Hi Kate, you wrote:
You know, I think in your situation that methadone is the lesser of the evils, but make no mistake it is an evil little son-of-a-bitch once it gets hold of you and you try to stop it. Let me also give you some advice about constipation while you are on methadone - try Miralax (it's available as a generic). It's over-the-counter and it worked better for me than anything else. It worked long term too without increasing the dose. I mixed half a capful with a bottle of gatorade once a day with dinner. When I stopped methadone, I also stopped the laxative - and I really didn't have much of a problem with the runs during those first few really rough weeks of WD's.
Regarding your methadone dose, give it several days to take effect. I wouldn't go up 5mg unless you really need it (only you know that answer). It will be harder to come off it later if you take high doses. 30mg is not high, but it's not low either. As far as very slowly tapering off it - and it not being that bad, then maybe if you cut back 1mg every month or two, then maybe it wouldn't be severe, but you will feel it and you'll likely feel crummy coming off it. Still, like I originally said, it seems it's the lesser of the evils you have to choose from and it can help stabilize you. You won't get the high from it like other opiates. Instead, the more you take, the more you will start sweating. Even when it's cold, you will sweat like it's hot. Generic methadose made me sweat far more than actual methadone, so try to get actual methadone if you can. Either is cheap to get filled.
I want to be really honest with you about something Kate. You are very lucky that your BF is willing to give it another go, and yet you are still hiding things from him. If I were him, I would be in a trust-but-verify frame of mind for a very long time. I'd be watching and listening for clues because I'd feel like I deserve the same honesty that I give you. Now you are on methadone - stay on it and stop the momentary lapses in judgement (relapsing). You love him? - then really love him and be a partner 100%. Your relationship can be positively life changing for both of you - or it can fall apart again and maybe never have another chance. Please think about this seriously and don't let yourself get into situations where you are tempted to relapse. If you start thinking you deserve that high, then think "does your relationship matter more or less to you than the weekend high?"
All said, I hope very much that your life stabilizes and that you find you have a life that means more to you than the binges or weekend highs. I know I sound a bit judgemental, but I'm honestly not. I just want you to have the best life you can.
Your friend,
Dale
Dale, if you're reading this...let me know because I know you have methadone experience. I know it's a bitch to get off of, but my clinic assured me they would take me down incredibly slow and it wouldn't be that bad so I'm gonna trust them. Ugh, I hope this works out.
You know, I think in your situation that methadone is the lesser of the evils, but make no mistake it is an evil little son-of-a-bitch once it gets hold of you and you try to stop it. Let me also give you some advice about constipation while you are on methadone - try Miralax (it's available as a generic). It's over-the-counter and it worked better for me than anything else. It worked long term too without increasing the dose. I mixed half a capful with a bottle of gatorade once a day with dinner. When I stopped methadone, I also stopped the laxative - and I really didn't have much of a problem with the runs during those first few really rough weeks of WD's.
Regarding your methadone dose, give it several days to take effect. I wouldn't go up 5mg unless you really need it (only you know that answer). It will be harder to come off it later if you take high doses. 30mg is not high, but it's not low either. As far as very slowly tapering off it - and it not being that bad, then maybe if you cut back 1mg every month or two, then maybe it wouldn't be severe, but you will feel it and you'll likely feel crummy coming off it. Still, like I originally said, it seems it's the lesser of the evils you have to choose from and it can help stabilize you. You won't get the high from it like other opiates. Instead, the more you take, the more you will start sweating. Even when it's cold, you will sweat like it's hot. Generic methadose made me sweat far more than actual methadone, so try to get actual methadone if you can. Either is cheap to get filled.
I want to be really honest with you about something Kate. You are very lucky that your BF is willing to give it another go, and yet you are still hiding things from him. If I were him, I would be in a trust-but-verify frame of mind for a very long time. I'd be watching and listening for clues because I'd feel like I deserve the same honesty that I give you. Now you are on methadone - stay on it and stop the momentary lapses in judgement (relapsing). You love him? - then really love him and be a partner 100%. Your relationship can be positively life changing for both of you - or it can fall apart again and maybe never have another chance. Please think about this seriously and don't let yourself get into situations where you are tempted to relapse. If you start thinking you deserve that high, then think "does your relationship matter more or less to you than the weekend high?"
All said, I hope very much that your life stabilizes and that you find you have a life that means more to you than the binges or weekend highs. I know I sound a bit judgemental, but I'm honestly not. I just want you to have the best life you can.

Your friend,
Dale