I'd rather not have to be functional and just cold turkey than use methamp, but then again I'd rather use a lot of other meds than methamp to detox from opioids.
I don't remember where I'm going with this...
