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Opioids exactly where should i go..?

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paper planes

Bluelighter
Joined
Jul 6, 2011
Messages
400
im not asking how to get put on opiates cuz ive been on suboxone for 2 yrs but i only went with suboxone because i had to..and now i sick of it its ruined my teeth and gives me a horrible headache daily plus i actually have some legitimate pain and other shit..anyways there is no clinic even close to where i live..so who exactly should i get in contact with to talk about a methadone program or just a doctor would work i think..but should i seek a pain mangagement or would i have to get a referral from a doctor..? or should i try i psychiatrist..?
 
A psychiatrist cannot prescribe narcotics, and most doctors would probably think you were drug seeking unless you had proof you had severe chronic pain. Sounds like you want to be on some kind of opiate as long as it is not buprenorphine?
 
ive been sober off of everything and my quality of life was horrible could barely get out of bed and i didnt want to start self medicating again and i didnt have insurance so i thought about it for along time and went to get suboxone, i never liked it because it made me feel wierd and really barely worked..im not trying to bore everybody with the details but i just made it work because it was better than going to the streets or having nothing cuz that dont work for me..but i need to do something cuz im to young to feel like this..i know its probably hard for somebody to understand cuz you guys dont have the details but im very smart and know whats goin on with me and i just want to feel as normal as possible i excerise daily, eat right, and generally take care of myself..ive thought about what to do for years and im looking for similar experiences or just good advice
 
So you do want some sort of opiate...that isn't suboxone? You need to tell us some kind of idea of what you want or where you want to be.

My "advice" would be to not use anything.
 
Hey man, I know where you're coming from and I'd seriously ask you to reconsider methadone, or just give it some good thought before jumping into a clinic. I'm young too, early twenties and I thought methadone would somehow deliver what suboxone couldn't. And after an overdose (on methadone,heroin and benzo's none the less) a doctor at the hospital i was residing at actually convinced my mom that I should go on methadone, and I was all too happy to do it. The first few weeks were nice, I was getting high every day and felt like I would never need heroin again. And then after fourteen days or so, the magic stopped, and the methadone did nothing more for me than the suboxone did, except sedate me more. It also became a real hastle going to the clinic every day before college, and I began to get into the , methadone "scene" if you will, taking Xanax, shooting coke, etc.. Of course methadone maintenance doesn't have to be that way, and just like with bupe, you can use it successfully and get your life back together but its a much bigger commitment than suboxone IMO. I also just found the clinic setting where I was and a lot of the clinics in New York are basically cop spots In and of themselves. I don't know how much bupe you take, but the only way I've ever had success with suboxone maintenance is when I'm at a low dose, 4mg and under. Also, if you really are getting headaches talk to your doctor and see if they can put you on subutex, as I've heard that often puts a stop to it, though I imagine lowering your dose would be just as effective. I wish you the best of luck.
 
ive always been prescribed like way more than i take, i only take around 2 mgs or less and lately ive been taking less..and to being sober ive been sober for a year and that didnt work at all..and ive thought about asking for subutex but ive hard a hard life meaning that the suboxone was a life saver compared to nothing and i appreciate it for that but it can only help so much..i fell of a roof a couple yrs ago and hurt my back and legs and about 3 months ago i really pulled it again..bad..i hurt all over constantly but now the back pain is a little much to handle and the reason i say ive been sober is because thats what i tried first just being sober, excercise and all the other things you can do to help without using medication..and it taking me 2 yrs to talk myself into the fact that methadone might be better..i just dont know how to explain to yall that my mind is fine but my body keeps me from doing anything i need or want to do
 
YEah that's understandable, and methadone would work better as a painkiller, but it's still not a very good one, at all. Peope that take Opioids and opiates with long half lives tend to build a real fast tolerance to them, and at a certain dosage of methadone, around 60mg you're opiate receptors become saturated, which is what causes the blockade effect with methadone. The problem with that is that first of all, if you need breakthrough pain medication, if your at a dose of methadone intended for maintenance, you will get absolutely nothing out of it. Some people claim you can breakthrough the blockade with a large quantity or super strong opiate, but IME you really can't, you have a better chance at shooting through suboxone. I've shot over a bundle in less than four hours when I was on 70mg of methadone, and I did not get high, or feel anything from the heroin.

The ideal situation, if you really have chronic pain issues would to be prescribed maybey a low dosage of methadone from a doctor, and some breakthrough painkillers. Or maybey just try and get some MScontin. I actually read on Wikipedia that some eastern European countries are actually using extended release formulas of morphine to treat opioid addiction, with some success.

If pain is the real problem here though I don't think switching to a methadone clinic is a very good idea in the long run as most clinics try to push your dose up to at least 70mg if not higher. However I do not suffer from chronic pain, so maybey someone who does and has experience with methadone can fill you in. All I can say is that I had been hospitalized several times while on methadone, and pain medication had no effect for me. I imagine you've taken methadone before, but on maintenance, methadone is also very sedating, and not in a pleasant way, this could effect you're life similarly to the pain you suffer from as you may end up not even having the energy to do anything.
 
Reopened for continued discussion.
 
Last edited:
Thanks Pete :-)

I asked the mods to re-open this thread as I didn't think it was a "drug-seeking" thread when the OP was asking how they can get on pain management, find a legit doctor, etc. I am just going out for the day but will post my answer/advice when I get back tonight. As someone on methadone and dealing with chronic pain I figured I could be of some help.
 
thank you for your replies and the some of the reasons yall are stating is some of the things thats made me take 2yrs to talk myself into it ... And i just assumed since im only 22 that they wouldnt be that willing to help me out and i live in a really small town right now if that matters cuz i dont think we have a pain management place ... But im really bad about trying to just take as much pain as possible and i put it off thinkin it might get better tomorrow if i try this more excercise, or stretches, or just whatever else other ppl have tried to say that helps but its very short lived relief if any, also ive never wanted to get into any sort of trouble going to another doctor bein as i already see a doctor for the suboxone, and my sub. doctor knows for the most part i just always act better than i am cuz i dont wana complain, but she has said numerous times she has never met anybody as honest as me...I really am the type who doesnt like to ask for help but i feel like ive wasted the last 2 or 3 yrs of my life and i dont want to do that anymore, i have way to much potential to waste living in misery thats why im done making excuses and ready to do what ever i can
 
Ask for help!!

No one deserves to live in pain, and self-medicating will just make things far worse for you in the long term. Go to a regular doctor (GP) and explain in detail about the long-term pain you have been experiencing. They will either be able to prescribe you something or refer you to another doctor or clinic. Being tough or not complaining about your pain will do you no good and will just make doctors not believe you have legit pain when you do eventually bring it up. If you have a record of constantly mentioning your pain it will do a lot to reassure them you are not just trying to get drugs to get high. They may even be able to give you non-medication or non-opiate treatment that is helpful. The sooner you start trying to improve your health and reduce your pain the better and the more chance you have!

It's so silly really, the vast majority of opiate users are self-medicating for either mental or physical pain (or both), yet many doctors assume that they are lying about their pain in order to get drugs and don't want to give them anything. So make sure you don't appear as though you are just drug-seeking: be patient, describe how severe and long-term your pain is, where it is, any other health or mental health issues you have (depression etc) and wait for them to make treatment suggestions, don't just go in and ask for a particular medication. If a particular treatment doesn't work, tell them. Stick to it, keep going to the doctor and trying different things to see what works for you.

As for methadone, it is really not a very effective pain-killer, especially if you're physically dependent on opiates or you've been on methadone for a while. As someone who is on methadone and has chronic pain, personally it does absolutely nothing to ease my pain, aside from the pain of withdrawal symptoms. All it does in long-term maintenance doses is alleviate withdrawal symptoms. There is another thread on here by someone who recently got prescribed methadone for pain management and says so far it is doing an ok but not great job, but he only just started taking it and he takes it several times a day (whereas for MMT they usually only give it to you once a day). Plus it is hell to be on methadone for opiate maintenance and you are chained to the clinic and treated like a criminal - I'm assuming you are in the US? (It's always helpful to say where you live, at least what country, as not everyone on the internet lives in the US and medical care varies greatly from country to country and even state to state).
 
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