Opioids Complicated list of drugs and how to come off

[Sunflower Kitten]

Ok so after a major "mistake" last night and realizing how out of control I have become, I know its time to get my ass off all of these drugs. I have a job so I can't afford to up and go to rehab. I also have a daughter that means more to me than anything else in this world. Lately my life has felt like its not worth much of anything and then I had some crazy epiphany this morning when I finally woke up that I needed to do this for her and for myself.

What could I use from bluelight? Some advice as to how to go about this on my own. Here is my DAILY drug list
100mg hydro or 30mg hydro with 5mg oxy 2 or 3 times a day
20mg zolpidem nightly sometimes 10mg with 1 or 2 alprazolam (that little mixture last night kept me asleep all night and half the day and scared me because I had to PUSH to wake myself up fully)
60mg methylphenidate
Throw in various forms of kratom when the urge hits

Non addictive necessary drugs are
60mg prozac (severe depressive disorder)
1 bc pill (I love my baby but I sure don't need another )
120 mg tecfidera twice daily (working my way up to 240 twice daily - I have Multiple Sclerosis and this is a new therapy I am trying....yay.../sarcasm)

A few days ago I ran out of all my hydro/oxy. I picked up the Kratom in an attempt to keep wd at bay. Heaaaavy depression going which is fueling my desire to go crazy on everything else.

So clearly I am going to have to come off the oxy/hydro first since I don't have anymore and I'll be damned if I am going to hit up my dr again for a refull. Again, rehab NOT an option. I am on day 3 of no opiates except the kratom. Stomach pains, GI issues, etc. Should I continue to use the Kratom to help or is the reality that the kratom is not doing shit for me? If it will be helpful, how much should I be dosing. I don't get any high off it at this point and I have several different strains and kinds from powder to extract to liquid (although for some reason the liquid seems to knock me out).

Next I have read that I should NOT just randomly stop zolpidem cold turkey. Does anyone have a taper schedule for that? I tried just doing 10mg last night but then of course could not sleep and downed 2 alprazolam and I'll be damned if I could barely wake myself up this morning. Literally could not and that scared the bejeezus out of me. Fortunately I am NOT addicted to the alprazolam. Although somehow I have accumulated a bottle of 80 1mg tablets. Seriously like, the dr just keeps giving them to me for panic attacks (which I DO have but rarely). The last few times I have literally had to be like no don't give me anymore. Cuz I have this enormous bottle I don't know what to do with. But now I feel having all that at my disposal is a danger as I try to come off the zoplidem and am fighting "rebound insomnia". Is there a way to use these to help with the coming off the zolpidem without getting myself in trouble with them or am I best to just lock the fuckers away?

Lastly the methylphenidate. This one is rough. I legitimately have issues with severe fatigue related to MS. I have tried provigil, etc and nothing else works for me. The methyl gives me the energy I need to function but it also gives me a mental mood lift that I have found myself craving. As a result, I have started abusing my prescription. My actual prescription is 10mg twice a day and a half at night if needed. I am up to 30mg twice a day and no longer really feeling the lift I did. Without it though, I am dead on my feet. So how do I get myself back to a "normal" dose of this and regain all the benefits from it?

I realize this post was long and messy but I am just trying to get it all out of my head so I can get it sorted and hopefully get some help.

Scary but true, here are other medications in my house currently at my disposal...
Tramadol, cyclobenzaprine, meloxicam and amitryptiline. Its like a pharmacy up in here...

Does anyone have any advice for this huge mess of drug cocktail???

 

[RTrain]

Ok, firstly I think you got to calm down, take a breath and look at this life choice as a marathon, not a sprint, which is how you are going at it. Stopping the painkillers is the biggest hurdle in this situation and you are about halfway (if not even further) thru the worst of it.

I'd suggest using the kratom sparingly/only as much as needed. You don't want to come off the hydros with a kratom habit that can have withdrawal similar to a moderate hydro habit. You'd really be best off just stopping the kratom if its not much of a help. After you are off the hydro and hopefully not using kratom instead, its going to be real tough to instantly start dropping the other 2 meds. Your going to have PAWS and therefore the low energy and difficulty sleeping. I think the next thing you should tackle is the methylphenidate, I can't suggest a good taper plan but I am sure there are plenty of info on this site if you UTFSE. Still, I'd wait a good month to let my body adjust to not having the opioids before dealing with that. I'd drop the Z drug last, because you want to be able to sleep through most of this. Try herbal or OTC sleep aids to help adjust to sleep without the ambien. And also realize that going from 20 to 10 mg in 1 night is not tapering, thats drastically cutting down the dose. A good taper is slow, the slower the better while still steadily progressing the dose downward. Its all about finding a good balance of cutting the dose down at a decent pace and minimalizing the negative effects it causes you to suffer from.

 

[Mr.Scagnattie]

Quitting everything at once is really not recommended.. The ones you really need to worry about are the actual psychical addictions, opiates and benzos. Detox from one and then the other.

Benzo withdrawal is generally much more dangerous than opiate withdrawal and if you have a serious benzo dependency, you need to be very careful about quitting. Consider an inpatient facility or going to a doctor. You need to taper very slow with the benzos, preferably by switching to something like diazepam which has a much longer half-life than alprazolam.