Opioids Methadone Mega Thread and FAQ v 2.0

[bfisher]

*** I Opened a thread in Other Drugs, but thought id post here as well to get as much advice/feed back as possible since its needed very much ***


Hey,

about 3.5 years ago i was stabbed and being mr. tough guy/idiot at the time i didnt go to the hospital til the next day - Very long story short i got a bone infection in my arm (Osteomialitus) and had to go on 24/7 home care for 60days with anti biotics. I was prescribed Oxycontin for the intense pain, it was my first experience with opiates. At first i was prescribed oxycodone 5/325 1-2 tabs / 4-6 hours, and pretty quickly went up to 20mg oxycontin 2x daily, then to 4x daily, then to 40mg 4x daily, by the time i finished 60days of home care/anti biotic treatment i was removing the wax coating and crushing/swallowing or snorting the oxycontin tabs, and though i finished the anti biotics i was still in pain (Now i realize that 90% of it was probably made up in my head) so my doctor kept rx'ing me the oxycontin. After another 2-3 months i was crushing/snorting 4-6 80mg oxycontin as soon as id wake up, then 3-6 more 80mg crushed and snorted mid day, followed by 3-5 80mg crushed/snorted before bed. I decided that it had gotten way out of control and made the decision to put a stop to it, but that only lasted 48hours... I hadnt gone more than 6hours without an oxy dose for almost 6months and got a real quick wakeup call/eye opening realization that i had gotten myself into an addiction that was FAR more serious than i thought. I went to the methadone clinic and signed up, it took me 2weeks to get on the program/get my 1st dose and my doctor had stopped writing me oxy prescriptions so i went to him and spilled my gutts, told him the truth about everything and that it was going to take me 2weeks to get on the MMT, lucky enough for me he helped me out and aggree'd to write me scripts until the day i got on methadone, but obviously couldnt write me a prescription for 15x80mg oxycontin daily. We worked together and found the lowest amount needed for me to avoid withdrawl symptoms which was somewhere around 4-6 x 40mg daily.

So i started MMT about 3years ago at 30mg and raised my dose by 10-15mg weekly until i was stable which was 100mg. I stopped taking all drugs and worked my way from level 0 to level 6 Carries and obtained my 6 carry home bottles so i only had to dose once a week at the clinic when i left my urine sample and for the rest of the week had my take home carries n was able to dose at home. Approx. 4months ago i decided to start tapering with the goal of getting off the methadone completely. I dropped my dose from 100mg by 10mg every week and successfully got down to 40mg, and then slowed the taper to 5mg/weekly until i got to 25mg. A week later i threw out my back and was in extremeeeee pain and unfortunately had to raise my dose back up to 80 for pain management. 8weeks ago i started a rapid taper of 10mg/weekly until i got to 30mg, then slowed it to 4mg/week for 3weeks, and then started dropping 4mg bi-weekly from 18mg. Im at 12mg now and at the point where i can only drop 2 or 2.5mg followed by waiting two or three weeks of letting my body adjust to the drop in dose or i will get w/d symptoms. i dropped 3mg after being at 12 for 3weeks yesterday so im not dosing 9mg daily...

Ive had alot of people tell me very discouraging things at my clinic such as nobody will ever get off methadone, its for life, etc etc. I know thats all BS and for them it may be true due to the fact that they dont want to get off of it, but i do...

Has anyone been in my shoes at all ? Can i get some feed back of what the withdrawl feels like when u get down to the 4-5-6mg range and lower ? Anyone here that has actually successfully tapered all the way off methadone and stayed off of it ? any advice would be appreciated very much...

i DO take 2mg clonazepam 3x daily by prescription, so i will have those to help me... but i know in opiate withdrawl ur going to feel sick regardless of wat ur taking if it isnt an opiate...


*ANY* feed back is appreciated.

 

[THE_REAL_OBLIVION]

*** I Opened a thread in Other Drugs, but thought id post here as well to get as much advice/feed back as possible since its needed very much ***


Hey,

about 3.5 years ago i was stabbed and being mr. tough guy/idiot at the time i didnt go to the hospital til the next day - Very long story short i got a bone infection in my arm (Osteomialitus) and had to go on 24/7 home care for 60days with anti biotics. I was prescribed Oxycontin for the intense pain, it was my first experience with opiates. At first i was prescribed oxycodone 5/325 1-2 tabs / 4-6 hours, and pretty quickly went up to 20mg oxycontin 2x daily, then to 4x daily, then to 40mg 4x daily, by the time i finished 60days of home care/anti biotic treatment i was removing the wax coating and crushing/swallowing or snorting the oxycontin tabs, and though i finished the anti biotics i was still in pain (Now i realize that 90% of it was probably made up in my head) so my doctor kept rx'ing me the oxycontin. After another 2-3 months i was crushing/snorting 4-6 80mg oxycontin as soon as id wake up, then 3-6 more 80mg crushed and snorted mid day, followed by 3-5 80mg crushed/snorted before bed. I decided that it had gotten way out of control and made the decision to put a stop to it, but that only lasted 48hours... I hadnt gone more than 6hours without an oxy dose for almost 6months and got a real quick wakeup call/eye opening realization that i had gotten myself into an addiction that was FAR more serious than i thought. I went to the methadone clinic and signed up, it took me 2weeks to get on the program/get my 1st dose and my doctor had stopped writing me oxy prescriptions so i went to him and spilled my gutts, told him the truth about everything and that it was going to take me 2weeks to get on the MMT, lucky enough for me he helped me out and aggree'd to write me scripts until the day i got on methadone, but obviously couldnt write me a prescription for 15x80mg oxycontin daily. We worked together and found the lowest amount needed for me to avoid withdrawl symptoms which was somewhere around 4-6 x 40mg daily.

So i started MMT about 3years ago at 30mg and raised my dose by 10-15mg weekly until i was stable which was 100mg. I stopped taking all drugs and worked my way from level 0 to level 6 Carries and obtained my 6 carry home bottles so i only had to dose once a week at the clinic when i left my urine sample and for the rest of the week had my take home carries n was able to dose at home. Approx. 4months ago i decided to start tapering with the goal of getting off the methadone completely. I dropped my dose from 100mg by 10mg every week and successfully got down to 40mg, and then slowed the taper to 5mg/weekly until i got to 25mg. A week later i threw out my back and was in extremeeeee pain and unfortunately had to raise my dose back up to 80 for pain management. 8weeks ago i started a rapid taper of 10mg/weekly until i got to 30mg, then slowed it to 4mg/week for 3weeks, and then started dropping 4mg bi-weekly from 18mg. Im at 12mg now and at the point where i can only drop 2 or 2.5mg followed by waiting two or three weeks of letting my body adjust to the drop in dose or i will get w/d symptoms. i dropped 3mg after being at 12 for 3weeks yesterday so im not dosing 9mg daily...

Ive had alot of people tell me very discouraging things at my clinic such as nobody will ever get off methadone, its for life, etc etc. I know thats all BS and for them it may be true due to the fact that they dont want to get off of it, but i do...

Has anyone been in my shoes at all ? Can i get some feed back of what the withdrawl feels like when u get down to the 4-5-6mg range and lower ? Anyone here that has actually successfully tapered all the way off methadone and stayed off of it ? any advice would be appreciated very much...

i DO take 2mg clonazepam 3x daily by prescription, so i will have those to help me... but i know in opiate withdrawl ur going to feel sick regardless of wat ur taking if it isnt an opiate...


*ANY* feed back is appreciated.

I'd like to hear the same as this guy, because right now i'm at 45mg, which they will raise to 50mg next week and so on until i'm at 60, keep me at 60 for 3 months then we will drop back by 5mg slowly and stop the tapering in case i feel very bad. The thing is the *bitch* female doc said that they do not script the pill form of Metadol, only the syrup for MMT, I hope I will get to talk to the nice lady to settle this out, I am SURE they can script me the pills, because I imagine that when i will have slowly tapered down to 20mg, the worst part will be there, and i will have to slow down by 1mg a week or it wont work, i am sure of it. Or maybe 2.5, like i could have a 5mg Metadol and split in half. Because the syrup works only in 5mg increments, and that just isn't gonna work out for me. I know methadone withdrawal is hell, less hellish than my 56mg IV of dilaudid a day, but it lasts a very long time from what I understand. I just hope that when I drop to 20mg, I can have them give me 19mg, may be it be 15mg of juice and 4 1mg pills. etc. I will not settle for anything less.

 

[SubDude]

Generally speaking...The older you are and the longer you've been dependent on opiates... the more difficult the WD's. I know this because I've been on and around MMT for over 35 yrs. Don't know of any research since a lot of it would be mental and subjective.

 

[bfisher]

the drink form of methadone is better if ur worried about tapering because they can decrease ur dose/taper much more accurately than they can with the pills... they can decrease by half a miligram if u want

 

[Znegative]

Technically as long as they crush them up and dissolve them in measured ammounts of water, plls can be decreased a mg at a time as well, though its true that the oral solution is by far superior.

 

[tricomb]

Technically as long as they crush them up and dissolve them in measured ammounts of water, plls can be decreased a mg at a time as well, though its true that the oral solution is by far superior.

Just want to add to this, while with many pills this is true (some time-release mechanisms being exceptions), in order to maintain accuracy it is extremely important to homogenize the solution, shake/agitate the solution for a good 10 seconds to ensure even distribution of dissolved active ingredient (methadone).

 

[THE_REAL_OBLIVION]

Just want to add to this, while with many pills this is true (some time-release mechanisms being exceptions), in order to maintain accuracy it is extremely important to homogenize the solution, shake/agitate the solution for a good 10 seconds to ensure even distribution of dissolved active ingredient (methadone).

Well, maybe if they put the actual amount the doc scripted.

I was talking with this guy who i met at the pharmacy i go to (the closest one to me which has the methadone program, can't believe the 2 closest to me don't have it) and I was discussing about how come i was not getting the 40mg pills made for addicts like us when I was at 40mg a day (now 45). And he goes "That gets you way too high according to them, i don't understand the reasoning behind that if true, but I heard rumours about how this pharmacy doesnt put in all the methadone you need in the syrups, which they prepare the night closing.Cos they hate us etc"

I wouldn't be surprised, I won't elaborate but about half of the staff there, mostly the technician staff, but also 1 particular little bitch of a pharmacist looks at me with despise and almost hatred, while the other half are nice and encouraging me. Wouldnt surprise me one of the bitch technicians would make my solution 42,5mg instead of 45 like I need, hence my insistence on having pills and next week when I go for my next follow up with the detox doc and ask them seriously how come my cousin was getting a 40mg methadose pill and 1 regular Metadol 25mg pill a day (it's true too, and this is the same province etc.) Why was he given pills, also during tapering when I can't ?

The rumour to me makes sense, have hidden control of your doses by lying to you about it, they couldn't do that with the pills. If my doc says pills can be obtained by only through an even farther away pharmacy, well fuck it, i will ask that they transfer all my scripts over there.

 

[tokenname]

^^that's an awful thought..
to have a pharmacist/technician even consider doing
something so horribly judgmental..dangerous..not to mention, unethical.
i'd have to insist on pills, also.

omg..that makes me sick, thinking about it.
ppl are unbelievable.

 

[Znegative]

Actually, I'm from NYC, and during Hurricane Sandy, I had to be guest medicated at a different clinic than the one I belong to (which dispenses the syrup, I take 50mg/day FYI). This other clinic that I went to for three days used the 40 mg methadone 'biscuits' which have two scores in them, so that they can easily be broken into 10mg pieces (1/4 tablet). I'm sorry to say that the 50mg or, 'biscuit and a quarter' at this clinic was just as effective as the cherry flavored syrup at my regular clinic. I do feel that some of the tablets (I'm not sure who makes them, the round, 10mg ones) are absorbed better/last longer, and imagine this would have to do with how the pill was bound together. I've seen the bottles of syrup at my clinic, made from mallinckrodt, and they have 'Methadone: oral solution, 10mg/mL' or something along those lines written on it, and I've measured the amount of liquid in my take home bottle (they don't dilute it, strangely) and it comes out to 5mL every time.

There was one time when the computers were down and the nurse accidentally gave me 15mL (150mg!) instead of 5mL. I was honestly scared to take that much methadone so I did the right thing, and told the nurse (in a polite manner) that I thought she had miscalculated my dose. She was pretty embarrassed.

 

[THE_REAL_OBLIVION]

Well I'm going to award methadone as the most likely to cause constipation opiate ever.

My methadone doc is scripting me :

sessonides 8,6mgX2 a day
sodium docusate 100mg X 2 a day
lactusol 15ml x2 a day

And I eat whole grain bread and all that stuff. I still only shity once every 2 days. But it is easier when I do, and I stopped clogging up the toilet lol.

Little question here, 45mg was holding me pretty much since thursday last week....but now I feel like it should be a little higher...even if i (kinda) had my benzo situation corrected, isnt methadone anti-addictive because of the NMDA antagonism of d-methadone ? I thought it was the whole point that once you reach a dosage you are comfortable with, you don't go higher. When I went from 30 to 40 the difference was MASSIVE and i actually got high and a little bit out of it cos I had used 100mg hydroxyzine before my first dose. I'm most likely gonna have it increased to 55mg next week because i didnt have to go meet them this week, although I wish I could have so they would give me fucking Chantix so I stop smoking (one of the main reason i wanted to stop opiates/all addictive drugs except benzos is because they are ruining me financially). Cigs ruin me even more than opiates ever did because of how cheaply I had my dilaudid. But I'll stop here i'm rambling again, i think there's a question in this paragraph

 

[Znegative]

Honestly, I don't really think that increasing your dosage up any higher will benefit you much more than what you take now. The clinics often tell you that they will "adjust your dose until you reach a level where you are comfortable", which I now take to mean "we will raise your dose as high as possible, all you need to do is ask." Sadly, I think a lot of people are under the impression that there is some "magical dose of methadone" (don't mistake me for calling you naive, oblivion, you're obviously well informed) which will take away their cravings, and so they raise their dose higher and higher, always wondering why they never feel any different after a week.

Basically, methadone IS great in that I feel it continues to give a consistent lift, even after months at the same dosage. However, from my experience, I believe raising your dose above 80mg (a dose that will surely block) is kind of unnecessary. Once methadone begins to fully block other opiates, you cannot get high on even methadone. I remember back when I was on 100mg, I would sometimes triple my dose (300mg) in an attempt to get high, and all that would happen were unpleasant side effects, such as nasty sedation (not to be mistaken for nodding), even worse constipation (!), and overdosing.

Now, I understand that your not asking "at what dose will I be able to feel high all the time" at all, but the point I'm trying to make is that I've never noticed a difference between dosages, except for those under 60mg, and those above sixty mg. Basically, I think it's best to stay under sixty as you will have a relatively easier detox than those in the double digit numbers. Also, I find that at 50mg (my current dose-I only plan to go down from here) I get a really nice mood lift and burst of energy after my dose. When I was on 100mg, I really would only feel sedation, which I hate in the morning as I like to generally be a productive person. The only real benefit that these higher dosages have is that the methadone does not wear off as quickly. For instance, when I was at 80mg or higher, I could skip going to the clinic for about 72 hours without feeling sick. On 50, I begin to feel uncomfortable after 36 hours. Oh, and I guess you can say that another benefit of being on a high dose might be the blocking effect which might be necessary for certain patients who continue to use (I've been thinking a lot of just skyrocketing my dose up to 100mg for a week and then tapering quickly back down to 50mg, but I'm not going to kid myself that things are that easy-better to just rough it out for a few days).

Also, on the subject of constipation-I agree, methadone and buprenorphine are by far the worst offenders. I never even really had a problem with this side effect when I was not on methadone or Bupe and just using heroin. I believe I read somewhere that methadone and loperamide had similar 'efficacy' as anti-diarrheal 's. IME, as long as I make sure to stay hydrated and eat a good ammount of fiber-I can go at least once every other day. However I have a bad habit of forgetting to drink as well as eat in general, and within the last few weeks, the constipation has been horrific. I mean, Jesus, yesterday morning I spent the first three hours of my morning trying to unclog our toilet after unloading 6-days worth of compacted fecal matter..It was hell! I guess I should be greatful though that I've never had to actually dig my shit out with my hands, because I know a lot of people need to do that.

 

[bfisher]

^ Agreed.

After being at a stable dose for months Yes your body gets used to that dose and even a Slight increase (5-10mg) Will be noticed, its not NEEDED. Remember, it only takes 1 day to go up 10mg but it will take you at least a week or 2 at a RAPID taper to drop those mg's.. its not needed.

 

[THE_REAL_OBLIVION]

Holy shit (about the unclogging with hands). Zneg, I do not intend to go any higher than 60mg, which is where they said they aimed to put me on. Remember this is canada's evil socialist medecine! They aren't in it for the money and I'm paying a whoppin' zero dollars for all of this. The only thing is sometimes I wish I had detoxed myself from opiates like I did before, cos they tampered with my benzos, the pharmacy asked for a renewal of my valium script to my psy yes, but for HALF THE DOSE I WAS ON BEFORE METHADONE. I'm having trouble getting an appointment with him so I need to call back monday cos she didnt have the schedule in 2 weeks etc. Briefly, it is hell, benzo w/d that is. I spent 8 hours at the ER yesterday to try and get my script for Valium corrected, no dice, at least she gave me 50 50mg atarax which the detox doctor suddenly decided (well one of them, the guy, he's a dick too, only one of the other female docs is cool, hope I see her next week) I also didn't need anymore. I can't take seroquel to sleep every day (50mg) it makes me have sleep paralysis, nightmares and feel braindead.

But somehow I'm still clinging to life not thinking about how i only have 6 5mg valiums left when I should have 16 or so 10mg ones left right now..ugh.

 

[THE_REAL_OBLIVION]

I'm not sure if this goes here but it has to do with the methadone stigma. There is only one pharmacist I hate at the place i'm forced to go because the 2 pharmacies next to me don't offer the methadone program...

And the bitch who looks like a ghost with serious "skin" problems and dead eyes yells at me because I owe them 19 dollars for them Fiorinals this morning, just 30 mins ago. Usually technicians come to give me the bottle but she came this time.

I tell her don't worry you still have to give me 6 pills because I didn't pay the last time, and with my health problem I'll definitely come and pay the ridiculous amount of money I owe you. Then she goes you said you were supposed to pay thursday. Well if she had looked at my dossier she would have seen things changed since then and I had to buy fucking antibiotics and i don't have money anymore. I didn't bother telling her that tho. My response wasn't satisfying and with her usual judgmental gaze she said "but you were supposed to pay thursday!".

Wtf, she doesn't have any fucking compassion for anybody or what ? As I leave after drinking my juice she goes "Sti qu'iest bête!", which is french canadian profanity for "Goddamn he's offensive" or grumpy or something like that. Am I supposed to be happy right now ? I have to go everyday to your fucking pharmacy when I have one right in front of my apartment and yours is 15 mins away by car.

I'll have to ask to be changed pharmacies because I just cannot even stand seeing her. She didn't believe me when I said I had TN obviously and think I'm just a junkie and not a human being. I sometimes wish I would have to go back to the inpatient clinic I was at to get my juice, the nurses were cute and polite. Fuck. If I could I'd just punch her right in the teeth.

 

[SubDude]

I've been on ORT most of my adult life and I've found most dr's unfamiliar with how it helps us stay off street drugs and gives us a "normal" feeling.... just don't get it. Those of you who are young and relatively new to MMT or SMT will need to get use to the prejudice and negativity from many in the healthcare field. Sad but true.

 

[izzy66]

i've been on methadone for 5, maybe 6 years. i was severely injured in an accident 25 years ago and later developed RA. my doc has like 6 folders of med records on me. going on methadone wasn't a decision my doc or i made lightly.
i have run into some really hateful and uneducated folks working in pharmacies. just a few days ago an asshole pharmacist pulled some shit on me and really upset me. he just ran his mouth but did it in front of other customers and I AM NOT doing anything even slightly shady or wrong. if concerned, he should talk directly to my doc, not make assumptions and judgments about people he doesn't know at all.
the stigma is really bad and it doesn't matter WHY you're on 'done; everyone on it is unfairly and negatively judged. it's a cheap, very effective med for many people, whether chronic pain or mmt patients. it helped me get a productive life back. but i'm pond scum according to the fuckers at CVS.
best to all of you
-izzy

 

[stivsmegg]

Actually, I'm from NYC, and during Hurricane Sandy, I had to be guest medicated at a different clinic than the one I belong to (which dispenses the syrup, I take 50mg/day FYI). This other clinic that I went to for three days used the 40 mg methadone 'biscuits' which have two scores in them, so that they can easily be broken into 10mg pieces (1/4 tablet). I'm sorry to say that the 50mg or, 'biscuit and a quarter' at this clinic was just as effective as the cherry flavored syrup at my regular clinic. I do feel that some of the tablets (I'm not sure who makes them, the round, 10mg ones) are absorbed better/last longer, and imagine this would have to do with how the pill was bound together. I've seen the bottles of syrup at my clinic, made from mallinckrodt, and they have 'Methadone: oral solution, 10mg/mL' or something along those lines written on it, and I've measured the amount of liquid in my take home bottle (they don't dilute it, strangely) and it comes out to 5mL every time.

There was one time when the computers were down and the nurse accidentally gave me 15mL (150mg!) instead of 5mL. I was honestly scared to take that much methadone so I did the right thing, and told the nurse (in a polite manner) that I thought she had miscalculated my dose. She was pretty embarrassed.

i was on the 40mg wafer/biscuit(actually it is called a dispersable tablet) at an old clinic and i loved it, i was on 110 mgs and they held me much longer than the mallinckrodt or roxane solution. i would go back there but its a pay only clinic and i am on gov funded program(rule 25) that pays.

 

[stivsmegg]

Well, maybe if they put the actual amount the doc scripted.

I was talking with this guy who i met at the pharmacy i go to (the closest one to me which has the methadone program, can't believe the 2 closest to me don't have it) and I was discussing about how come i was not getting the 40mg pills made for addicts like us when I was at 40mg a day (now 45). And he goes "That gets you way too high according to them, i don't understand the reasoning behind that if true, but I heard rumours about how this pharmacy doesnt put in all the methadone you need in the syrups, which they prepare the night closing.Cos they hate us etc"

I wouldn't be surprised, I won't elaborate but about half of the staff there, mostly the technician staff, but also 1 particular little bitch of a pharmacist looks at me with despise and almost hatred, while the other half are nice and encouraging me. Wouldnt surprise me one of the bitch technicians would make my solution 42,5mg instead of 45 like I need, hence my insistence on having pills and next week when I go for my next follow up with the detox doc and ask them seriously how come my cousin was getting a 40mg methadose pill and 1 regular Metadol 25mg pill a day (it's true too, and this is the same province etc.) Why was he given pills, also during tapering when I can't ?

The rumour to me makes sense, have hidden control of your doses by lying to you about it, they couldn't do that with the pills. If my doc says pills can be obtained by only through an even farther away pharmacy, well fuck it, i will ask that they transfer all my scripts over there.

just below you in minneapolis mn there are clinics that still do "blind dosing" so you have to measure your take homes if you want to know what dose yer on, i see the point but would never want that. also just curious, in canada the methadone clinics are in pharmacies? so is there an office or sumpin' you go to see yer case worker?

 

[THE_REAL_OBLIVION]

just below you in minneapolis mn there are clinics that still do "blind dosing" so you have to measure your take homes if you want to know what dose yer on, i see the point but would never want that. also just curious, in canada the methadone clinics are in pharmacies? so is there an office or sumpin' you go to see yer case worker?

Yep, well my province works like that and health is a provincial issue

I usually go in the little private office usually reserved for pharmaceutical information and nurses giving people flu shots, i hate when i go there and theres already a nurse in there with a patient and I can't go in but it is very rare, when this happens i drink my shit in front of the technician who gives it to me and don't care about customers like a boss. I went away in a different city for college back then so its not like I could run into family.

And I only see my "case worker" which I guess is my social worker in case of need or when I go to the (bi)weekly (depends on how i feel, felt like I could tough 2 weeks without seeing them, but nope, i got 1 5mg valium left today, feelsbadman) to see my detox doc. They're only there to help out if we feel like it, and I bet they have much worse cases with alcoholics and meth abusers than me over there. No offense, but when i spent my mandatory first week while inpatient, alcoholics were the worst idiots of the bunch, except for a few who weren't completely wrecked from alcohol/not too old and decided to act on time.

e:e: Oh my dad's a trucker btw and he often passes through the major hub that is my city, so after she giving me shit and saying *I* was the impolite one, i realize my dad was in town and tells him the story about a pharmacist yelling at me for not paying 19 dollars on time. "He goes wtf this isnt like your rent etc." So he brings me over there, drops off with me cos he obviously will pay for it. And I make up something like, are you happy ? Had to have my dad drive 3 hours to pay your goddamn 19 dollars cos I can't right now (also she had given me a TN attack from the stress/anger so I wanted the fiorinals heh). Which she remained silent about, seeing my dad was pretty goddamn rich just from his clothing, with his experience and the great distances he does he makes more money than a young start bitch cunt pharmacist thats for sure Then she was still fucking there this morning, da fuck, everyone including bosses don't work lately ? Anyway, she goes to take my juice mix bottle in the backroom and a technician brings it to me saying not very loudly but I heard her saying "I can't stand this one's face, you go give it to him" and a cute very nice technician came to give me my juice in the office and I smiled to her and I feel like I've won, I won a petty battle, but every damn victories matter these days.

 

[stivsmegg]

^^ thats messed up bro, i guess the stigma attached to methadone is everywhere, not just in the states. i have to say though that i would have respectfully given that nurse a piece of my mind as i have little patience for such bullshit. "i dont like his face"? ok maybe i wouldnt have been that respectful, short of getting the boot. also i dont like that they are "alone" with your dose. at most clinics here they dispense it from a controlled pump and you watch them do it(although my 13 take-outs are allready filled when i get there)and the nurses are old ladies who are nice and understanding(pretty sure theyre not dippin'). some clinics(one anyway) have the bottles pre-packaged from vista labs in largo fla. so they have a foil seal(i liked that) but its a pay clinic. the worst part of it all though is going to the clinic and waiting behind 20 people or more to get dosed, u.a. and see your case worker(once monthly) which can be 5 min some weeks or could be 2 hrs. on top of all that the clients are not exactly the funnest people to wait in a small room with forever.(big ass paragraph)