kkattastic
Bluelighter
This is the thing mate, they said they were going by the NICE guidelines which are not the best source of info to be honest -the NICE guidelines are created as general rules in order to keep the clients 'safe' rather than what will help most and minimise discomfort and to protect the interests of the prescriber. If you switch to a short acting opiate the week before the switch then waiting 24 hours is enough -this should be standard practise imo. On any dose of meth you should wait at least 2-3 before switching.
I have swapped over to bupe several times.But not from methadone-I did try that but the w/d's were immense.So I personally,consider the best option to be to take DFs or even solpadol,if you can cope with that,for a few days,instead of the green,for a few days before starting on bupe.Maybe throw in a few benzos if you are struggling.
For real,the best thing to do if you genuinely want to get clean but can't cope with CT,is to get onto Bupe.You have a really good chance of getting clean.Whereas with Methadone,you can use it for days when you cannot score for whatever reason and this enables you to use when you want/can.
So that's methadone=enabler .... and bupe=treatment for your disease(addiction)