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  • BDD Moderators: Keif’ Richards

Switching from Methadone to Subutex...Help needed with he 36 hour hell-hole...!

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deboudoir

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Sep 6, 2011
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Compadres,

I've a mate who's in trouble; he's got himself stuck on 60ml of the green stuff a day and wants to switch to Subutex.
He's an old-school user who knows that he'll need to come down to about 30mls before anything can happen, but he's terrified of having to do the infamous 36-hour withdrawal that's still necessary to transfer over. He wondered if there is anything he can take that will bridge that gap without fucking the whole thing up - is there some sort of opiate concoction out there that will ease his suffering through those 36 hours? Is here something out there that enable him to make a smooth transfer to subutex from, once he starts withdrawing from whatever the drug is?

All help much appreciated,
Deboudoir
 
OTC stuff like loperamide, DHC, codeine, can be used to smooth it over, or as loulou said, kratom (though the dose can be a bit hard to standardise against metd), and tramadol is fairly easily available (not OTC, but chances are you know someone who has it prescribed)

Pretty sure the precipitated withdrawal is gonna act on all those drugs though, so probably best to cold turkey if you can.
 
And 36 hours aren't the same as one week. So yeah, just stop the methadone cold turkey.
 
Codeine CWE's or Dihydrocodeine were always what I used to stave off withdrawals. They aren't strong opiates, but they are fantastic at preventing that shitty time spent withdrawaling.
 
loulou reed said:
And 36 hours aren't the same as one week. So yeah, just stop the methadone cold turkey.
Click to expand...

Oh my God! Why didn't he think of that? Think you might just have solved the world's addiction epidemic there with a bit a good old-fashioned homespun philosophy. You sound remarkably like my father. He died recently of ignorance and inexpereince and a general retentiveness in the anal department.

This is serious stuff - i appreciate the sentiment loulou, but the road to Hell is paved with good intentions. Serious, experiential-based replies only please...

D.
 
Sorry but I DO take methadone, and 36 hours is nothing. I can go 48 hours without anything. So I don't see your point.
 
This guy's almost 60 and Belsen-thin. Don't know how long you been at this amigo, but it the path get's narrower. If you're still riding the broad highway then ignore all this, but, any junky who can rattle it out for that long probably has problems with drug abuse rather than addiction.

All hail the uberjunky!
Dx
 
A fairly potent long acting Benzo like clonazepam will aid the transition. Begin with roughly 2mg in addition to some tramadol.
 
Is this being done in a clinic? I am asking so we know if a clinic has this timing scheduled for him, or if he is doing it on his own which would allow for some flexibility and for him to be able to take some shorter acting opiates in between.
 
chuchu said:
A fairly potent long acting Benzo like clonazepam will aid the transition. Begin with roughly 2mg in addition to some tramadol.
Click to expand...

Ya, they will give u klonopin in a clinic for opiate detox most of the time. Just be careful benzos are more dangerous than.opiates IMHO I never got seizures from stopping opiates.
P.S I switched from methadone to suboxone the same day w.o any w/d but everyone is different

P.S.S tramadol helps a lot and docs.don't seem.to.mind writing it.
 
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deboudoir said:
This guy's almost 60 and Belsen-thin. Don't know how long you been at this amigo, but it the path get's narrower. If you're still riding the broad highway then ignore all this, but, any junky who can rattle it out for that long probably has problems with drug abuse rather than addiction.

All hail the uberjunky!
Dx
Click to expand...

<No flaming. also no need to be rude.>

If he really can't do it he can take downers and some lomitil to ease the symptoms but really just tell him to stop worrying. Like I said it won't hurt him and its not bad. 36 hours is nothing at all.
 
Last edited by a moderator:
deboudoir said:
Compadres,

I've a mate who's in trouble; he's got himself stuck on 60ml of the green stuff a day and wants to switch to Subutex.
He's an old-school user who knows that he'll need to come down to about 30mls before anything can happen, but he's terrified of having to do the infamous 36-hour withdrawal that's still necessary to transfer over. He wondered if there is anything he can take that will bridge that gap without fucking the whole thing up - is there some sort of opiate concoction out there that will ease his suffering through those 36 hours? Is here something out there that enable him to make a smooth transfer to subutex from, once he starts withdrawing from whatever the drug is?

All help much appreciated,
Deboudoir
Click to expand...

Most people don't experience intense methadone withdrawals after 36 hours of not dosing. An opiate concoction would defeat the purpose of not having large amounts of opiates in your system when you start suboxone. Perhaps benzos, muscle relaxers, loperamide, ibuprofen, or other things can get you through the mental aspect of not having a dose for a day and a half. Also when you start the sub, do a very small amount at first.
 
where did he get 36 hours from?

surely its not a case of time but a case of reaching 26 (?) is it on the COWS scale?

sorry i dont have a link to this document and my search function on this page never yeilds great results form me

S
 
spaceyourbass said:
Most people don't experience intense methadone withdrawals after 36 hours of not dosing. An opiate concoction would defeat the purpose of not having large amounts of opiates in your system when you start suboxone. Perhaps benzos, muscle relaxers, loperamide, ibuprofen, or other things can get you through the mental aspect of not having a dose for a day and a half. Also when you start the sub, do a very small amount at first.
Click to expand...

yeah i was told to take .5mg and redose every 20 mins until you find your holding dows, maybe someone more experienced can confirm this. supposeldy you can drop your sub by .25 mg every days till your off it too, having never tried this i cant confirm it works. Although from reading alot about it it seems that doctors dose you way to high on the sub to begin with
 
Thread is a month old and answered already.

Please don't bump older threads unless you have a really good reason to.

~Closed.
 
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