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Opioids coming off methadone

blackmarket91

Bluelighter
Joined
Jun 19, 2017
Messages
220
Im trying to find the best solution to coming off methadone i have been on it now for 5 weeks at 95 mg a day. i feel the longer i am on the harder it will be to get off. i have came off before cold turkey 6 years ago and it was insanely brutal on how long it took to get well so i wana avoid that. sadly tapering methadone is difficult for me as i enjoy the drug to much.


so far i feel my options are sr17 or sublicade/suboxone? reason i fear suboxone itself is due to it messing up my teeth and i fear that the sr17 wont work and ill need to be on it for a long time. i have tried it short term for when i kicked 7oh but idk if it will last do well with methadone and tbh im sure id have to use it 2-3 months and im sure will come with its own withdrawals that we dont fuly understand yet as its only been tested on mice so that unknown scares me tbh.

then theres the sublicade shot i have heard lots of stories of people getting like 3 shots and just walking off during their last shot of 100 and being done with it which i would like to do tbh.


suboxone wd sucks but its not as bad as methadone wd to me i simply cant deal with methadone wd again over 6 days ill lose my mind also curious how fast can i go down to meet the 50mg requirments to get on subs from 95 a day?
 
Sorry i know its a long winded post.

I think I might skip the sublocade shot and just do subs do you think 2 months on subs is enough to get the methadone wd out of my system before i then start to come off the subs?

I find it will be easier coming off subs than methadone but since it will have been a good 6 t 7 weeks of methadone use i need to make sure its completely out of my system first i dont wana have to be withdrawaling from both at the same time or maybe im thinking about this wrong?
 
If you ask me, I think you should start out by lowering your Methadone dose to 30mg for at least 3-5 days. If we were painting a house, that is the primer coat. You do not want to mess around with switching between Methadone maintenance and Buprenorphine if you do not have to. Get to 30mg first and then all of your listed options will be easier and more effective.

I don't think moving down to Buprenorphine from Methadone is a bad idea in general for most people. Buprenorphine is a partial-agonist that is typically easier for foks to step off of as you have implied.

If you get to a low-ish dose of Methadone and acquire some Buprenorphine, we can then walk you through the stepwise method of Buprenorphine induction. That would likely mean 48 hours without any Methadone before we could even attempt to induct you on it without serious concern for precipitated withdrawal.

Do you think you're able to do that?
 
so how withdrawal from opiates work is its 5x the half life plus like 3.5 days for the system to start to reset.. methadone is weird because the half life isn’t consistent due to biological differences.. it can vary wildly but generally comes in around to 24 to 36 hours.. but it can also so high that people just walk with no withdrawals. That’s not typical.. Jumping methadone.. which i have done is around a two week journey and that’s not including the paws and battle with the real addiction.

So what i’d roll is a three part plan established before you enter the acute withdrawls.. before you rip that cord kinda want to know how and steer that chute and land. Many people focus on the acutes.. but that unfortunately is the easy part.. what’s your plan for the paws and possible addiction? If you don’t look at that you are ignoring huge aspects that at best return you to repeated acute withdrawal and at worst put you in a very dangerous position to OD.

Once you make a little way down the recovery road you can die real easy on shit that would hardly get you off two weeks ago.

my advice would come up with a significant real plan to tackle acutes, post acutes and addiction. Then roll it.. if it doesn’t initially work make sure you don’t od and make any necessary adjustments so you get were you want to go..
 
If you ask me, I think you should start out by lowering your Methadone dose to 30mg for at least 3-5 days. If we were painting a house, that is the primer coat. You do not want to mess around with switching between Methadone maintenance and Buprenorphine if you do not have to. Get to 30mg first and then all of your listed options will be easier and more effective.

I don't think moving down to Buprenorphine from Methadone is a bad idea in general for most people. Buprenorphine is a partial-agonist that is typically easier for foks to step off of as you have implied.

If you get to a low-ish dose of Methadone and acquire some Buprenorphine, we can then walk you through the stepwise method of Buprenorphine induction. That would likely mean 48 hours without any Methadone before we could even attempt to induct you on it without serious concern for precipitated withdrawal.

Do you think you're able to do that?

yes i can go 72 hours without methadone to give it time so i dont go into PW.


as i said i came off methadone cold turkey before years ago. it was super brutal tapering super low was tough for me once i got to 16 mg i caved and ended up taking more so i dont see myself being able to fully taper off methadone but i can taper low enough to make the jump to subs. now my question is how fast can i do this?


im at 95 mg atm can i do this within a 2 week period? i feel the longer im on the meth the harder its going to be to come off it. subs to me is much easier to come off than methadone thats why im willing to just switch to subs but i feel will need to take it a good 2 months minimum till the meths long gone out of my system then i can stop the subs. now the question i also have is how should i use the sr17 that i have purchased? i have a good 2500mg worth which could last me a good 6 weeks or longer was thinking maybe during the worst part of my sub wd which normally is day 7-21 i could take it during that time for 2 weeks and slowly taper it?
 
so how withdrawal from opiates work is its 5x the half life plus like 3.5 days for the system to start to reset.. methadone is weird because the half life isn’t consistent due to biological differences.. it can vary wildly but generally comes in around to 24 to 36 hours.. but it can also so high that people just walk with no withdrawals. That’s not typical.. Jumping methadone.. which i have done is around a two week journey and that’s not including the paws and battle with the real addiction.

So what i’d roll is a three part plan established before you enter the acute withdrawls.. before you rip that cord kinda want to know how and steer that chute and land. Many people focus on the acutes.. but that unfortunately is the easy part.. what’s your plan for the paws and possible addiction? If you don’t look at that you are ignoring huge aspects that at best return you to repeated acute withdrawal and at worst put you in a very dangerous position to OD.

Once you make a little way down the recovery road you can die real easy on shit that would hardly get you off two weeks ago.

my advice would come up with a significant real plan to tackle acutes, post acutes and addiction. Then roll it.. if it doesn’t initially work make sure you don’t od and make any necessary adjustments so you get were you want to go..

so how withdrawal from opiates work is its 5x the half life plus like 3.5 days for the system to start to reset.. methadone is weird because the half life isn’t consistent due to biological differences.. it can vary wildly but generally comes in around to 24 to 36 hours.. but it can also so high that people just walk with no withdrawals. That’s not typical.. Jumping methadone.. which i have done is around a two week journey and that’s not including the paws and battle with the real addiction.

So what i’d roll is a three part plan established before you enter the acute withdrawls.. before you rip that cord kinda want to know how and steer that chute and land. Many people focus on the acutes.. but that unfortunately is the easy part.. what’s your plan for the paws and possible addiction? If you don’t look at that you are ignoring huge aspects that at best return you to repeated acute withdrawal and at worst put you in a very dangerous position to OD.

Once you make a little way down the recovery road you can die real easy on shit that would hardly get you off two weeks ago.

my advice would come up with a significant real plan to tackle acutes, post acutes and addiction. Then roll it.. if it doesn’t initially work make sure you don’t od and make any necessary adjustments so you get were you want to go..
ohh trust me yeah methadone was brutal man the acute wd lasted me like half a year it felt like and trust me i remember the paws.. That lasted a good 2 years. i didnt feel myselfish till 3 years in. im hoping since my relapse wont be as bad with the paws due to the short length of time i did it but who knows. Was sober for years and 7 oh got to me didnt realize how dangerous that shit was given it came from a smoke shop and made me spiral nvr had mental freak outs like i did on 7oh.


regardless i know what im headed for. i came off a high dose of it before and was on it for 6 years straight luckily this time its been 6 weeks not 6 years and i feel subs arnt as hard to beat as meth to me at least i just wish could do it for 3 weeks or so then kick the subs but sadly i gotta do it and wait for the meth to completely clear from system thats what sucks trying to figure out thats why i was thinking of the shot also with the shot i reduce the risk my ruining my teeth as subs destroy your teeth and luckily my teeth are good
 
ohh trust me yeah methadone was brutal man the acute wd lasted me like half a year it felt like and trust me i remember the paws.. That lasted a good 2 years. i didnt feel myselfish till 3 years in. im hoping since my relapse wont be as bad with the paws due to the short length of time i did it but who knows. Was sober for years and 7 oh got to me didnt realize how dangerous that shit was given it came from a smoke shop and made me spiral nvr had mental freak outs like i did on 7oh.


regardless i know what im headed for. i came off a high dose of it before and was on it for 6 years straight luckily this time its been 6 weeks not 6 years and i feel subs arnt as hard to beat as meth to me at least i just wish could do it for 3 weeks or so then kick the subs but sadly i gotta do it and wait for the meth to completely clear from system thats what sucks trying to figure out thats why i was thinking of the shot also with the shot i reduce the risk my ruining my teeth as subs destroy your teeth and luckily my teeth are good
six weeks of subs you’re probably looking at around two weeks but shouldn’t be that bad. if you have or take any agonists you will reset your time line. You already know how to do it.. back at it right?
 
six weeks of subs you’re probably looking at around two weeks but shouldn’t be that bad. if you have or take any agonists you will reset your time line. You already know how to do it.. back at it right?
ehh yeah but just wondering how bad it will be this time also i have sr 17 that i can add in as well to help so wasnt sure of best way to use it.

also will 6 weeks honestly be enough time using subs before switch? cause i def dont wana be withdrawaling from both again i wont have been on the methadone that long so hopefully that means it wont last as long as normal i guess what ill do is over the next 2 weeks get y dose down to 30/40 then drop it for the subs.


also taking something like a few real oxy during the wd you think would completely reset me? in the past when i kicked subs id use oxy on the weekend and was actually fine after 2 months not sure if im reading you right obviously i dont wana use daily but if things got to bad id use a few oxys to get me through it would make me feel weird for a few days but dont think it completely reset me. feel free to educate me though if i am wrong on this can only go off how i felt
 
Hey I tapered off a hundred by going down 5 mg every 2 weeks at my methadone clinic, I honestly never felt anything wds until the very end maybe last 15 or 10 whatever it was when I just said f this and stopped going. I was on it for 4-5 years myself so we're same boat so I don't see why u can't do it. U got this, remember most of it is in ur mind and u really will feel like the shit after u get off I mean I was seriously proud of myself when I did. You'd think I would have known better after all those years of being off 16 years now than to do something dumb like start using Kratom but that's should be ok since I got over the freakin destroyer methadone.
 
Hey I tapered off a hundred by going down 5 mg every 2 weeks at my methadone clinic, I honestly never felt anything wds until the very end maybe last 15 or 10 whatever it was when I just said f this and stopped going. I was on it for 4-5 years myself so we're same boat so I don't see why u can't do it. U got this, remember most of it is in ur mind and u really will feel like the shit after u get off I mean I was seriously proud of myself when I did. You'd think I would have known better after all those years of being off 16 years now than to do something dumb like start using Kratom but that's should be ok since I got over the freakin destroyer methadone.


puke is not playing games.. i came off 80mg methadone to 5 setting the roxie aside.. opiates kinda work if you have a little bit you can shoot through.. i’d totally love to hear everyone’s take.. that’s just mine.. love u all look forward to everything you all say!!
 
Like I said, SR is relatively uncharted territory as a comparatively novel compound. It's not like we don't have data though. I found this post on Reddit following a few brief seconds of searching. The case described by the OP in said post is not out of the ordinary either. I have now read perhaps a dozen similar stories; people on maintenance Methadone doses (80mg+) using SR to taper, often with minimal or even no preparation or comfort medications. If any of this that I'm reading is even partially true, we have a revolutionary substance on our hands guys. Ibogaine (Tabernanthe Iboga) was for years implied to be a "magic bullet" for overcoming Opioid dependence quickly, with minimal lasting effects.

For whatever reason, that never caught on. I have heard mixed experiences from people regarding Ibogaine. What I read was intriguing. However, it ultimately was not promising enough to provoke further investigation on my part. Experiences are quite mixed. To me, it sounded like taking an intense psychedelic trip whilst in the most horrible withdrawal of your life. I have had bad trips independent of being heavily sick from Opiates. The whole thing was just too frightening, exotic and actually, not realistically obtainable, so I forgot about it.

@blackmarket91 that's great. If you can make it to 72 hours, you should be golden. If you wanted to make an earlier attempt, say after 48 hours, you can do so with fairly mild consequences for getting it wrong. Like a Great White Shark, make exploratory bites so you don't end up eating a scuba tank and exploding, trust me, it happens every dsay, it's just not widely reported due the Shark/Jewish/Gay media conspiracy, but I digress.

Get to at least 48 and take 0.5mg Buprenorphine at the most. If it is too early, just ride out the mild discomfort and wait a little while longer. The crux of this issue is largely that people are unable to figure for themselves the concept of taking smaller doses during induction. It's no their fault. The medical establishment has absolutely zero practical knowledge in regard to this. Sadly, this problem, precipitated withdrawal, has a solution that, wben you realize how obvious the logic is, you lost another few faith points in your prescribers. I am some guy on the internet. Why the hell am I answering these questions? When you ask yourself that, you realize they either A. Didn't care enough to learn the basics of this drug B. They have an understanding but are not willing to make the extra investment in time, energy and the need for follow-ups.

If an addict or even your run-of-the-mill "Pain Management" patient messes up their treatment in any way, the blame is placed at their feet by default. You took more pills? It's not because of pain, it's because you've developed an addiction, despite my perfect due diligence and care as your physician, furthermore, I am disappointed in you as a human being for abusing my trust, risking my license, you should be genuinely ashamed for yourself... also, I'm immediately withdrawing all of your scripts and sending in a high-dose Ibuprofen fill so it looks like I'm doing something. Ibuprofen is a painkiller. It says so right on the box. If you are taking it and your pain is not being relieved, you are violating the laws of science and/or nature and also seeking more drugs to feed your addiction, which I will write in your file: difficult, drug-seeking, dishonest etc.

Regarding your Methadone situation at @blackmarket91 there should be no problem with you doing the taper as we have discussed here. Try 48 hours but ideally 72 hours. Do your slow, stepwise induction of Buprenorphine. For the first few days, you may need a little extra help with the transition. I would recommend stopping your induction at 4mg-6mg at the very most and less if you're able.

I know you are trying to spend as little time as possible dependent as to not further fuck your tolerance. For this reason, I think you should immediately start tapering the Buprenorphine once you reach your stable dose. I say, take 4mg Buprenorphine sublingually in 2 divided doses or even 3 if that's what you feel works best, but 2 should be fine, when you wake up and before you go to sleep. I would do this for 4-5 days max. Just make sure you have identified the actual dose of Buprenorphine with which you can work and function on, then begin decreasing.

I would recommend doing a 3-5 day taper. I say, make it linear, with ~1mg dropped per day. Once you get to the very end, I would recommend doing another 3-5 day detox in which you move from 0.5mg-`mg down to 0mg in 0.2mg increments.

You may think this is overkill. Just ask yourself if there is such thing as overkill for a challenge that has bested you your entire life. I've seen a lot of people with good intentions dive into withdrawal protocols that set them up for failure. They go too fast, they are unprepared, they refuse to invest the time necessary to actually succeed. Everyone in this world right now wants their shit at their doorstep immediately. I'm sorry readers, but Methadone withdrawal can last 6 months to a year before heavy, long-term users can honestly, truly claim they don't feel the hooks in them anymore. That is an entire year in which you cannot bend or break, lest you forfeit all of your work. You need a plan.

If you need more specifics regarding the schedule, let me know dude. I can recommend some good supplements and perhaps medications too, though you seem pretty knowledgeable already and I don't want to patronize you.

Given the amazing powers of this SR stuff, I think it would make sense to end this with a short taper using SR as well. You could even consider using a small maintenance dose of SR on a moderate/long-term basis. I understand the goal is to be Opioid free and I respect that. I would advise, once you reach this point, if you feel unable to resist the temptation of using, use the SR and you can potentially have your cake and eat it too.

I hope this helps. Let me know if you have any questions.
 
There really is so much BS out there.. i was just looking through it.. so naloxone has a terrible BA taken orally but there a quite a few warnings on taking subs to early on methadone. I’m not telling anyone super exact advice here.. but the reason the naloxone is included in in suboxone is to prevent it from being injected.. it’s kinda sad how little medical professionals know about this.

i personally have had no issues with precipitated withdrawls when i was already clearly withdrawing from methadone taking buepe orally.. don’t get all over me if you experience it.. just saying i think it’s only a thing if your still really under the effects of a full agonist.

Yeah people go into full withdrawls given narcan nasally or iv.. but how many people actually have had precipitated wd from from oral suboxone coming off methadone??? i haven’t read any posts on BL that claim this.
 
There really is so much BS out there.. i was just looking through it.. so naloxone has a terrible BA taken orally but there a quite a few warnings on taking subs to early on methadone. I’m not telling anyone super exact advice here.. but the reason the naloxone is included in in suboxone is to prevent it from being injected.. it’s kinda sad how little medical professionals know about this.

i personally have had no issues with precipitated withdrawls when i was already clearly withdrawing from methadone taking buepe orally.. don’t get all over me if you experience it.. just saying i think it’s only a thing if your still really under the effects of a full agonist.

Yeah people go into full withdrawls given narcan nasally or iv.. but how many people actually have had precipitated wd from from oral suboxone coming off methadone??? i haven’t read any posts on BL that claim this.
i got PW once when first got off methadone took it on day 3 or 4 actually but i came off 200 mg so still had a lot built up in my system it was a shitty next 8 hours.

so im going to take my time and wait maybe 4 days again and get my dose down to at least 60 before making the jump gonna prob try to go down 5 every 3 days or so so i can quickly switch over to subs to get things started.

lol so shitty that i gotta get myself addicted to subs only to then have to come off the subs but for me subs is easier to beat than methadone.
 
Yea man, you're doing a good job of nipping it in the bud. You are far from a terrible situation right now. Just stay focused and don't fall backward and you will be fine. Let us know if you need anything including advice, support etc.
 
Like I said, SR is relatively uncharted territory as a comparatively novel compound. It's not like we don't have data though. I found this post on Reddit following a few brief seconds of searching. The case described by the OP in said post is not out of the ordinary either. I have now read perhaps a dozen similar stories; people on maintenance Methadone doses (80mg+) using SR to taper, often with minimal or even no preparation or comfort medications. If any of this that I'm reading is even partially true, we have a revolutionary substance on our hands guys. Ibogaine (Tabernanthe Iboga) was for years implied to be a "magic bullet" for overcoming Opioid dependence quickly, with minimal lasting effects.

For whatever reason, that never caught on. I have heard mixed experiences from people regarding Ibogaine. What I read was intriguing. However, it ultimately was not promising enough to provoke further investigation on my part. Experiences are quite mixed. To me, it sounded like taking an intense psychedelic trip whilst in the most horrible withdrawal of your life. I have had bad trips independent of being heavily sick from Opiates. The whole thing was just too frightening, exotic and actually, not realistically obtainable, so I forgot about it.

@blackmarket91 that's great. If you can make it to 72 hours, you should be golden. If you wanted to make an earlier attempt, say after 48 hours, you can do so with fairly mild consequences for getting it wrong. Like a Great White Shark, make exploratory bites so you don't end up eating a scuba tank and exploding, trust me, it happens every dsay, it's just not widely reported due the Shark/Jewish/Gay media conspiracy, but I digress.

Get to at least 48 and take 0.5mg Buprenorphine at the most. If it is too early, just ride out the mild discomfort and wait a little while longer. The crux of this issue is largely that people are unable to figure for themselves the concept of taking smaller doses during induction. It's no their fault. The medical establishment has absolutely zero practical knowledge in regard to this. Sadly, this problem, precipitated withdrawal, has a solution that, wben you realize how obvious the logic is, you lost another few faith points in your prescribers. I am some guy on the internet. Why the hell am I answering these questions? When you ask yourself that, you realize they either A. Didn't care enough to learn the basics of this drug B. They have an understanding but are not willing to make the extra investment in time, energy and the need for follow-ups.

If an addict or even your run-of-the-mill "Pain Management" patient messes up their treatment in any way, the blame is placed at their feet by default. You took more pills? It's not because of pain, it's because you've developed an addiction, despite my perfect due diligence and care as your physician, furthermore, I am disappointed in you as a human being for abusing my trust, risking my license, you should be genuinely ashamed for yourself... also, I'm immediately withdrawing all of your scripts and sending in a high-dose Ibuprofen fill so it looks like I'm doing something. Ibuprofen is a painkiller. It says so right on the box. If you are taking it and your pain is not being relieved, you are violating the laws of science and/or nature and also seeking more drugs to feed your addiction, which I will write in your file: difficult, drug-seeking, dishonest etc.

Regarding your Methadone situation at @blackmarket91 there should be no problem with you doing the taper as we have discussed here. Try 48 hours but ideally 72 hours. Do your slow, stepwise induction of Buprenorphine. For the first few days, you may need a little extra help with the transition. I would recommend stopping your induction at 4mg-6mg at the very most and less if you're able.

I know you are trying to spend as little time as possible dependent as to not further fuck your tolerance. For this reason, I think you should immediately start tapering the Buprenorphine once you reach your stable dose. I say, take 4mg Buprenorphine sublingually in 2 divided doses or even 3 if that's what you feel works best, but 2 should be fine, when you wake up and before you go to sleep. I would do this for 4-5 days max. Just make sure you have identified the actual dose of Buprenorphine with which you can work and function on, then begin decreasing.

I would recommend doing a 3-5 day taper. I say, make it linear, with ~1mg dropped per day. Once you get to the very end, I would recommend doing another 3-5 day detox in which you move from 0.5mg-`mg down to 0mg in 0.2mg increments.

You may think this is overkill. Just ask yourself if there is such thing as overkill for a challenge that has bested you your entire life. I've seen a lot of people with good intentions dive into withdrawal protocols that set them up for failure. They go too fast, they are unprepared, they refuse to invest the time necessary to actually succeed. Everyone in this world right now wants their shit at their doorstep immediately. I'm sorry readers, but Methadone withdrawal can last 6 months to a year before heavy, long-term users can honestly, truly claim they don't feel the hooks in them anymore. That is an entire year in which you cannot bend or break, lest you forfeit all of your work. You need a plan.

If you need more specifics regarding the schedule, let me know dude. I can recommend some good supplements and perhaps medications too, though you seem pretty knowledgeable already and I don't want to patronize you.

Given the amazing powers of this SR stuff, I think it would make sense to end this with a short taper using SR as well. You could even consider using a small maintenance dose of SR on a moderate/long-term basis. I understand the goal is to be Opioid free and I respect that. I would advise, once you reach this point, if you feel unable to resist the temptation of using, use the SR and you can potentially have your cake and eat it too.

I hope this helps. Let me know if you have any questions.
ohh yes trust me i know how brutal methadone wd can be. i came off a very high dose ct years ago and was sober for almost 6 years completely drug free.

i think im a bit confused tho when you said i should only do the subs for a short time? the reason i wanted to do subs was cause i find subs easier to come off of than meth as i have done both before and to me subs was a good bit easier to beat. if i only take subs for 5 days or so im still gonna be on methadone wd i feel id need a good 2 months of not taking meth and staying on subs till its completely out of my body right?

i was thinking what i could do was do that method and when i come off the subs around 2 months in i could take sr 17 some to get myself well so wont be sick working ect. i have read on reddit that some have had some withdrawals from it as well using more than 12 days i did it for 9 days and was fine.

apparently it has a very long half life in mice so that part scares me to wana take for a long time. then i could see myself in a cycle of dealing with another long term opiate if something only last a week or so thats one thing but weeks on end sucks lol
 
Yea man, you're doing a good job of nipping it in the bud. You are far from a terrible situation right now. Just stay focused and don't fall backward and you will be fine. Let us know if you need anything including advice, support etc.
i really appreciate taking the time to help me out yeah sucks had a relapse was doing well i had 2 surgery opiate free back surgery and wisdom teeth taken out did both with just Tylenol got myself involved with someone which wasnt a good situation ended up using was stupid.

i wana be comepltely drug free again i metnally cant stand being on something it freaks me out tbh ever since i came off methadone in 2020 i freak out at the thought of mat or any drug being in my system that i have to take to point i have almsot panic attacks fixating on it.

luckily i have only been on methadone a short time coming up on 6 weeks so far so hopefully that works in my favor hopefully making it easier and getting out of my system faster than last time being on for 6 years at 200 mg a day.

do you think im goign about that the right way? most long term opiates like subs or meth claim around 28-45 days or so for acutes to be over so to be sure the emthadone is compeltely gone i figure i do it for 60 days so i wont be dealng with sub and methadone wd at same time? then can just focus on coming off the subs since to me its a easier wd to deal with and i can also use sr 17 some to help during the worst parts of it usualy day 6-21 for me
 
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