Opioids your morning on methadone? (upset stomach)

[Spideronthewall]

I get the rotten feeling but I think it has to do with my metabolism and digestive system slowing to a crawl then being jacked back up before I take my daily dose of methadone.

 

[Jabberwocky]

What is your routine like prior to dosing?

 

[Spideronthewall]

What is your routine like prior to dosing?

If hes anything like me or many others its a coffee, a bathroom stop, dose and wait for it to kick in before starting the day. I think most people do that.

 

[Wrongguy]

Eating is very helpful in making your does last better and will in turn will mean you don't require taking much to make it till your next dose. And there is the added benefit you could get by it helping not make your stomach queasy...

When i first switched to methadone I always forced myself to eat before dosing... then as you get farther along in the program it becomes routine, that combined with your body leveling out after a while after the orginal switch from your D.O.C to methadone, you wont even have to force yourself anymore. I found eating before dosing very helpful in making my dose last better and helping my stomach..

I was on a relatively large amount of herion when I started the program and i was experiencing chronic pain. I found that 65 to 75mg was plenty and I never woke up feeling bad, I probably could have (and maybe should have) gotten away with less. When I started to taper down I never ran into any problems at all and never felt the slightest bit of withdrawal and had no problems sleeping at all.. I was surprised cause I heard all these horror story's about how bad it was at certain points for certain people I talked to that did the taper (of course you remember the horror stories not the good stories)..... but i know the longer you stay on it the more routine it becomes and there becomes a huge psychological role involved too. You breaking from the routine is harder the longer your on it. You have a whole mental aspect to get past... I didn't want to experience anything like that very bad so I had a goal - to get on methodone, avoid really bad withdrawals that always sent me back to using and to start to learn to live without drugs, and then to get off methadone in a timely fashion. I didn't want to replace one drug for another and when it came time to quit methadone have to experience what I heard some have experienced.

I know for some it may be necessary to take for long periods and is definitely better than using herion. I met people who had been on it for years and years, some I met had been on it for 10-15 years. What ever it takes and what ever works for you is by far the most important thing, but I had a goal I wanted to stick to.

I went up to something that held me just fine (maybe even a little to high a dose), and was there for less than two months or so and then immediately started to taper myself down somewhere around 1mg a day... total of around 5 months in the program. It worked for me and had no bad withdrawal from the methodone during my whole program..

It worked great for me and I wanted to share my experience incase anyone else may be thinking of trying the methadone program to quit their DOC and was wanting ideas or if someone just wants to taper off... you can do it and don't be afraid

 

[Methacodone]

It's definitely the Methadone, guys.

It happend to me A LOT when I was on MMT.

I discussed this with my PCP, he Rx'd me PROMETHAZINE, as an Opiate adjunct. It's FDA approved for this very purpose.

Ever since that day, I never had that problem again.

I highly recommend Promethazine for whoever suffers from Methadone induced Nausea, morning/motion sickness, etc.

 

[Spideronthewall]

Eating is very helpful in making your does last better and will in turn will mean you don't require taking much to make it till your next dose. And there is the added benefit you could get by it helping not make your stomach queasy...

When i first switched to methadone I always forced myself to eat before dosing... then as you get farther along in the program it becomes routine, that combined with your body leveling out after a while after the orginal switch from your D.O.C to methadone, you wont even have to force yourself anymore. I found eating before dosing very helpful in making my dose last better and helping my stomach..

I was on a relatively large amount of herion when I started the program and i was experiencing chronic pain. I found that 65 to 75mg was plenty and I never woke up feeling bad, I probably could have (and maybe should have) gotten away with less. When I started to taper down I never ran into any problems at all and never felt the slightest bit of withdrawal and had no problems sleeping at all.. I was surprised cause I heard all these horror story's about how bad it was at certain points for certain people I talked to that did the taper (of course you remember the horror stories not the good stories)..... but i know the longer you stay on it the more routine it becomes and there becomes a huge psychological role involved too. You breaking from the routine is harder the longer your on it. You have a whole mental aspect to get past... I didn't want to experience anything like that very bad so I had a goal - to get on methodone, avoid really bad withdrawals that always sent me back to using and to start to learn to live without drugs, and then to get off methadone in a timely fashion. I didn't want to replace one drug for another and when it came time to quit methadone have to experience what I heard some have experienced.

I know for some it may be necessary to take for long periods and is definitely better than using herion. I met people who had been on it for years and years, some I met had been on it for 10-15 years. What ever it takes and what ever works for you is by far the most important thing, but I had a goal I wanted to stick to.

I went up to something that held me just fine (maybe even a little to high a dose), and was there for less than two months or so and then immediately started to taper myself down somewhere around 1mg a day... total of around 5 months in the program. It worked for me and had no bad withdrawal from the methodone during my whole program..

It worked great for me and I wanted to share my experience incase anyone else may be thinking of trying the methadone program to quit their DOC and was wanting ideas or if someone just wants to taper off... you can do it and don't be afraid

I can see eating a healthy meal probably helping. Just don't have anything that raises stomach PH or else it will eat that dose up a lot quicker. I metabolize the methadone really fast. I went up as high as 120mg to try and have a full 24 hours of relief. I would probably benefit from a split dose but I dont have the will power to take half a dose in the morning and half at night.I have full carries and will try it one of these days,

 

[Gorillaboy21]

This is opiates period.
I get this from h when I shoot up and over eat the night before , I end up waking up with all that undigestd food sitting there and I get massive knots and ties in my stomach of pain usually happens 4-6 am and lasts anywhere from 30 minutes to 1.5 hours and it's usually only after I puke up eveything including the bile that I'm sort of back to "normal" which whatever that means to us lol.

So yes this is common, my friend who smokes tar not shoots it like me also gets this problem when he wakes up after eating on opiate munchies

 

[Jabberwocky]

Waiting to have coffee until after your morning dose may help as well.

It's definitely the Methadone, guys.

It happend to me A LOT when I was on MMT.

I discussed this with my PCP, he Rx'd me PROMETHAZINE, as an Opiate adjunct. It's FDA approved for this very purpose.

Ever since that day, I never had that problem again.

I highly recommend Promethazine for whoever suffers from Methadone induced Nausea, morning/motion sickness, etc.

Yes, promethazine and Zofran are what are commonly prescribed to deal with the nausea of daily methadone.

 

[Choose Life]

Being on MMT wears out your body not nearly as much as junk tho

Starting to take of yourself can solve alot of problems

Morning vitamin intake eating whole quality foods eating more fruits and vegetables quitting smoking

I get nauseous late night or early morning occasionally it's the start of withdraw setting in that can come in different forms

You also want to take Metamucil a fiber supplement not much half tablespoon a day to make sure you use the rest rest room on high doses

Having your stomach upset without any other withdraw symptoms is a bit unusual and you could start with overall health

 

[Ukbball0214]

Ugh, methadone. Love hate relationship. Was on it for 7 yrs and kicked cold turkey. The half life wasn't long enough for me, I metabolize drugs quickly. I stayed off opiates for a year and now I'm on 24 mg Suboxone, 150 mg tramadol, 1200 mg nuerontins, and 50 mg amitriptyline. SOOOOOO much better

 

[rikerliker707]

Waiting to have coffee until after your morning dose may help as well.



Yes, promethazine and Zofran are what are commonly prescribed to deal with the nausea of daily methadone.

I regularly use the first one (OTC here in UK) but was surprised to see the second mentioned, not aware of ondansetron prescribing for opioid nausea... I have known many people on large prescribed doses of methadone, morphine, oxycodone, fentanyl and others (mostly fellow Brits but also in the US, Canada, Aus/NZ & mainland Europe) ---
and while most find the nausea wears off after months or years of regular use, those who still have it typically get by with first generation antihistamines (like promethazine, cyclizine or cinnarizine.) In the most severe cases I've heard of Metoclopramide being Rx'd for this, but never ondansetron- considered the most "hard core" anti sickness drug and only licensed in most countries for nausea/vomiting caused by cancer treatment or following GI surgery.

Is it really that common in the US?

 

[Choose Life]

Not to wonder off topic if you could briefly describe the active relationship with buprenorphine and tramadol
I understand where the neurontin comes in bupe has a blocking effect but tramadols mechanism of action is different

 

[Jabberwocky]

I regularly use the first one (OTC here in UK) but was surprised to see the second mentioned, not aware of ondansetron prescribing for opioid nausea... I have known many people on large prescribed doses of methadone, morphine, oxycodone, fentanyl and others (mostly fellow Brits but also in the US, Canada, Aus/NZ & mainland Europe) ---
and while most find the nausea wears off after months or years of regular use, those who still have it typically get by with first generation antihistamines (like promethazine, cyclizine or cinnarizine.) In the most severe cases I've heard of Metoclopramide being Rx'd for this, but never ondansetron- considered the most "hard core" anti sickness drug and only licensed in most countries for nausea/vomiting caused by cancer treatment or following GI surgery.

Is it really that common in the US?

Well, I can't say exactly how common it is in the country, but I was surprised to run into a number of people prescribed it for this (as was I). I ran into fewer people using promethazine for this, although I'm aware it is rather common.

 

[Gorillaboy21]

They are strict when they prescribe zofran, and for some reason for me if I gotta puke during withdrawals no amount of zofran will stop it...

In fact it makes it worse sometimes cause now you're in between about to puke it out and in between fighting not being nauseas and it's this middle limbo state I get in and still end up throwing up breaking through the zofran like my body needs to puke it's a defense mechanism that's not good to inhibit all the time .

My mom has food posioning that's how I came up on the Zofrans and they only gave her 9 pills 4 mgs ...

They are strict with it I don't get why ? There's no legit anti nausea medication you can buy over the counter "Dramamine" lol

 

[CristelleChambers]

Also, I'm wondering since I'm not feeling well, is it ok if I took my dose a few hours sooner than my normal time?? Just don't wanna get sick or anything if I do. Plus I'm on 150mg.. does that matter?? It's been a while. Let me know if you guys think I'll be fine or not k??..Stay blessed

 

[vision conquest]

Be careful what methadone Doctor do not tell patients that are already at a high dose is that if you are already at 100-120mg a day an dose above that is pointless because your body will normalize the dose in 1-3 weeks an you will need a increase on dosage again. These corrupt methadone Doctors just want to get you on a high dose so you are stuck for life. Currently on 150mg a day for ,9 years. I get really bad stomach pain when I try to sleep at night around 11pm to 4am.

Man this is an 8 year old thread.

And I have to disagree with your comment, sounds like bro science if I've ever heard it, what does your body normalizing the dose mean.

It's very uncommon for someone who is maintained on say, 100mg to then need to go higher, generally you would only need to go higher if you had been playing up and using other opioids over your dose.

When I started on methadone maintenence I started at 100mg, I stayed there for about 6 months until I got my life under control and never needed to go higher, in fact over the years I slowly reduced my dose and am now on 60mg.
Methadone saved my life.

 

[Jen X]

All opiods can make your stomach upset.
Have you tried splitting your dose? Just in case it's not lasting and you wake sick.
When i was on it i would wake up anxious and sweaty, i hated it.

 

[vision conquest]

Obviously you have no idea what your talking about or your lieing because you can't start MAT at a 100.

you start at whatever dose you need to be on to be comfortable depending on how big your habit is.
Ok so I didn't get given 100mg the very first dose, honestly I can't remember what the very first dose they gave me was.
I came in to the program with a heroin habit and they gave me a dose that was going to keep me comfortable,from memory it was around 80mg.
Then they stabilized me, which took approximately two weeks and I was stabilized at a dose of 100mg.
That's basically the way it works, they give you your first dose according to the size of the habit you have and then they stabilize you over a period of about 2-3 weeks, obviously those figures are not set in stone, some may take a little longer to stabilize.

I imagine that with so many people now having fentanyl habits some people would be starting at well over 100mg.

I can only speak from my personal experience, but I've been on mmt for 25 years and as a general rule once someone is on a stable dose they rarely need to increase that dose unless there are extenuating circumstances, they have been using over the top of their dose, they have some sort of pain issue, or maybe their situation has become unstable for some reason or another.

It is very rare, in my experience that someone on a stable dose would just start needing more, regardless on whether they are on 100mg or higher.
I will admit that my comment about your post being bro science was somewhat disrespectful and for that I apologize, however I am certainly not a liar.

 

[vision conquest]

M

My friend any MMT clinic in America is not legally allowed to give you a starting dose over 30-40. It takes weeks to get to 80mg methadone. An on the other not again you are wrong because with any opiate that you take your body will normalize that given dose an you will need more in a month or 2

Ok, well I can only speak for what happens in Australia where I live.

Speaking for myself, once I was stabilized at 100mg I never needed to go any higher than that.
After stabilizing I gradually tapered my dose down to 65mg over the course of about a year, during this time I did not use anything other than methadone.

I then sat at 65mg for many years without ever needing to increase my dose to remain comfortable, as long as I didn't use over the top of my dose.

This was my experience and I know of many many people who had the same experience, I am a member of a mmt support group on FB so I can say that is the case for literally dozens of people I am friends with via this group and the same with people I have met physically over my many years on the program.

However I can only speak from my experience on mmt over the past 25 years.

Maybe I am wrong, I have apologised for being critical of your post and I am not going to say you are wrong.

All the best to you mate.