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Harm Reduction All methadoned up but I don't want to switch to subs (scared)

lolis my thesis

Bluelighter
Joined
Aug 7, 2022
Messages
277
My pain clinician who has had me on 60mgs to 10mgs, Honestly its been great, I would prefer to take about 30mgs/day, from the clinic, for addiction and continue with benzos on my own terms. Is this common, I don't need take homes so much as a dependable place to dose so I don't go silly or dead on pillies? Idid save my kid's life cuz he sniffed something bad and fell out. I gave him 8mgs narcan; but EMS said it takes 12 these days; so CPR I did I assumed it was on my dead son.! Thank narcan and yours truly he's alive yah!

So I have a benzo addiction which puts my tolerance to 2.5mgs, and I am only rxed 1mg. PTSDandno clear path to a psyciatrist, only nurse practictioners offering prozac. Which makes me suicidal BTW
I take the methadone for back pain; however whden it is taken away, blues are available. I will take them over risking sub precips. Maybe Im freaking out cuz 10mgs methadone isn't the mosts. but Its fucked up trying to get this pain treatedany more easily. I do understand clinics don't treat pain but im addict too!
Subs available if I want to roll the dice about getting sick. Been on methadone and benzos 20 years.

If I am gonna take a blue, should I try my luck at the methadone clinic first?
I have no problems admitting I take drugs, just wondering if a highish level of clonazepam will mean I won't get dosed
 
My pain clinician who has had me on 60mgs to 10mgs, Honestly its been great, I would prefer to take about 30mgs/day, from the clinic, for addiction and continue with benzos on my own terms. Is this common, I don't need take homes so much as a dependable place to dose so I don't go silly or dead on pillies? Idid save my kid's life cuz he sniffed something bad and fell out. I gave him 8mgs narcan; but EMS said it takes 12 these days; so CPR I did I assumed it was on my dead son.! Thank narcan and yours truly he's alive yah!

So I have a benzo addiction which puts my tolerance to 2.5mgs, and I am only rxed 1mg. PTSDandno clear path to a psyciatrist, only nurse practictioners offering prozac. Which makes me suicidal BTW
I take the methadone for back pain; however whden it is taken away, blues are available. I will take them over risking sub precips. Maybe Im freaking out cuz 10mgs methadone isn't the mosts. but Its fucked up trying to get this pain treatedany more easily. I do understand clinics don't treat pain but im addict too!
Subs available if I want to roll the dice about getting sick. Been on methadone and benzos 20 years.

If I am gonna take a blue, should I try my luck at the methadone clinic first?
I have no problems admitting I take drugs, just wondering if a highish level of clonazepam will mean I won't get dosed
Hi there, I switched from 15mg methadone for pain to 6 mg sub because I was among the many who got pushed towards sub. I was scared, but my doc had said he was going to reduce my methadone by 1 pill per month. I was taking 90 pills a month. This sounded mentally hellish, so I suggested "how about suboxone" even though I was fearful. Would I get precip. WDs?

Well, the doc put me on a 50mcg fentanyl patch to act as a bridge between the two meds. I think I kept that on for 24 or 48 hours (cant recall exactly). Boy that thing had me buzzin. When I took off the patch at the doc, he said go ahead and take one of the 2mg strips. I was scared of precip. WDs and asked if I could take it later that day. He said sure, and I went home and just took a little piece t first.

It turned out I was scared about sub not helping my spinal pain for no reason! Thank god, it turned out that:
a) it's a bomb-diggity pain med!!!
b) there's no more urine test every month and all that bullshit of being treated like an addict. I just do a short appointment every 3 months and a urine screen once a year or something. Sub is soooo much better. At first I tried to get down to a low dose due to all the stuff you read about it being stronger at 1 mg than it would be at 16. It works great at any dose is what I have found, and my neck pain is as bad as it gets from what I've noticed observing other pain patients.

Good luck!
 
Thank you for your experience. Hopefully I can get over the fear of precips; reviews like this are promising
 
Thank you for your experience. Hopefully I can get over the fear of precips; reviews like this are promising
I think precipitated WDs are a thing of the past since the Bernese method swept community clinics. This method demonstrated that there was no reason to force patients to take an entire 8mg or even a 2mg strip all at once! And then there's transdermal patches. I used the fent patch to bridge, but I've also heard of doctors using the BuTrans patch to very, very slowly elevate the bupe on one's receptors.
 
Long ago I read a paper by one of the team that discovered buprenorphine. As early as 1969 they had concluded that it was of benefit in opiate detoxification.

But the thing is that they only foresaw it being of benefit if used for the acute withdrawal period. Not for long-term maintenance.

But I suppose a medicine that's only prescribed for a few weeks is far, far less profitable than one that a patient may consume for years. I'm also slightly surprised at the dose I regularly hear of people being prescribed. Now it could be that they envisaged in-patient detoxification but as far as I remember, their model was symptomatic treatment so the dose was adjusted to just keep withdrawal at bay. In the UK we began with 16mg/day being the maximum dose prescribable but I've noted that HR agencies now seem to work everyone up to that maximum regardless of need.

I'm glad to hear anyone taking back control so please don't think I wish to denigrate what I can see was genuine fear. But it slightly concerns me that in the UK at least, treatment is so impersonal.

For me 4mg/day was enough and more produced some pretty severe side-effects but I was told I HAD to go up to 16mg. I was lucky that my HR worker actually listened and simply said 'take less if that works for you'. So I just used it for 9 or 10 days (I forget which) and stopped. But then I had only been taking codeine... making 16mg of buprenorphine seem totally inappropriate.

My best wishes to you and good luck for the future.
 
OT - in China a new medication, thienorphine, is being trialled for opioid detoxification. It's extremely long duration of action (up to a week in animal models) MAY result in it's usage being different from other agents.

Certainly China focuses on abstinence rather than maintenance. I will certainly keep an eye open to find out more.

My choice of taking a minimal dose of buprenorphine for a limited period was based on my having read those early papers but I am in no way suggesting that it's the appropriate treatment for others.
 
OT - in China a new medication, thienorphine, is being trialled for opioid detoxification. It's extremely long duration of action (up to a week in animal models) MAY result in it's usage being different from other agents.

Certainly China focuses on abstinence rather than maintenance. I will certainly keep an eye open to find out more.

My choice of taking a minimal dose of buprenorphine for a limited period was based on my having read those early papers but I am in no way suggesting that it's the appropriate treatment for others.
Interesting! Prob will be the next big thing, this chinese medicine!

As for sub dose, I have notice that it effects a person the same no matter what dose they are taking. This being the case, one might as well keep their dose low. Perhaps the euphoria is longer-lasting with higher doses, but I'm not certain.
 
Can you get something illegal and be on it for like a week then switch to subs (something that is much easier to switch to subs from such as heroin or hydrocodone etc.)?
 
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