Opioids FNT different paths to detox off help?!?

[bunniebabe]

long term user. Need help getting of for a frem….… HEAVY USER, zero family help, single mother, 3 years w longest amount of time w/out in this period maybe 8hrs, stomach condition-cyclic vomiting, history of horrible withdrawals needing hospitalization.
There are a few paths that could be taken, looking for input or other suggestions….making it 72 hrs jumping from current to a sub is just no feasible especially having no physical help, stomach condition ensures hospitalization due to vomiting for hours to days there’s not a reality where 72 hours is possible but there has to be a way out. Here are some ideas… tried Bernese method previously but doesn’t work for me.

1. Make jump to methadone as there is no real wait period, use for 1-2 weeks then go to detox using a sub taper. Hoping that being on such a low dose of methadone as long as don’t go up too high in mg and it’s within the 1-2 week period to get the F out of system thought is…will be far easier than jumping from current daily usage (iv/smoking)…
2. Use low grade opiate prescription (not street opiate) for 1-2 weeks until F is out of system then make the jump only having to be clean for 24hrs maybe a little longer before sub taper instead of having to wait the 72 hours if jumped from f to sub
3. Who knows if any ideas or suggestions from the options listed…

Even with the above options, planning to have alprazalom ( have been prescribed for years now, have taken in combination with suboxone and methadone previously under care of physician), clonodine, zofran, maybe gabapentin…
Plz if anyone has suggestions… there has to be a way out…. Old H user from when it was only H, got 7 years sober then have been in relapse w F for almost 4 years.

 

[Them Witches]

Welcome to the forum.

I like your self-made detox taper protocol. By using Methadone just for the initial transition off Fetty and use subs to quick taper off Methadone.

I would use Clonidine throughout the entire time. If there is Xylazine in the Fetty, the Clonidine will take care of the withdrawals and Clonidine is easy to taper from.

Clonidine is one of the best Alpha-2 drugs around used to assist in withdrawals from about every drug under the sun. Alprazalom, Ativan, Valium, Zofran, Promethazine, Vistaril PAM, Seroquel, and Gabapentin are great comfort meds for this. Promethazine will take care of vomiting 100% and provide sedation and sleep. Seroquel 100% will make you sleep like a baby through war and bombs dropping outside your house.

 

[bunniebabe]

thank u! definitely will be stocking up on detox meds. even now sometimes find myself reaching for clonodine when my benzos don’t cut my level of anxiety, and ahh totally forgot about seroquel…underrated! and not as talked about as it should be for withdrawal if it’s accessible. not sleeping is a nightmare on its own combined with 24/7 no breaks vomiting for me, “I’m fucking dying plz kll me” levels of anxiety, panic, depression, restlessness … thank u for mentioning that they knock my ass clean out n will absolutely be adding that in.

hearing that my plan isn’t total shit is such a relief. Sometimes the typical route isn’t accessible for everyone and is honestly insanely daunting.
I appreciate the advice vm.

 

[Coffeeshroom]

Apart from support meds and so on.

If fent and tranqs( I know very little about this trangs shit going on )

But if possible get on a short acting opioid to switch over to subs to bridge the gab and not suffer.

I have already exp, with this as I'm on methadone and I want to swap back to bupre when stock levels are normal again.

But point being I use oxy for 2 weeks after my last methadone dose and was ready for bupre without pws after waiting 16 hrs after last oxy dose. Im back on methadone as bupre is still not available but when it is I will do the switch.

Hope this helped.

 

[Them Witches]

thank u! definitely will be stocking up on detox meds. even now sometimes find myself reaching for clonodine when my benzos don’t cut my level of anxiety, and ahh totally forgot about seroquel…underrated! and not as talked about as it should be for withdrawal if it’s accessible. not sleeping is a nightmare on its own combined with 24/7 no breaks vomiting for me, “I’m fucking dying plz kll me” levels of anxiety, panic, depression, restlessness … thank u for mentioning that they knock my ass clean out n will absolutely be adding that in.

hearing that my plan isn’t total shit is such a relief. Sometimes the typical route isn’t accessible for everyone and is honestly insanely daunting.
I appreciate the advice vm.

You are welcome from the bottom of my heart. I hope I was able to cast a tiny ray of sunshine towards you.

You have the right and best approach to combat the situation at hand. I know it is not an easy thing to do & not a pleasant thing to go through.

Monitor and stay aware during this on fluid level loss and weight loss from vomiting. The loss of fluids, reduction of food intake, loss of sleep, increased levels of stress, and the brain forced into operating "fight or flight mode" is a recipe of the worst kind for the human body & brain. Detox forces all of these factors at once and the risk to life is increased dramatically. May 14th 2024 this happened to me but it was not from a withdrawal from a drug(s), I pasted the google search please read and enjoy :

Pasted Google search :
Low vital fluids (like those seen in severe dehydration or hemorrhage, leading to hypovolemic shock) can complicate heart attack treatment and, if not addressed promptly, can be life-threatening.
Here's why:

• Compromised Circulation: When vital fluids are too low, the body's overall blood volume decreases. This makes it harder for the heart to pump enough blood effectively to supply oxygen to the vital organs, including the heart itself.
• Increased Risk of Organ Failure: Severe fluid loss can lead to inadequate tissue perfusion and hypoxia, which can quickly progress to organ dysfunction or failure.
• Challenges in Treatment: Treatments for a heart attack, such as medications to improve blood flow, may be less effective or even risky if the body is severely volume depleted.

Important to note:

• Hypovolemic shock is a serious condition that requires immediate medical attention.
• Treatment focuses on rapidly restoring blood volume and stabilizing vital functions through intravenous fluids, blood transfusions (if needed), medications to support blood pressure and cardiac output, and, in some cases, surgical intervention.

While a heart attack is a medical emergency that requires prompt treatment to restore blood flow and oxygen levels to the heart muscle, the presence of severe volume depletion (low vital fluids) adds complexity to the treatment plan and needs to be addressed simultaneously.

--------------------------------------------------------------------------------------------------------------------------------------------

May 14th 2024, from food poisoning over the next 72hrs I ended up in the hospital for uncontrolled vomiting, slurred speech, confusion, aggravation discomfort, and poor vitals. Over 72hrs, I lost 28lbs from vomiting. I lost count of the action of vomiting after 90 times. The second I entered the ER triage all hell broke loose and my body went into a seize. My response to this was loud extreme aggravation, pain, and discomfort. Luckily they were able to get an IV in each hand before the seize started. They were able to give some of the best medications that treated & quickly removed all of these issues and actively treated them.

I learned that day from the doctor if the human body suffers a heart attack from loss of vital fluids, the percentage and chance the best hospital doctor can reverse the heart attack is little to done. I had never heard this before and that day I truly understood how underrated fluids are to the human body.

 

[bunniebabe]

You are welcome from the bottom of my heart. I hope I was able to cast a tiny ray of sunshine towards you.

You have the right and best approach to combat the situation at hand. I know it is not an easy thing to do & not a pleasant thing to go through.

Monitor and stay aware during this on fluid level loss and weight loss from vomiting. The loss of fluids, reduction of food intake, loss of sleep, increased levels of stress, and the brain forced into operating "fight or flight mode" is a recipe of the worst kind for the human body & brain. Detox forces all of these factors at once and the risk to life is increased dramatically. May 14th 2024 this happened to me but it was not from a withdrawal from a drug(s), I pasted the google search please read and enjoy :

Pasted Google search :
Low vital fluids (like those seen in severe dehydration or hemorrhage, leading to hypovolemic shock) can complicate heart attack treatment and, if not addressed promptly, can be life-threatening.
Here's why:

• Compromised Circulation: When vital fluids are too low, the body's overall blood volume decreases. This makes it harder for the heart to pump enough blood effectively to supply oxygen to the vital organs, including the heart itself.
• Increased Risk of Organ Failure: Severe fluid loss can lead to inadequate tissue perfusion and hypoxia, which can quickly progress to organ dysfunction or failure.
• Challenges in Treatment: Treatments for a heart attack, such as medications to improve blood flow, may be less effective or even risky if the body is severely volume depleted.

Important to note:

• Hypovolemic shock is a serious condition that requires immediate medical attention.
• Treatment focuses on rapidly restoring blood volume and stabilizing vital functions through intravenous fluids, blood transfusions (if needed), medications to support blood pressure and cardiac output, and, in some cases, surgical intervention.

While a heart attack is a medical emergency that requires prompt treatment to restore blood flow and oxygen levels to the heart muscle, the presence of severe volume depletion (low vital fluids) adds complexity to the treatment plan and needs to be addressed simultaneously.

--------------------------------------------------------------------------------------------------------------------------------------------

May 14th 2024, from food poisoning over the next 72hrs I ended up in the hospital for uncontrolled vomiting, slurred speech, confusion, aggravation discomfort, and poor vitals. Over 72hrs, I lost 28lbs from vomiting. I lost count of the action of vomiting after 90 times. The second I entered the ER triage all hell broke loose and my body went into a seize. My response to this was loud extreme aggravation, pain, and discomfort. Luckily they were able to get an IV in each hand before the seize started. They were able to give some of the best medications that treated & quickly removed all of these issues and actively treated them.

I learned that day from the doctor if the human body suffers a heart attack from loss of vital fluids, the percentage and chance the best hospital doctor can reverse the heart attack is little to done. I had never heard this before and that day I truly understood how underrated fluids are to the human body.

you are dead on about fight or flight. I’m currentlye just getting my head out of the water. I was in it constant non stop last year. Finally pulled my self out or well the variable putting me in it was removed.
Then my ptsd was triggered I’ve spent the last 5 days literally manic pacing so much my legs and feet were at least 5 times the size normal and I couldn’t make myself sit or sleep. I’m not a clear girly. I wish I was exaggerating.

I feel like such a loser I keep telling myself I’m going to jump and then I have days where months years rn w my BPD and co-occurring ptsd and anxiety runs rampid and my very slight relief I get from doing my thing is the only thing keeping my head above water but probably also drowning me.

lol I’m so positive rn ha. No but really being in constant survival mode is deadly. I’ve given myself a vomitting disorder and am in the process of seeing if I have RA from years of trauma.
in general it’s the worst way to live I keep hoping my brain will get better then I’ll stop but I feel we all know that game it’s not real.
U seem to get how I think/feel about things ded on
.
I’m sorry you went through that I get it tho sm. I have grand mal seizures here and there usually induced by me being a fucking idiot. I thought I was gonna have one last time I ran out of xan but no just a stroke
Sorry for my long post, I don’t talk to many ppl esp right now bc of the above situation. I can’t formulate sentences verbally well.
I’m a nightmare ha.

 

[bunniebabe]

Apart from support meds and so on.

If fent and tranqs( I know very little about this trangs shit going on )

But if possible get on a short acting opioid to switch over to subs to bridge the gab and not suffer.

I have already exp, with this as I'm on methadone and I want to swap back to bupre when stock levels are normal again.

But point being I use oxy for 2 weeks after my last methadone dose and was ready for bupre without pws after waiting 16 hrs after last oxy dose. Im back on methadone as bupre is still not available but when it is I will do the switch.

Hope this helped.

It does. Thank u!!
Yes I’ve done this 100000 times the suffering will do nothing but prevent me getting off. I’m hoping I can find someone who will be kind and help me out w em bc ooooooooffff my habit is outrageous expensive.
I wonder why we can’t just come up w a new protocol for fet detox.
Subs over imo are great but the induction can be so dangerous. It would make so much sense to put ppl on the low grade ones and then to sub taper or mat whatever.
But that’ll never happen.
I heavily researched the under anesthesia detox but a. I’m broke and b I’m probably not even a good candidate for that.
Good for you seriously for making it out it’s so hard but you did it and that’s such a miracle

 

[Them Witches]

you are dead on about fight or flight. I’m currentlye just getting my head out of the water. I was in it constant non stop last year. Finally pulled my self out or well the variable putting me in it was removed.
Then my ptsd was triggered I’ve spent the last 5 days literally manic pacing so much my legs and feet were at least 5 times the size normal and I couldn’t make myself sit or sleep. I’m not a clear girly. I wish I was exaggerating.

I feel like such a loser I keep telling myself I’m going to jump and then I have days where months years rn w my BPD and co-occurring ptsd and anxiety runs rampid and my very slight relief I get from doing my thing is the only thing keeping my head above water but probably also drowning me.

lol I’m so positive rn ha. No but really being in constant survival mode is deadly. I’ve given myself a vomitting disorder and am in the process of seeing if I have RA from years of trauma.
in general it’s the worst way to live I keep hoping my brain will get better then I’ll stop but I feel we all know that game it’s not real.
U seem to get how I think/feel about things ded on
.
I’m sorry you went through that I get it tho sm. I have grand mal seizures here and there usually induced by me being a fucking idiot. I thought I was gonna have one last time I ran out of xan but no just a stroke
Sorry for my long post, I don’t talk to many ppl esp right now bc of the above situation. I can’t formulate sentences verbally well.
I’m a nightmare ha.

I know this is long. Take a look at how our nervous systems function together and take notice when something like "detox/withdrawal", "chronic pain" "acute pain" "mental health disorders" "manic episodes" "health crisis episodes" compile new issues or symptoms are born.

The sympathetic nervous system (SNS) is part of the autonomic nervous system (ANS) responsible for the "fight-or-flight" response, preparing the body for intense physical activity or stress. It increases heart rate, breathing rate, and pupil size, while also constricting blood vessels, decreasing digestive juices, and mobilizing energy stores.
Here's a more detailed look at the SNS:
Key Functions:

• Fight-or-flight response:
  .Opens in new tab
  In situations perceived as dangerous or stressful, the SNS activates the "fight-or-flight" response, preparing the body to either confront the threat or flee.
  
  
• Physical activity:
  .Opens in new tab
  It also prepares the body for intense physical activity by increasing heart rate and blood flow to muscles, and slowing down less essential processes like digestion.
  
  
• Homeostasis:
  .Opens in new tab
  The SNS plays a role in maintaining homeostasis, including regulating blood pressure, heart rate, body temperature, and immune system function.
  

How it Works:

• The SNS is activated by signals from the brain, specifically from the brainstem and hypothalamus.
  
  
• It releases neurotransmitters like norepinephrine and epinephrine (adrenaline) that influence various bodily functions.
  
  
• These neurotransmitters act on receptors in target organs and tissues, causing a variety of physiological changes.
  

Organ Systems Affected:

• Cardiovascular: Increases heart rate and blood pressure to deliver more oxygen to the muscles.
  
  
• Respiratory: Increases breathing rate and dilates airways to allow more oxygen intake.
  
  
• Digestive: Slows down digestion to conserve energy for muscle activity.
  
  
• Musculoskeletal: Increases muscle tone and prepares muscles for action.
  
  
• Other: Affects pupil dilation, sweat gland activity, and the release of glucose from the liver.
  

Contrast with the Parasympathetic Nervous System:

• The SNS is often contrasted with the parasympathetic nervous system, which is responsible for the "rest-and-digest" response.
• The PNS helps the body conserve energy and promotes processes like digestion and relaxation.
• The two systems work together to maintain a balance of bodily functions.
  

Chronic Activation and Health:

• Prolonged or chronic activation of the SNS can lead to various health problems, including increased risk of heart disease, digestive issues, and mental health problems.
• It's important to maintain a balance between the SNS and PNS for optimal health.