Opioids Fentanyl detox advice...i have recently relapsed IV fenty and Meth.. not sure how to handle these WD at home with kicking me out if i show wd symptoms

[Kathleenvkk86]

I recently relapsed on IV Meth and fentanyl..have liquid morph..Zofran..Phenergan..meth and weed vapes and HBP meds. Need advice on wats the best measure on getting through this with the best ease possible without mother realizing it's withdrawals.. she will and has kicked me out for just detoxing. She literally video record me as ioverdose and go thru detoxing to show her buddies the havoc I cause..even though I'm isolating. I have no clue how much of the liquid blue morphine to use especially since I don't have what it takes to use it so I'm assuming put it in a capsule and swallow it..I think it may be 20mg but dunno how many units ya know..I have seizure disorder and a bad heart which is y I have the blood pressure meds...nausea hasn't hit but I got that. I desperately want suboxone program again but..imagine this..mother won't allow that in her home not seeing how it kept me clean for 3yrs..tried vivitrol but the process of doctors prescribing it in rural arkansas the pre-approval fro. Insurance is ridiculous so seems like I'm sabotaged from the start. Need and advice. I refuse to get advice from fellow users here in the country bc they won't stop and be we r dealing with the fentanyl that is maybe 5% real but the WDs..same I suppose..HELP

 

[Keif' Richards]

Hey @Kathleenvkk86 this is a tricky situation. Maintenance is often the most realistic option that a person has for achieving stability. If your mother doesn't support this and it is a dealbreaker, then I truly believe the lesser of two evils would be to move out and find a way to get on maintenance. Even if you are homeless at least you have a chance at achieving independence and stability. The ideal situation would be for your mother to be convinced of this fact, but if that's not possible, it's not possible.

I don't know exactly what your home life looks like, but it is unrealistic to think your own mother won't pick up on something being wrong. You would have a better chance trying something like faking a severe cough and faking Covid. Maybe have an ambulance scoop you up while your Ma isn't home. Call her from the hospital and tell her x, y or z. It still would be difficult, even if everything went perfectly, to escape this entire situation without someone knowing that something is not right.

As far as your medication, if you only have 20mg Morphine, that won't do SHIT for someone with a Fentanyl habit. It's not even gonna be perceptible. I don't want to worry you, but you want realistic information. I will write more once I get home from work in a bit.

In short, prepare to do something drastic/dramatic or prepare to have a conversation with your mom. There is no get ouf of jail free card for this specific situation and believe me I'ld love to provide you with one. Mom's are tough man. They know things.

 

[Keif' Richards]

I would lean hard on the Clonidine. Use the Promethazine in small doses. Taking too much antihistamines can contribute to worse Restless Legs. I wouldn't exceed 25mg-50mg at most. Ideally, the other medications that you have should be enough that the Promethazine will be unnecessary. If you're able to get to a pharmacy I would try to get some Loperamide (Immodium).

Loperamide is an Opioid medication that does not cross the blood-brain barrier very efficiently, so it s able to slow gut motility without producing the effects of other Opioid agonists like Morphine. However, in large doses, it can have a pretty major effect on withdrawal. Be warned, Loperamide can cause heart issues. It prolongs the Qt interval and can cause problems if used chronically in this manner. For a one time stop-gap thing, I don't think it's a terrible decision. That's up to you though. I would recommend supplementing your other medications with ~40mg Loperamide perhaps twice a day. This should really help take the edge off.

The Ondansetron (Zofran) is going to be really helpful. You don't want to be loudly vomiting all day and night.

I would save your meager amount of Morphine for the time when you most need to be together around your Mom. With a little bit of luck, you could maintain things long enough to make your next move. Let me know if you have any questions about what I've been discussing here. We will try out best to help you get through this.

 

[Kathleenvkk86]

I'm not sure how to use the morphine..or how much considering I can't feel the affects even with the pain..you're right it doesn't touch the fentanyl and sadly I just got more meth and xanax to combat this...the meth takes the pain away somehow..and xanax with the shakes and tremors..mother has and will call the probation office..video me when overdosing to show people how I act...it's clearly narcissism that I have accepted however I want to get off the fentanyl bc it not real around d arkansas anymore. A joke really and if not I won't have successful back surgery I don't believe bc no meds they prescribe will touch the pain. I acknowledge what I'm dealing with it's just I have no safe place to detox unless like your idea...fake something and maybe ask someone ELSE to take me to the city so I can do it comfortably and not be fearful of her calling my PO or kicking me out in the middle of it. Also...how long should this last? Even tho I lapsed on IV...I honestly felt NOTHING from this local stuff but I know it's in there..