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  • BDD Moderators: Keif’ Richards

Help/tips for an opiate kick - first time

RedbirdCran

Greenlighter
Joined
Mar 17, 2013
Messages
22
I apologize in advance for the long post, but I'm going to give all the info I can here in hopes of getting the best advise possible.

This is my first time attempting a proper opiate kick, some help or guidance would be very much appreciated. I am doing this 100% on my own (aside from doctor help), and I am not particularly experienced in either opiate use or kicking opiates. I know how experienced some people on this board are, and I trust your suggestions/guidance even more than some doctors (GP) who I know are not very trained/experienced in detoxing or opiate maintenance. But I digress.

History: dabbled in opiates over the years (lightly), 8 months or so ago started evey day usage. Began with no tolerance (3-5 percs over a day would keep me very high). At this point 8 months later I am now at minimum 160-240mg of oxy a day and that just holds me out. I would need upwards of 300mg to get high like i used to get from a few Percocet. I also use (when available) Fentanyl (lately) Heroin (lately) hydrocodone (lately). None seem to do as good of a job getting me where I want to be as Oxy. I have never used needles, only oral or in the case of the H I insufflate. Another interesting thing is that heroin doesn't "work" for me. Unless it has just been bad stuff, snorting it or smoking it just keeps the sick away, besides that I only get sleepy and dizzy, no euphoria whatsoever.

I originally gravitated towards using methadone to get off opiates, as I am the type of person that likes "something" every day, and the fact that it is still an opiate yet a legal and controlled dosage one was attractive to me. However, after taking an appointment at an MMT clinic, they advised me that for someone with as "short" as a habit as myself, MMT might be overkill and I should think about Suboxone. Again, I am worried that once I do a "quick taper" or however I understand Suboxone is layed out that I would just replapse, or go back to alcohol (I was a daily heavy drinker before opiate addiction. In fact one of the reasons I started every day opiate use was because the alcohol was killing my liver, and I found that taking pills was the only way I could abstain from alcohol. It worked, and I don't drink even a little now, for the first time in 13 years or so. Yes I know how dumb that trade off was but it seemed to make sense in my head at the time).

So, I am thinking that I will start the suboxone treatment. I understand that I have to stop using and go into withdrawl before taking suboxone or I run the risk of precipitated withdrawl. I can't go more than a few hours without pills, so how long after my last pills dosage should I take the suboxone. The clinic said 2 days, but again I would rather hear it from someone who has actually done this. I wake up in the morning and must take at least 60-80 mg of oxy or I am completely non-functional. I have never gone more than maybe 6 hours tops without at least a few Percocet to keep me "alive" and even then all I can do is sit at home and rock back and forth in a chair. I am absolutely stumped on how I will be able to make it 2 days without anything. I suppose I have never experienced proper withdrawl as I had never had the shits or puking. I just get severe full body pain, disassociation, huge pupils, runny eyes/nose, yawning and I lose the ability to even put a sentence together sometimes. I have no idea what comes after that as I have always given in and taken something.

Regarding methadone, do you agree with the clinic that it's overkill for my habit? I understand that I haven't been dependant for as long as most others looking to kick, but as I understand it the severity of my dependence is right up there. Tolerance alone seems to be very high. Also there is the fact that I feel like I need "something" every day. Does methadone curb that urge? As I understand it it doesn't get you high like oxy, but does it still scratch the itch as in provide the sociability/motivation to get out there? The biggest thing for me is when I have nothing, I can barely bring myself to get out of bed.

Should I consider some sort of quick opiate taper before going on subs (if that's the route I take) in order to make the 2 days cold turkey more doeable?

Anyway I will leave it off here to get the ball rolling, I really appreciate you reading all this, and anything you can add would mean the world to me. I feel so alone in this, nobody not my longtime GF or any family have a clue. It's all me. I know this is gonna be hard but I can do it, I just need some guidance form people who have been here before.

As a side note, I am still using now and plan on starting either subs or methadone in 2 weeks or so. My money is gone and I can't keep this up any longer than that.

I will also add that I have done TONS of reading of this board and others for threads like mine, I am aware of The Thomas Recipe and mostly all suggestions that go with it. I am determined to use either subs or methadone but of course I am open to anything.
Thanks again.
 
Hi.
Let me start by saying that i agree with you, your habit is not that small: 300mg of oxy to get high are a lot, and 8 months of constant use is not really a short time, so maybe MMT might be an option.

I've been on both MMT and buprenorphine, and i can't say that i have noticed a real difference. Maybe methadone is more "abusable", in the sense that you can increase your dose exponentially to get high (or at least try to...) or you can start to do your drugs on top of it, while buprenorphine have a ceiling effect (after a certain dose you don't get higher) and will at least partially block the effect of other opiates you might want to take. So maybe Suboxone can be considered "safer" to start with. Also buprenorphine is said to have milder withdrawals.

I'm not a doctor so don't take my word for it, but honestly i don't think that two full days are really necessary to start a Suboxone therapy. All the opiates you have listed will be out of your system even after only 24 hours, but yes, you have to be in withdrawals to start it (even mild ones), there's no way around it, and maybe you will still experience a little discomfort the first time you take your bupe. Nothing to be worried about anyway. Maybe, if you are really sure that you want to get into a treatment, you can try to taper a little your daily doses, in order to suffer a little less the day or two you will have to be abstinent. I know it's not easy.

Does methadone or bupe curb the urge to use? Well, yes in my experience, but there are a lot of factors that make it a "maybe". Surely (and that's the most important thing) they put you in a safer and calmer situation where you can start to live somewhat normally again and think about your life, yourself, your decisions, people who are close to you etc... But, as you surely know for yourself after many years of addiction to alcohol, addiction is not as simple as "no withdrawals" = "no problems". Neither MMT or buprenorphine had stopped me from using heroin or other opiates. I have been clean for as long as a year and a half max since i was 20, and i'm 30 now. The problem is elsewhere, and i wish i can tell what it is, but i don't know it myself. I guess it lies the way we face life. So maybe you can think about finding someone to talk to about it and get some psychological support as well. It can help, although, again, no one knows if it can be decisive.

One last thing: again, i'm not a doctor, but if you do get into a treatment, i would keep doses of MMT or buprenorphine to rise exponentially and i would remain in treatment only for a reasonable time. Even if you might not perceive the therapy as an addiction, you will still be taking daily doses of narcotics, and one can find himself with years of legal addiction for just some months of illegal abuse. And it's not nice. Is something you will have to think about.

I hope that i have somehow helped you, and i wish you the best.
 
the best advise i can give you is to not try to stay sober on your own you should try attending AA/NA meetings or if that doesn't suit you maybe rehab but quitting drugs on your own is very unlikely to work
 
Thanks guys.

Abhaya, thanks a bunch for taking the time to reply so in depth.

I have considered that I will maybe be trading an 8 month habit for years of legal drugs, the gravity of the situation is not lost on me. I guess at this point I have accepted that, and ts just the question of either MMT or suboxone. I guess that's what I'm hoping to decide from this posting, and any other insight that might arise from this. As I've pointed out, I am somewhat unique in my situation in that I have never used with anyone else, have never even met anyone we with these issues, and everything I know about what I've gotten myself into is from reading websites such as this. So before I jump in to one of these choices, I figure who better to run it by then you guys.

But to sum it up, yes I have decided that it will be one path or the other, I'm just looking for which one is best given all my factors

As far as staying clean, I will of course be looking at some sort of ongoing treatment such as therapy, though right now I am trying to take things one step at a time and deal with getting free from physical dependence first and foremost.
 
Last edited:
In order to simplify, here it is in a nutshell:

What are the pros and cons of MMT vs. Suboxone?

For additional factors weighing in; see my original post above.
 
I dont know if you can use this for anything, but I will share my experience with you. I too have been taking high amounts of Oxycodone, morphine and ketogan for a long period of time. At the time of the abuse I was functioning very well (better than before my abuse actually). I was taking a Master of Science and I was a part of an elite education program at an university. So did not want to be be hospitalized as this would ruin my education. Thus, I tried to talk to my own doctor hoping that he would help me slowly to lower the dose until I could stop entirely without to much discomfort. I hoped I could do this so I would still be able to follow my education. But my doctor was very cold and didn't care at all. Actually he told me that doctors were not allowed to help patients with this, which is a lie. Doctors in DK aren't allowed to administer Methadone because of the risk of accumulating a deadly dose because of the long half-time. But they are allowed to prescribe oxycodone or buprenorphine and help me make a plan for the lowering of the dose. I had my psychologist with me at the meeting, because he was willing to supervise me and make sure I didn't just abuse the new oxycodone or bupre. But of cause this would be a lot of work for the doctor and he just wanted me out as quick as possible so he could get another patient in and earn more money. So no help here other than he said I should be hospitalized.

They resulted in me trying to make my own plan. I decided to lower my dose of the strong opiates relatively quick an replace it with a relatively high dose of the milder tramadol. Tramadol isn't strong enough to take the worst withdrawal symptoms from the stronger opiates. But I did not feel that uncomfortable as I lowered the oxycodone dose and kept the same relatively high dose of tramadol. When my oxycodone dose reached 0 mg I kept my tramadol dose at the same level for a little while and started lowering this. When I was feeling bad or had strong crawings I used (1) strains of weed which are good for insomnia, anxiety and pain-relief, (2) benzodiazepines, (3) valeriana, and (4) pregabalin. I was told that pregabalin could help a lot with restless leg syndrome.

I can't remember how long I used tramadol. I lowered this dose to every other day or something until reaching 0 mg. At this point where for the first time I didn't take any opiates at all I was feeling depressed and had a lot of anxiety (I have had problems with this before I started using) and were restless and felt a little discomfort and had some problems sleeping. But again I used benzo, weed and lyrica for this and started on sertralin (this has before proven to be the most effective SSRI for me). But as each day passed I slept more and more until I reached about 5-6 hours in a row. I didn't need more sleep than this and I was more fresh than I had been for a long time. I made sure to exercise a lot and make alot of appointments with friends during this time so I could keep my head occupied and not think too much about what I was going through. The depression and anxiety was completely gone on some days and returned on other days. But I have read that this can talk years before this will disappear completely. And as I have had it before i started using, it might not even be because of the those drugs.

This was my way through. But I had help from a girl friend, who had my stash, so I wouldnt breake and take a huge amount of something in order to get high. But that was simply because I didnt trust my self at the moment. Of cause it might not be that healty to use that many drugs to get rid of an addiction, but for me it was better than a cold turkey. I wasn't completely free of discomfort, but I think it was a lot better than just stopping ;)
 
Thanks for your addition ^^ interesting read

At this stage I am pretty set on either Suboxone or methadone. I have possibly found a doctor that will take me on for SMT removing the need for me to go the clinic route, which is obviously a big pull for me.

Still interested in people's opinions in suboxone vs methadone, I would love some more posts in this thread on specifically that subject?
 
Still interested in people's opinions in suboxone vs methadone, I would love some more posts in this thread on specifically that subject?

There are lots of threads on that subject. Here's one example: Have to go back to MMT...or suboxone...what a choice!!

FWIW, I would recommend exhausting other methods of quitting before considering opioid maintenance and I would recommend Suboxone over methadone if you do end up going with maintenance (or also for a short taper).

Also there is the fact that I feel like I need "something" every day. Does methadone curb that urge? As I understand it it doesn't get you high like oxy, but does it still scratch the itch as in provide the sociability/motivation to get out there?
No. It will keep you out of withdrawal if taken in the right dose.
 
I have had a Percocet addiction for nearly six years and have been living with the lies, shame, mental and emotional imprisonment for all this time. For the past couple of years, I would search when I thought I might be ready to get my act together and even when I didn't, these blogs have given me hope. I am relieved and happy to say that I have been following the Thomas recipe and I can say I have weened myself off and haven't had a single perc in 3 days. I got my 5-htp which is really helping, GABA and Melatonin for some sleep but that parts been the roughest. I'm never going back. I want to thank everyone who takes the time to note their experiences here and offer encouragement. You have helped me and I am sure countless others! Tonight was a rough night, no sleep, restless "crazy legs" and moments of thinking I was feeling week. Instead of picking up, I picked up my ipad and I'm feeling my conviction to be right in my life is back! Thank you!
 
There are lots of threads on that subject. Here's one example: Have to go back to MMT...or suboxone...what a choice!!

FWIW, I would recommend exhausting other methods of quitting before considering opioid maintenance and I would recommend Suboxone over methadone if you do end up going with maintenance (or also for a short taper).


No. It will keep you out of withdrawal if taken in the right dose.

I would also recommend subutex over MMT as maintenance for your habit. For me though, subutex will not take away the feeling "that I need something" nearly as good as methadone but it has less side effects (constipation from high doses of methadone is horrible).

Subutex also blocks other opiates which helped alot for me, sure methadone blocks too, but not to the same extent as subutex. When on subutex I do not think about other opiates, simply because there is no point in taking them at all. On methadone at least I could take a days break or two and have some heroin if I wanted to.

You might want to think about just using these drugs to taper with, I was on maintenance for 5 years before I realized all it really did at that point was make me depressed and lethargic.

edit: by the way when I was detoxing from heroin last time I was in the hospital and was prescribed 24mg subutex daily combined with levomepromazine/clonidine/nitrazepam and it was surprisingly easy to be honest.
 
First of all, if alcohol was "killing your liver" then you probably shouldn't be taking Percs bc of all the APAP. If you decide to do oxy again, Please get Roxi's (they don't have APAP which is horrible for your liver in big doses!)
Anyways I was on the same boat as you 300MG + of oxy a day before I started shooting heroin so I know what you're going though. I think your addiction is mostly mental since you said "You have to have something." I wouldn't go with Methadone, Withdrawals are horrible even if you taper down to 5mgs...still not good. I did Suboxone strips and I'm going to recommend suboxone, it saved my life. Even after I started and the cravings got ahold of me then I went and did something, I couldn't get high so I wasted my money. I found it easy to taper. BUT Sub docs introduction start wayyy too high. I would take what they give you but try low doses at first and if you're not comfortable then go up a little more then so on...

If you would like to hear more regarding Methadone or Suboxone/Subutex, feel free to PM me! Good luck to you!
 
I have had a Percocet addiction for nearly six years and have been living with the lies, shame, mental and emotional imprisonment for all this time. For the past couple of years, I would search when I thought I might be ready to get my act together and even when I didn't, these blogs have given me hope. I am relieved and happy to say that I have been following the Thomas recipe and I can say I have weened myself off and haven't had a single perc in 3 days. I got my 5-htp which is really helping, GABA and Melatonin for some sleep but that parts been the roughest. I'm never going back. I want to thank everyone who takes the time to note their experiences here and offer encouragement. You have helped me and I am sure countless others! Tonight was a rough night, no sleep, restless "crazy legs" and moments of thinking I was feeling week. Instead of picking up, I picked up my ipad and I'm feeling my conviction to be right in my life is back! Thank you!
Posts like this make me happy. :)
 
If anyone out there is looking for something to ease withdrawal....I was taking 6 10mg vicodin daily and ran out of my script...had.some Lyricia and tried it...NO withdrawals and I mean none...its a miracle drug
 
I hope you don't go back to alcohol either......both are bad when addicted to but IMO, alcohol is worse.

Good luck with the road ahead!


Just noticed this thread is over 2 years old.......
 
create a plan. not one way works for all. start with the least intrusive, if it doesn't work move to next level. Rehab and Doctors last stop when nothing else worked. Reason being is last step is life long, some need it. Make no mistake, it will follow you for life, your medical records are private but not to other medical professionals, insurance companies, health insurance companies. Do employers find out, yes, how? well if you own the business you pay the health insurance premiums, if one is high and you question your rep they will cough cough and tell ya why, and there is now way you will prove that happened unless you tape your owners phone. In the end it all comes down to the person, if someone really wants to stop they will, some realize it's a dead end sooner than others and stop.
 
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