Help methodone question xtremly high TOLERENCE

[Youshady2]

I have been on the methodone clinic for about 6 years now my dose is 120mg but for the last few years I've been getting a month worth of take homes. At this point the month worth of take homes end up lasting me 1 week if that, I honestly drink about 10 bottles within an hour and dose again maybe 2 or 3 days later, I have not had a problem getting sick because I have been able to purchase other people's take homes but now I am unable to get any more take homes I have 2 weeks to my next dose at clinic and don't know what to do. I'm on day 3 with no meth and my TOLERENCE is nuts I honestly need at least 500 mg to feel normal, should I go to clinic and tell them my problem and tell them the take homes they give me only last me a few doses instead of the month they are supposed to, or should I go to another methodone clinic and act like a new client or will they be able to tell I'm a patient at another clinic. I honestly can't handle these withdrawals at this point my TOLERENCE is ways to high to go cold turkey. The only benefit I can see is hoping the clinic will take away my month take homes and up my daily dose to at least 500mg with is insane. Money has not been an issue with me so I have always been able to buy meth off the streets at least 60 bottles a month other then my 30...Pleaseee help any info.. Do you think I can go to another clinic and get dosed without them knowing I'm a patient somewhere else that's really my only other option since my meth connects are taped out and I need to fix this problem..

 

[pasha]

I don't think they'll up your dose. They probably won't allow you anymore take homes, since that's usually a privilege granted to those who don't abuse their maintenance drugs. You'll also never get dispensed 500 milligrams of methadone. I think your best bet would be to go to the pharmacy, and get yourself some loperamide to tide you over until your next visit to your methadone clinic. You'll be surprised how well it can hold you over.

This whole thread however, is asking how best to obtain methadone until you get your next batch of take homes. Anything in regards to obtaining drugs from a doctor, the streets, or methadone clinics is against the rules. Especially that the laws in the methadone clinics in your area, may vary to laws in the methadone clinics in the areas of the responders. This may land you in additional trouble, since if you follow a piece of advice that does not pertain to your area, it could end up costing you your maintenance drugs.

I will allow this thread to stay open for now so the OP can obtain advice on how to handle themselves until they can get more methadone. Please keep this in mind when responding.

 

[rhun]

Here's my original response that didn't go through when thread was closed. Thank you Chromophobia for reopening this.

Well, you really got yourself into a mess here. If your dose wasn't holding you you should have brought it to the attention of your counselor/whoever does dose increases so they could raise your dose. If your dose was holding you but you were craving getting high then you should have reached out for support.. from family, friends, your counselor.. Methadone has saved countless lives but the point is to not put yourself in a position of having to buy drugs or risk running out. A good counselor will tell you that when used correctly, methadone removes the stress of addiction and stabilizes you so you can deal with the issues that lead you to use. It looks like you just used methadone as any other opiate..

I'm not trying to rag on you, but at this point I think a little tough love is in order. Methadone isn't a magical cure, you have to put the work in. No, you cannot sign up for another clinic. When you register they take down all your info and do a check to make sure you're not signed up for another clinic. It will not work, do not try it.

You're going to either need to go into the clinic and fess up and pray they help you or you're going to have to check yourself into a hospital. You cannot cold turkey methadone, you can die. It happens all the time to methadone patients on high doses who end up in jails that don't allow methadone treatment.

 

[Youshady2]

How do I take the loperamide should I also take it to reduce my TOLERENCE I do t want to ever. Go through this again and honestly I want my take homes to last as they should I do not get high off the methadone it seems like I have the same effect no matter if the dose is is 120mg or 1000mg. I have taken upto 10 120mg bottles within a day and just felt sleepy. I originally started methadone due to gastric cancer and bad history with pain pills I am now 28 and cancer free..

 

[rhun]

Youshady2, I could not respond to your PM because you're a Greenlighter. Here is my response to your questions.

Methadone programs are monitored by the state AND federally. By both the government AND companies like CARF or whatever the acrrnonym is, I forget the exact name. It doesn't matter if it's private, they have to be accredited and they are heavily regulated. So no, trust me.. it will not work. And they will not take your word on your use and just give you 500mg, it just won't happen. You would not proof of that much use, like another clinic saying yes we prescribe him that much. Most places start you off at 30-50mg.

 

[Youshady2]

How do I take the loperamide should I also take it to reduce my TOLERENCE I do not want to ever Go through this again and honestly I want my take homes to last as they should I do not get high off the methadone it seems like I have the same effect no matter if the dose is is 120mg or 1000mg. I have taken upto 10 120mg bottles within a day and just felt sleepy. I originally started methadone due to gastric cancer and bad history with pain pills I am now 28 and cancer free..

 

[pasha]

It's honestly difficult to predict what would be a good starting loperamide dose for someone with your tolerance, and since loperamide doesn't exactly have a conversion. Anything I say must be done at your own risk.

If I had your tolerance, I would start at around 100 milligrams of loperamide, and wait several hours (this means 2-3 hours as loperamide can take a long time to kick in). If that dose manages to hold me, I would stay on it, if it doesn't, I would increase in 50 milligram increments until I reach a maximum of 200 milligrams if need be.

I would honestly begin to consider finding an alternate solution to your maintenance drug problem such as switching to suboxone. It has much lower potential for abuse and is all around much more sustainable than methadone. I'm not sure though a tolerance like yours would be suitable for buprenorphine because of the ceiling dose, so even if you do intend to switch, you'll probably have to wait sometime until your tolerance can adjust.

 

[Youshady2]

Thanks for all your support, so my question is now should I aslo take the lope along with my methadone and will it help reduce my TOLERENCE let's say I take my normal 120mg dose should I aslo take the lope so I won't need more meth? Or is the lope only good if I'm trying to go cold turkey..

 

[pasha]

Taking the loperamide with the methadone might not do your tolerance much good, since whatever methadone your not taking might be compensated by the loperamide. It's also difficult to estimate how the two will mix as some have reported a blocking effect from loperamide, similar to that of methadone's.

When you do get to the methadone, you should tackle your tolerance by dropping your dose to the lowest possible one which you're functional under, and tapering down from there until you get to a dose where a cross-over to suboxone will be ideal.

 

[Hiltoniano]

Idk if lope would do much with a monster tolerance like that. Are you sure about those 100+mg starter doses for the lope, chromophob?? I have heard that mega doses like that can be potentially damaging in various ways. Wouldn't something like 40-80mg be safer, at least to start off? I'm not an expert by any means on lope or mega-tolerances to opiates. I am trying to learn and possibly provide HR in the process.

 

[pasha]

There's really no certainty in a situation like this. Loperamide is not studied as a maintenance drug, and all there is to go by is anecdotal evidence. I personally have no problems taking 100 milligrams, and I didn't have a tolerance anywhere near 500 milligrams of methadone. I've also seen a good majority of people in the loperamide threads in OD mention doses of between 80 milligrams all the way up to 200 milligrams -- in one shot.

The best thing to do would be to start as low as possible, and work your way up.

Again though, I'll reiterate what I said in my other post, exercise caution and do this at your own risk.

 

[Youshady2]

I was able to get two 80 mg meth bottles and I drank one this morning I am no longer sick but def not comfortable in anyway haven't slept since Wednesday and I have no energy to leave my apartment even a walk to the store is not an option, I also purposely did not eat in hope to make the meth last longer if that's even possible, I should be able to get a few doses Saturday since the clinic is closed Sunday and I'd say 80 percent of the people sell there take homes but with my luck I can't count on it. Before I got the meth on Thursday night I took 4 roxyy 30s and felt nuthing but nausea. Would taking the equal of my dose in other opaites stop withdrawl?

 

[pasha]

I would honestly stick to taking the lowest possible dose which will defeat the dope sickness. Converting any other opioid into 500 milligrams of methadone is impractical, because firstly it isn't manageable financially, secondly even if you were to convert to an equipotent dose, there's no telling if it will satisfy your tolerance, and lastly methadone is set-up to last for ages due to its long half-life.

I think you have two options in front of you:

One is to taper down the methadone until you arrive at a dose which you can work with.

Switch to buprenorphine.

 

[Venrak]

^ Can he even take buprenorphine at that dose of methadone considering the ceiling of the former?

I estimate that equivalency at around 9-10mg. Thought the ceiling was lower...They claim it at 2-4mg on the suboxone website, but they also have a few things wrong as well...

 

[Youshady2]

Thank you will definitely do its now been 3 days and all I've taken is 80mg I'm hoping to get maybe 5 bottles on Saturday that I can make last till the 17th

The suboxon website claims that a 500mg a day meth habit will calculate to 2-4mg of subs??

 

[pasha]

The suboxon website claims that a 500mg a day meth habit will calculate to 2-4mg of subs??

Someone else who's performed the switch might be able to chime in on that.

I think though the biggest issue people face is triggering precipitated withdrawals during the switch.

 

[Venrak]

^Like I suspected, it is about 10mg. source

I'm trying to find another source.

Also, the 2-4mg thing comes from the fact that suboxone says the ceiling dose for increase in opiate effects is around there.

 

[Youshady2]

Someone else who's performed the switch might be able to chime in on that.

I think though the biggest issue people face is triggering precipitated withdrawals during the switch.

So I can actually not be going through WD and make my self WD by thinking I am?

 

[Venrak]

No, precipitated withdrawal syndrome is what happens when you take buprenorphine too soon after you last methadone dose and you get thrown into withdrawal. It is caused by the fact that buprenorphine essentially displaces the methadone from your receptors and binds in its place, and because buprenorphine doesn't activate the receptor to the extent that methadone does.

 

[rhun]

^ I mentioned this to chromophobia, but the OP has three threads in BDD on methadone at this point.
Could we condense them for simplicity? I've also PMed them in an attempt to help, but they seem more interested in finding out how to get through WD and continuing to buy other patients' methadone doses than getting back on track with their treatment so I don't know how much help we can be of here. They've received excellent information in all three threads. 8)

Also wanted to add that lope is going to be pretty much useless for a 500mg methadone habit.
And the OP is going to need to taper down to at least 40mg but probably 20mg to make any kind of switch to bupe successful.