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Opioids Methadone Mega Thread and FAQ

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Hi everyone, im waiting in line to get either Suboxone or Methadone.
I would love some indo how methadone makes you feel thr fist 1-6 months nto 5 years.'

Ive taken Suboxone illegal to try and stay of the heroin,. were on bupe for about 2 years and i just get a little more energy and mood lift from Bupe in long term.

How does Methadone make You feel (i prefer if someone who has been in the program for an while would give me some do his time here)

Thanks!

Being on methadone for about 2 1/2 years now at high-doses I can say there is no "high-energy" feel to methadone... at all.

I dread taking my doses now because it seems I walk around in a fog; but some people can't live with that fog. I say you try out some "street" Suboxone (Buprenorphine) and then try methadone as the other way around is a brutal withdrawal... PM me if you want some more info from someone who has been on both for a considerable amount of time; or hit the AIM buttom on the left under my avatar...

Anyone with input please reply:

I got on the clinic about a month ago. Was using 2-3 bundles east coast powder a day sniffed.

They got me up to 80mg, I feel fine after dosing (not high one bit). I dose like 7 or 8am, work 9-5pm. By the time it's like 7, my pupils are huge, I just don;t feel sociable, and I am tired as fuck like falling asleep with my light on. My counsler said I need to raise my dose but then im thinkin I gotto come back down to get off so whats teh point.

Methadone has been good for me, becuas on suboxone I had really bad cravings I was always jumping back and forth, on methadone I have basically ceased all use of opiates besides meth. Now with that said, I dont wanna be on it for ever.

One part of me wants to go back to Suboxone. cause atleast I could be stable 24 hours a day on suboxone. I dunno, I mean I wanna try and come off everything..

QUESTION


i've only been on the clinic a month. do you think I could jump off at 80mg and switch to subutex? I have 23 pills I was thinking to make the switch and just try to taper to nothing and attempt sobriety drug free.

Anyone have experience switching to suboxone and not lowering down to 30mg on your methadone?

I jumped off at like 50mg/day and noticed profound psychological and physical anxiety without the sweats and the kicks which lasted about 3-4h; lucky I had a lot of Valium's on hand that I dosed a bout 15m before dosing at the Dr's appointment; overall not miserable like acute hydromorphone w/d was; but still not sailin on smooth seas.

At least the w/d's left pretty rapidly comparatively to anything else though~!
 
^ These are insanely high doses. I'm sure if you're at say 20mg of methadone, you can switch to 2mg of bupe or even less. There's a whole controversy as to how doctors prescribe much too high doses of bupe.

Eager to hear the results here too; I can predict all MMT junkies robbing CVS/Pharmacies for their "Sodium Bi-Carbonate." :!
 
I've been on both. I had a pretty unpleasant experience with methadone for a year. I was definately being over medicated, and I found myself falling asleep everywhere. It also didn't help very much with the cravings and I found myself downing xanax like crazy to try and simulate a "heroin high". On top of it, coming off is very unpleasant. My sleep was fucked up for almost four months. It didn't help though that at the rehab I was sent to, they gave me nothing to taper off, so I just had to go cold turkey.

Suboxone for me is a lot easier to get off of. I'll feel kind of shitty for two weeks, but after that I'm back to normal. However, the longest I've been on the bupe was four months. I think suboxone is also better, because if you stick to a low dose, like 2 mg, you seem to get a good effect from it. Someone above mentioned energy, and I definately experience that. I don't crave getting high on heroin as much as I did on methadone, but neither are wonder drugs in that department.

Honestly, I feel like if I really wanted to get clean I would choose to do it without either of these medications. Right now I need to be on suboxone, because I know if I'm not on it, I'll get high, and heroin always gives me horrible asthma attacks that have nearly killed me many times.
 
if you want a buzz methdone(opiate like) if you don't suboxone (you get a wierd buzz) 8mg have opiate blockers too
 
Originally Posted by loulou reed
I took 1 to 2 grams of sodium bicarbonate after dosing my weekly recreational intake (50mg instead of my daily 10mg).
It's supposed to make the duration of methadone longer, due to its basic nature, as the more acidic the stomach is, the shorter the duration of the drug.
I'll keep you in touch.

Ok, it's been 48 hours since I last dosed on methadone, and I'm ok. Normally at this mark I begin to be a little nervous and a bit wanting to redose.

However, keep in mind that I have a very long methadone metabolism.
That said, I should have taken some sodium bicarbonate (or is it "baking soda" in English? don't know which term is adequate) every day, 2 grams a day. I didn't take some yesterday.

I'm going to redose this afternoon and keep going on my normal methadone schedule, and I'll do the baking soda experiment again next week on monday. I'll keep you in touch.
 
Check the 3rd Ed. Methadone Drug Interaction Guide.

Sodium Bicarbonate aka Baking Soda is listed (and has been for a long time) as a Methadone potentiator as a urinary alkaliner. Urinary acidifiers would have the opposite effect on Methadone duration.

The problem with potentiators (that is, chemicals that alter the natural metabolism of Methadone) in MMT patients is that you can become dependant on the potentiator as if it were an opioid. There are many MMT patients with a Tagamet habit- if you take Cimetidine everyday an hour-2 hours before you dose, 200-800mg, if you suddenly stop taking Tagamet you will most likely feel like you've taken a much lower Methadone dose, possible opioid withdrawal syndrome. Same with Sodium Bicarb. Or Ginger. Or Omeprazole. Anything that alters your body into upping or extending Methadone blood/plasma levels without taking additional Methadone.
 
Question,..

Has anybody on MMT ever received their daily dose via IV? Maybe you were in the hospital for whatever reason and got your dose IV instead of orally. I was wondering, how would IV methadone compare to the oral concentrate that most clinics use? Is it euphoric at all? or just sedating....

thanks in advance for any input!
 
Question,..

Has anybody on MMT ever received their daily dose via IV? Maybe you were in the hospital for whatever reason and got your dose IV instead of orally. I was wondering, how would IV methadone compare to the oral concentrate that most clinics use? Is it euphoric at all? or just sedating....

thanks in advance for any input!

IV Methadone maintanence is used in the UK and has been for many decades. Not too many people are prescribed to it, but it does exist.

Some say there is no immediate rush or warmth, some say there is. Some say it takes the same amount of time as oral dosing to take effect (45-90 minutes) some say it takes full effect in a shorter period of time (5-30 minutes).

Theres a lot of speculation when it comes to IV Methadone. Though it is commonly found on the recreational and addict drug scene (check out the walk in inject rooms in Canada and Europe, it became such a problem that many have a policy against patrons banging Methadone tablets or syrups, but other pills are allowed). There is much debate on what it does.

There are facts, however. For analgesia, half the dosage is required. I.e. a person receiving 10mg oral Methadone for pain twice a day if switched to IV Methadone would only require 5mg Methadone IV twice a day.

Keep in mind Methadone DTF: That UK wonder that is green, 1mg/1ml Methadone used commonly for oral maintanence and contains alcohol and chloroform to cause both horrible burning sensations and vein damage if injected.

People inject Methadone, but they will never agree as to what it does, or why they all do it. Many people make blanket statements ("people shoot Methadone because of needle fixation", "People shoot Methadone because it gives a good rush and high", etc).

It's a tricky subject, and injecting non-ampoule sources of Methadone is a hairy business with several studies to back up how dangerous it is (one such study found that not 1 MMT Methadone injector in the US in the study had not had phlebitis at one point or another and most had had abscesses and other needle play related health problems). IV Methadone is a trouble magnet.
 
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This website I am linking to should be on the front page of the Megathread. It is Merck's Methadone info page, it contains every little detail about Methadone, including some that are left out of other sources.

http://www.merck.com/mmpe/lexicomp/methadone.html

This next link is to the 3rd Edition last revised 11.2005 of the Methadone Drug Interaction Guide. It is imperative that MMT / Methadone buffs read it and know that shit:

http://www.atforum.com/SiteRoot/pages/addiction_resources/Drug_Interactions.pdf

There is also the Methadone Briefing, which is a UK site but should be read by Americans in MMT.
 
I put that Merck index right at the top of the mega thread... thanks for that.
 
my hell ride off mmt to sub is going 2 stop

Long story short I just C.T. jumped off a whopping 150mg methadone almost 3 months ago and immediately went into detox. I did all this even though people clearly told me it would fail. I was out to prove them wrong, well I turned out the loser in the end. I went through wd hell for 4 or 5 days straight. Oh btw I was doing great on subs for the first two weeks, then like a bat outta hell I started becoming full of rage and went ballistic, ready to kill a handfull of people I despise in my pos town and state I live in.

I currently am on 3 8mg subs daily and I tried taking em all at once, then spread out through the day, I am also on 3 2mg xanax generic daily for ptsd. The xanax works better!!!!. I get absolutely zero effects from the subs, I am "about to rob the pharmacy" I am so fed up with not being properly Opiated in such a long "dry spell", that I'm not going to take it anymore. I am also manic depressed and so volitile right now that I'm about to come up with my own sneaky way to get ahold of any strong Opiate I can.

This is going to end my life, if things dont change FAST. I think I see my sub doc in a day or two and I dont even care if I get kicked off because I only went to 2 out of 3 na or aa meetings he requested or "strike 3" and I'm out. Well I am not into NA or AA at all and do not beleive in or about to start working a 99% failure rate 12 step program. I'd rather read from W.S.B.'s books. I know my body very well and since I clearly remember getting a very short "honeymoon period" for only 2 weeks back on subs and then it quickly going away. I tried being patient and I'm more patient that the average "joe".

Well when I lose my patience, "the shit hits the fan and so it has". I went manic about a month ago when trying to just finish working on the family car I hate working on. I was cussing as loud as I could, didn't give one F about anything after that. Well I started bustin up shit like crazy in the basement from my "current bored tired out old hobby in electronics". That was a mess to clean up. I am so fucking pissed today, because there is a huge spring cleanout in the town near me. Most people here know of them, usually a town has it every 1 or 2 years, well today is the day to find stuff and I've been so in "fuck it" mode about life in general lately, that I didn't bother borrowing my bros truck. I probably will miss out on stuff maybe, that I could make quick easy money on selling on auction after cleaning up etc, with 20 years of tech experience, I used to make ok money. Now I dont have a fucking pot to piss in.

All because my attempt to get revenge on the "dump" mmt clinic I was at before failed. SO, I called "the bitch" I want to kill literally at "the dump" and she still was a c**t. Seeing that "worthless" still works there, now I am going to have to go to a clinic 45mins from me as opposed to 20mins(very minor inconvenience). Well first thing tomorrow when I get up, I'm calling the mmt clinic that I've never been at before. I only found out about it, because I met some total loser, who was cool at first as I was coming outta the clinic I was at last year in august. We went back to his place which was a total flophouse, but I didn't care, I just was interested in trying crack at first. Well that was awesome to feel that "Morphine like buzz", because the crack potentiated the methadone. I have odd body chemistry, so I got feeling great again for a few weeks, that's until he turned "asshole in a day on me", I dumped him and then shit started hitting the fan at the "dump"

I quit coming in at the same time "mr asshole came", but he told me about the clinic in his town, he said he got kicked out LOL ha ha for having too many dirty UA's from H or crack etc. But he told me, "man the one where i live is way better, they charge you on a sliding fee scale and dont treat you like a fucking cow like the one we are at now. So I'm all hopeing and hanging by a thread of last hope, that when I get into this new clinic, that I get my life back off subs and get properly Opiated on a full agonist Opiate.

What a total failure and waste of detox etc this has been, this is the story of my life, all my life, things suck so much of the time, with very little time inbetween of "happy great things going on". I'm very suicidal now and have a very small glimmer of hope. Wish me luck everyone that going back on mmt at a better place will work out.

I should have just went to the better clinic back then, but in a way I think this was good because at least now I know for sure where my tolerance stands and taking a break from Opiates can help too, so the detox was not really a total waste but I took too long to realize sub does not work like it did back when I just had a norco habit bigtime. They even told me at the clinic I hate, that once I switched to a much stronger and full agonist Opioid(methadone), that going back on sub would not only be misery, but it would simply not work again. Well now I know the truth, I just wish I had went to the better clinic a few weeks ago, before I started pissing money away on tussin cough syrup to get high. I had close to $200 cash on me a few weeks ago and could have saved myself from alot of hell, if I had just went into the better place and got off this sub then.

Now its just a matter of money and when I can get into the better place, plus figuring an easy way to keep them from knowing about "the bitch from hell" or anything at all about me even being at the "dump". At least I will get better take homes at the new place, well sorry for rambling again, I'm just sooo pissed right now, wish me luck everyone.
 
Tchort, thank you for the information, and the link to the Merck Methadone information site; very informative. I'd urge anybody currently taking methadone to check it out.
 
Methdone is just a way for the gov't to get a cut of the action... Suboxone works but is often over prescribed. 3 8mgs a day for two yrs? WTF!!!
 
^It's not trolling just cause their opinion and experience differs so greatly from yours... Everyone feels strongly about their maintenance meds... you obviously do too!
 
^ Thank you! They would all work, if used properly and the person really wanted to kick. I just see all of these a substitutions otherwise. And for any program to keep someone on for years, w/o the need is just ridiculous. They are just perpetuating the problems...
 
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^ Thank you! They would all work, if used properly and the person really wanted to kick. I just see all of these a substitutions otherwise. And for any program to allow someone to be on for years is just ridiculous. They are just perpetuating the problems...

Unfortunately I really think there is the chance that some addicts may need them for years. Thats just my opinion though, I don't claim them as facts.
 
^ Thank you! They would all work, if used properly and the person really wanted to kick. I just see all of these a substitutions otherwise. And for any program to allow someone to be on for years is just ridiculous. They are just perpetuating the problems...

How is being on opioid replacement therapy for years ridiculous? Opioid addiction is notorious for being one of the hardest addictions to kick, and I know that if it wasn't for opioid replacement therapy (methadone maintenance), I'd be withdrawaling at least one week per month... and overall I'd be an addicted mess. Opioid replacement therapy sometimes needs to go on for a life-time because the addiction has high relapse rates when one stops the opioid replacement therapy.

Almost EVERYONE relapses once they get off of methadone/buprenorphine... so I don't see how it is 'ridiculous' to stay on opioid replacement therapy for years if it keeps you clean and is helping you out...
 
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