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Opioids Help with withdrawal

willbec1

Greenlighter
Joined
Apr 29, 2025
Messages
10
So I’ve been taking opioids for some years now in one form or another. A combo of extended release (30mg Morphine Sulfate) and IR (10mg Hydrocodone) as of late.

Ive never gone TOO overboard with them but am to the point that I need to stop. Lately I have been taking ~70mg of hydro a day when I have them. (1-2 weeks of the month) and then 1 30mg MS when I don’t have hydro.

What is the best plan to get off of this stuff. I have a family and a full time job so looking to minimize the symptoms. So not sure if it’s smarter to try to taper or just rip the bandaid off and go cold turkey. (Could fake the flu for a few days or something).

I also am prescribed clonazepam and have a half a script of gabapentin left that I hear helps with symptoms.

Any advice on best way to do this and what the timeline looks like for symptoms would be really appreciated.
 
So I’ve been taking opioids for some years now in one form or another. A combo of extended release (30mg Morphine Sulfate) and IR (10mg Hydrocodone) as of late.

Ive never gone TOO overboard with them but am to the point that I need to stop. Lately I have been taking ~70mg of hydro a day when I have them. (1-2 weeks of the month) and then 1 30mg MS when I don’t have hydro.

What is the best plan to get off of this stuff. I have a family and a full time job so looking to minimize the symptoms. So not sure if it’s smarter to try to taper or just rip the bandaid off and go cold turkey. (Could fake the flu for a few days or something).

I also am prescribed clonazepam and have a half a script of gabapentin left that I hear helps with symptoms.

Any advice on best way to do this and what the timeline looks like for symptoms would be really appreciated.
Speaking from experience, the best way is to start tapering down on your usage. In the end it will make getting off much easier, regardless if you choose to go cold turkey, or use something like kratom or suboxone to aid in the w/d process. Once you've tapered down to a low enough dose, you can use something like kratom to help you with the w/ds.

I personally use suboxone, and find it to be a miracle prescription, it's helped me get off opiates, and I don’t have any cravings for them. But im also now taking suboxone daily, so in a sense substituted one thing for another, but thankfully with suboxone at least im not getting high anymore, and can take my dosage daily and feel like myself without that craving. Eventually I will taper off suboxone, but for now I'm content.

Wishing you luck with tapering down, and getting off the opiates. They're fun, until they're no longer fun.
 
Any advice on best way to do this and what the timeline looks like for symptoms would be really appreciated.
Eventually I will taper off suboxone, but for now I'm content.
The trick to tapering is to do it slowly.
Very slowly.

Fron personal experience and what I've observed in others, the most common mistake is to think Oh, I've got this and to try to cut back too much or too fast.

Withdrawal symptoms can have a delayed reaction. Next thing you know you're feeling horrible and jump back up to a full dose just to get some relief. Then ya gotta start all over again. It's discouraging.

Be extremely patient with yourself.
Best wishes 💜
 
^^ Wow. And that is exactly what can happen. Sometimes you will also have to start the taper all over again.

Then when you start dosing again you get even higher because tolerance will be lowered.

And it makes it more painful and more difficult to make it towards trying to jump off completely.

Then you will have to deal with the P. A. W. S. that is so drawn out and depressing that you will

think that you are still in withdrawals.

But guess what .... It is doable !!! And eventually goes away.

It is done every day and all of the time now. And is possible to be patient and cut back slow, yes.
 
Definitely tapering is the right way for you.
Prepare to not feel high, higher anxiety and pain levels, nausea etc. but if u will taper just tiny bit every other day, with some comfort meds ( benzos, old antihistamines, NSAID, paracetamol, loperamide ) u will be ok. U wont have much energy for some time but take low dose caffeine/modafinil/amphets as needed but LOW DOSE ! Not taking any would be the best for your taper.
 
Thanks for all the advice guys. Sounds like tapering is the much smarter move. For the MS is it Ok to break those even though they are Extended Release? Also does Gabapentin help at all? I couldn’t remember if I have seen that or pregablin as helpful in other threads
 
I think the answer to your question is highly personal. Tapering in the sense of a slow, controlled, minimally-painful and/or disruptive regimen is a great idea. You have good motivation, good medications - including the pharmaceuticals from which you are attempting with withdraw (allowing for precise known dosing), you're here for support, and your use isn't astronomical albeit ongoing for a decent length of time.

For myself in a different set of circumstances, "tapering" typically involves me crashing through the last gram of whatever in record speed, and having "tapered" myself straight into massive and/or precipitated WDs by about 24 hours later. In other words, something more akin to your cold poultry option. But it also works.

It comes down to your individual mettle and perhaps your objective. Is your goal to cease use of all opioids with no intent on returning to use? Is this a tolerance/indefinite but temporary break?

Have you ever been in withdrawal? Of what severity/length? How did that go?

What is your prescribed dosing of morphine and hydrocodone? For what purpose? And how essential for your comfort and function are these meds (i.e., withdrawal aside, would you be adequately functionable?)?

My personal assessment and general advice given what limited information I have would be this:

Ultimately, a sort of quick taper to a substantially lower Morphine Milligram Equivalence daily dosage - talking maybe 20-30mg morphine or equivalent per day - to a hopefully somewhat ameliorated... thus chilled duckling? end state;

Explicitly and austerely regimenting your opioid medications by reducing both proportionately at first and then switching to either/or any given day as you approach that taper target, and liberally (if possible but temporarily) supplementing your withdrawal with the two prescriptions - gabapentin and clonazepam - you mention as already on-hand, perhaps along with some measure of one or more of few other substances - dextromethorphan, loperamide, melatonin, multivitamin, herbs like valerian or kava or even THE herb, prescriptions like clonidine or promethazine, et alia.

If I am correct as to your intended objective, you might avoid using kratom/mitragynine/7-oh mitragynine in this process. It can be used as an aid in transitioning off of pharmaceutical opioids as in your case, but it can also be the target in a trading of dependencies for it contains/is an opioid alkaloid itself but generally considered milder in terms of its putative partial agonist/limited μOR efficacy mechanism of action as such. So, if you want away from opioids altogether, you might want to overlook kratom as a tool. Yet, if you require the benefits of opioid medication for quality of life but want to in a sense step back somewhat from your somewhat substantial medication burden (roughly 70mg hydrocodone + 30mg morphine sulfate ER yes?) then that may be a different story. I simply caution you on kratom, lest it come up in your discussions or research.

Also I would note: you should not expect a gleefully painless and effortless experience in any withdrawal, not matter how well-positioned and planned you are. In essence, you might think of taking opioids - especially in absence or excess of pain - as building a debt with each transaction. Withdrawal is a sort of chaotical biochemical squaring up of your account. If it felt nice taking them, it will feel rather unpleasant when you stop taking them, but at a variable exchange rate. Like a nice central bank small-incremental interest rate change, tapering seeks to smooth that out somewhat. But in my experience, if you're not feeling it, you're not tapering much/at all. Hence my process of compromising on an approach to opioid withdrawal.

But don't despair. Withdrawal is doable and done every day. I've fully, partially, poly-substance-èdly, and precipitatedly withdrawn under the best and worst of circumstances, hundreds of times. And you're in good shape here materially and mentally to succeed in your effort! So I personally know you can get through this one and in relative comfort if you plan carefully and execute appropriately, however you choose to go about it.

All the best,

[N.b.: wrote this over like 18 hours, so excuse if I miss any pertinent intervening discussion that would change the above take]
 
I'm sure some disagree with my approach but when I cut opiates(oxy) I saved one last pill for a few days in and I feel like it really helped that week. Going from lots of something to nothing, I feel is not the best approach. Lots of something to nothing to a tiny bit to nothing is less stressful.
 
I'm sure some disagree with my approach but when I cut opiates(oxy) I saved one last pill for a few days in and I feel like it really helped that week. Going from lots of something to nothing, I feel is not the best approach. Lots of something to nothing to a tiny bit to nothing is less stressful.
I enthusiastically concur and second the motion.

I mention in my post above that I have withdrawn from all manner of substances - consumed in varied lengths of time, with varied ROA, varied quantities, and while in states ranging from medically-induced unconsciousness whilst in septic shock, to over-amped after an extended massive IV/IM fentanyl/fentalogues + cocaine run, to naked, assaulted, well-bled, and rarely conscious on the frigid floor of an isolation intake cell in a prison.

What has always mattered most in mitigating symptoms and managing perceptions during any of my experiences of withdrawal was were not only what tools I had available - if any - but precisely when I timed their use.

Through changing reactions, I tended in favor of one set of behaviors before and during withdrawal, particularly anopioid-induced, but also, very notably, SNRI withdrawal.

Eventually, withdrawals generally became reduced in impact on me. No more projectiles going out on at least two vectors simultaneously, no relentless restless legs, no dark-comically profuse sweating. Granted I still go through it to some degree whilst withdrawing. But timing and size of doses starting near the final 72-144 hours of use, habit depending, can lead to what I've informally recalled as a "soft landing." Essentially, it seems to me that opioid withdrawal can be substantially mitigated, even ameliorated, with adequate bu at substantial and perhaps somewhat irregular intervals.

I haven't yet nailed down my thinking on the matter. But I think there could be potential for a helpful protocol in that, albeit one whose output would vary significantly depending on the substance being withdrawn and other factors.

Then again, that would quite potentially be an advantage. You know, future-modern healthcare - which in notion is highly individualized, both precise and accurate, very discerning and scientific indeed, but all-too-soon, because of tariffential changing cost-run estimates, to be delivered exclusively remotely and by quasi-sentient algorithm and enormous amounts of energy, but a real doctor and nurse occasionally peruse the camera you were tasked with inserting into your rectum for a 7-day observation what is this really medically necessary and why is there still a $25,000 co-pay on a $666,667 bill for something I had to insert up my own butthole, remotely, for seven days? "Because it is HIGHLY MEDICALLY TAILORED to YOUR VERY PARTICULAR rectum, and a real doctor briefly reviews something." MEDICINE.HELL YES.

Sorry, point is: my suggestion in the above post is derived from experience and thinking exactly aligned with what you are saying - excellent observarion, and well and succinctly put.

Practically: *knowing* that you have 100% of x.xxmg of yyy substance coming to you, if you can just tough it out 36 hours, and half as much in 24 more hours, but 115% as much 60 hours later, yet then you run out - there seems to be some potential substantial tangible effect in subjective and possibly objective experience of [opioid] withdrawal. In a sense there is a taper there, but I suspect something very distinct in a pharmacokinetic and pharmacodynamic capacity occurs in this abnormal, staggered, gaited withdrawal approach. Wish I could say so more decisively for you. Mais c'est ça.

Not looking to derail your thread OP - quite the opposite. But I'd hate to posit my offhand, albeit consistent, and apparently to some extent shared, experience to you as necessarily suited to your endeavor, least of all because I have yet to grasp it myself. Worth noting perhaps, though, as you develop your course of action. O' captain my captain, I salute you in your cause. Sally forth when you are well fortified. Will happily share more
 
I think the answer to your question is highly personal. Tapering in the sense of a slow, controlled, minimally-painful and/or disruptive regimen is a great idea. You have good motivation, good medications - including the pharmaceuticals from which you are attempting with withdraw (allowing for precise known dosing), you're here for support, and your use isn't astronomical albeit ongoing for a decent length of time.

For myself in a different set of circumstances, "tapering" typically involves me crashing through the last gram of whatever in record speed, and having "tapered" myself straight into massive and/or precipitated WDs by about 24 hours later. In other words, something more akin to your cold poultry option. But it also works.

It comes down to your individual mettle and perhaps your objective. Is your goal to cease use of all opioids with no intent on returning to use? Is this a tolerance/indefinite but temporary break?

Have you ever been in withdrawal? Of what severity/length? How did that go?

What is your prescribed dosing of morphine and hydrocodone? For what purpose? And how essential for your comfort and function are these meds (i.e., withdrawal aside, would you be adequately functionable?)?

My personal assessment and general advice given what limited information I have would be this:

Ultimately, a sort of quick taper to a substantially lower Morphine Milligram Equivalence daily dosage - talking maybe 20-30mg morphine or equivalent per day - to a hopefully somewhat ameliorated... thus chilled duckling? end state;

Explicitly and austerely regimenting your opioid medications by reducing both proportionately at first and then switching to either/or any given day as you approach that taper target, and liberally (if possible but temporarily) supplementing your withdrawal with the two prescriptions - gabapentin and clonazepam - you mention as already on-hand, perhaps along with some measure of one or more of few other substances - dextromethorphan, loperamide, melatonin, multivitamin, herbs like valerian or kava or even THE herb, prescriptions like clonidine or promethazine, et alia.

If I am correct as to your intended objective, you might avoid using kratom/mitragynine/7-oh mitragynine in this process. It can be used as an aid in transitioning off of pharmaceutical opioids as in your case, but it can also be the target in a trading of dependencies for it contains/is an opioid alkaloid itself but generally considered milder in terms of its putative partial agonist/limited μOR efficacy mechanism of action as such. So, if you want away from opioids altogether, you might want to overlook kratom as a tool. Yet, if you require the benefits of opioid medication for quality of life but want to in a sense step back somewhat from your somewhat substantial medication burden (roughly 70mg hydrocodone + 30mg morphine sulfate ER yes?) then that may be a different story. I simply caution you on kratom, lest it come up in your discussions or research.

Also I would note: you should not expect a gleefully painless and effortless experience in any withdrawal, not matter how well-positioned and planned you are. In essence, you might think of taking opioids - especially in absence or excess of pain - as building a debt with each transaction. Withdrawal is a sort of chaotical biochemical squaring up of your account. If it felt nice taking them, it will feel rather unpleasant when you stop taking them, but at a variable exchange rate. Like a nice central bank small-incremental interest rate change, tapering seeks to smooth that out somewhat. But in my experience, if you're not feeling it, you're not tapering much/at all. Hence my process of compromising on an approach to opioid withdrawal.

But don't despair. Withdrawal is doable and done every day. I've fully, partially, poly-substance-èdly, and precipitatedly withdrawn under the best and worst of circumstances, hundreds of times. And you're in good shape here materially and mentally to succeed in your effort! So I personally know you can get through this one and in relative comfort if you plan carefully and execute appropriately, however you choose to go about it.

All the best,

[N.b.: wrote this over like 18 hours, so excuse if I miss any pertinent intervening discussion that would change the above take]
So I have been taking the opioids for chronic pain but for the sake of transparency they are not prescribed to me. Being youngish (30s) doctors have always been unwilling to write for me. So I have a network of friends/family members that I get from. (They are 100% legit).

My goal is to hopefully get off of them for the most part or atleast to the point of only taking them when things are really bad. Which is how it started and slowly became taking them everyday for relief and building up a tolerance. And like you said I want to nip it in the bud while I still can. I haven’t gotten past the point of no return with very high dosages which makes me optimistic about my success but also the fact I have been taking them for years scares me a bit. Being an anxious person quite frankly I’m more scared of the lingering PAWS rather than the more brutal first few days. I have def gone through withdrawals before. But I don’t think I’ve gone more than a week and that was mainly due to just running out and not a conscious effort to quit.

Interesting to hear that taking some a couple of days into WD will help. I always assumed that would put me right back at day 1 if I did.

Really appreciate all of the info from everyone. Also curious what people would suggest in terms of gabapentin dosage for this specific use. I have about 60 or so 300mg capsules fr a script I was given for my pain (that didn’t help). I was taking 1 pill 3x a day. For WD symptoms would people suggest more?
 
Thanks for all the advice guys. Sounds like tapering is the much smarter move. For the MS is it Ok to break those even though they are Extended Release? Also does Gabapentin help at all? I couldn’t remember if I have seen that or pregablin as helpful in other threads

Are we talking generic 30mg MS CONTIN tablets? What generic/brand? When I was prescribed 30mg MS CONTIN T.I.D. eons ago, there was a particularly predominate brand the name of which I cannot recall atm. Small, rounded, purple, waxy. At the time I was not as much into pharmaceuticals or pharmacology, so I didn't look into the nature of the ER matrix. But from experience, halving the tablets decreased the ER aspect to an extent, but was partially retained. Entirely pulverizing said tablet seemed to effectively make for an IR.

Brand or any specific generically-used ER matrix preparations might be a different matter, though.

Gabapentin is renowned by some for its ability to alleviate or temper some symptoms of withdrawal, and its use would be encouraged. In general with gabapentin, I suggest: A. staggering small doses throughout the day, with at least 45 minutes between doses; and B. titrating until desired effect and balanced with ability to tolerate effects. This applies whether for withdrawal attenuation or other medicinal or even recreational usage.

E.g. with 300mg capsules, assuming you have at least some familiarity with the medication taken as prescribed, you unruly rascal, at

T+0:00 300mg to 900mg
T+1:00 300mg
T+1:45 300mg
T+2:30 300mg
T+4:00 evaluate how you are feeling - better or worse? This should be enough of a dosage and enough time to have a sense of where things are going.

You can fairly safely dose well above prescribing guidelines, but aspire always to find the most effective least dosage. Gabapentin has a peculiar pharmacology to it, with an absorption ceiling and an inverse dose:absorption relationship. I.e., the larger the single dose, the less of it is absorbed as a percentage of the dose. And only so much of it can be effectively bioavailed at any given time. I'd reckon 3,200mg-4,800mg total daily dosage to be a hard ceiling until you are really comfortable utilizing gabapentin. But you may experience marked relief at a rather threshold dose of 100mg t.i.d.

And keep in mind, withdrawal from opioids is an exotic and excited neurological-physiological state. In particular, norepinephrine rebound. What this means is physical symptoms are hardwired by a potent central architecture. It always takes a lot to overcome those symptoms - sometimes, that means a lot of a medication. Just be cautious. Your endogenously over-amped fight-or-flight system will see to it regardless, haha.

Oh, that's where clonazepam/whatever benzodiazepine comes in handy. The GABAergic mechanism of action has a downstream dampening effect on the central nervous system, which again is in haywire overactive mode whilst in the throes of opioid withdrawal, ultimately largely on account of enormous amounts of norepinephrine flowing to and fro', from axon to terminal, from crying to laughing over your emerging newfound lack of unsobriety.

Possibly only a medication directly antagonistic to the action of such a randy molecule could better and more directly attenuate such soupy neurochemical chaos - a norepinephrine antagonist, perhaps! α and β blockers. Clonidine is also a renowned opioid wd tool and central α-blocker. Various -ols, like propranolol and atenolol, are common β-blockers. Some other common medications like mirtazapine can have a similar effect on norepinephrine. You may coincidentally have access to such medications, or could possibly readily procure a prescription. Any one of them could be a valuable asset. High heart rate and blood pressure are concerns during withdrawal. Just a thought.
 
Speaking from experience, the best way is to start tapering down on your usage. In the end it will make getting off much easier, regardless if you choose to go cold turkey, or use something like kratom or suboxone to aid in the w/d process. Once you've tapered down to a low enough dose, you can use something like kratom to help you with the w/ds.

I personally use suboxone, and find it to be a miracle prescription, it's helped me get off opiates, and I don’t have any cravings for them. But im also now taking suboxone daily, so in a sense substituted one thing for another, but thankfully with suboxone at least im not getting high anymore, and can take my dosage daily and feel like myself without that craving. Eventually I will taper off suboxone, but for now I'm content.

Wishing you luck with tapering down, and getting off the opiates. They're fun, until they're no longer fun.
How come everybody bitches about how hard it is to get off suboxone? Maybe because it is awful.

As in it is much harder to get off, of it then what he is on.

Not to mention a suboxone script on your medical records means you are a drug addict.

You will be treated as such by doctors for the rest of your life.
 
How come everybody bitches about how hard it is to get off suboxone? Maybe because it is awful.

As in it is much harder to get off, of it then what he is on.

Not to mention a suboxone script on your medical records means you are a drug addict.

You will be treated as such by doctors for the rest of your life.
I don't know how hard it is to get off of buprenorphine, but I know it sure is a bitch to even get on it! **Precipitatedly withdraws into a puddle/falls through the floor of space and time into a state of unadulterated agony... One 2mg/0.5mg strip and120+ hours after last touching street fentanyl/fentalogues.**

As far as potentially noxious chemicals go, I rate Suboxone rather poorly, in practice and effect, for reasons you observe.

People got off OxyContin, by force. Who is getting of Suboxone any time soon? Subs are still just catching on. Soon great grandma and her dachshund will both be on Suboxone, for his hip replacement and her glaucoma. Or maybe the other way around, neither will know why anyway, other than that's what the doctor-vet offered for the ails in complete and blissful ignorance of reality.
 
So I have been taking the opioids for chronic pain but for the sake of transparency they are not prescribed to me. Being youngish (30s) doctors have always been unwilling to write for me. So I have a network of friends/family members that I get from. (They are 100% legit).

My goal is to hopefully get off of them for the most part or atleast to the point of only taking them when things are really bad. Which is how it started and slowly became taking them everyday for relief and building up a tolerance. And like you said I want to nip it in the bud while I still can. I haven’t gotten past the point of no return with very high dosages which makes me optimistic about my success but also the fact I have been taking them for years scares me a bit. Being an anxious person quite frankly I’m more scared of the lingering PAWS rather than the more brutal first few days. I have def gone through withdrawals before. But I don’t think I’ve gone more than a week and that was mainly due to just running out and not a conscious effort to quit.

Interesting to hear that taking some a couple of days into WD will help. I always assumed that would put me right back at day 1 if I did.

Really appreciate all of the info from everyone. Also curious what people would suggest in terms of gabapentin dosage for this specific use. I have about 60 or so 300mg capsules fr a script I was given for my pain (that didn’t help). I was taking 1 pill 3x a day. For WD symptoms would people suggest more?

Ah, upon rereading, I may have obscured the point a bit in all the text, which I wrote before seeing this last post of yours: I think there can be value in someway significantly altering a plain straight-down interval taper to something more dynamic - but I can't offer much more than that as vague opinion. And such might not work for you. So I guess the real point is: do whatever it is that works to get you to your goal.

So, I read you on the age-pain thing. When I was a teenager and injured, I was told - "you're too young to be in pain - you can't be administered pain medications, the risks are too great." In my 20s it was "you're too young for this, if you start now they won't be effective if you need them later." Now that it's already later (30s), and I reckon I "need" them - i.e. they are indicated, the potential benefits outweigh the risks, and there is certainty of improving my quality of and function in life - doctors loathe to even encounter me let alone prescribe to me. So after 20 some years of pain and the very real consequences it has, instead of taking 30-60mg of the OG "OC" OxyContin™ per day - not even crushing it up and railing it but taking it per os as directed in the comfort of my own den of iniquity - I am compelled to solo cop whatever fentanyl-du-jour bullshit I can wrangle up on any given day on the wrong side of town without getting stabbed or arrested only to risk falling out. But I sort of digress...

The point in describing that at all is: that isn't where you are yet, but rather in a not-some-bullshit-Reagan-PSA-spiel on where these things can readily go, and you recognize that, and feel compelled to act. This is part of why I feel very good about your chances of success in adjusting the extent of your using these substances per your desires. There are lots of well-adjusted substance connoisseurs of only occasioned use, and of course plenty of teetotaling life-raw-dogging inexplicably totally sober types as well.

But anyway, I'd just like to point out damn, with such an opioid-benzodiazepine penchant as respectable if still fairly modest in depth and length as yours, you've got some seriously quality plugs in those family members of yours. My sister once reluctantly facilitated transfer of an expired 1mg alprazolam to me during an unmitigated anxiety disaster situation years ago and she still holds it against me. I hope you gave out top notch Christmas presents. I don't think I have to describe how extra-tenuous such supplies are, though. Good to maneuver like this whilst you have them, of course.

Worry about PAWS is normal. I think even the experience of PAWS is sometimes that of adjusting one's normal to the more painful, less medicated nature of reality. It sucks. But I wouldn't worry about it, now or if you should find yourself in its grimey throes. At that point you'll be beyond acute withdrawal, and starting to feel better simply for not being in withdrawal no matter how mild or severe it proves, as well as for the accomplishment of progressing toward your goal and the tangible changes that brings. That is, in my experience, enough to abolish the worst aspects of PAWS.

You've tasted withdrawal. Not fun. But survivable, obviously. If a week is your longest stint off your regimen, I'd estimate that what you might have taken for the severity of PAWS might still have been acute withdrawal. Unless you're saying it's purely the prospect of PAWS rather than that and/or experience of it that has you most worried.

Back to the idea of an irregular taper and your tolerance/use reset concern on taking a dose while at the proper discontinuation stage of a withdrawal. Your thinking there is prevailing and supported empirically, described on here often as a kindling effect. I think it's more complex than that. But that is again only a notion. But in short: many times, to my astoundment, I've - usually by accident - ended up as I say soft landing a withdrawal when effectively experiencing an irregular taper. I suppose you could describe the usual circumstances as forced supply chain interruptions. For simplicity, I'll refer to the example from our friend earlier, of lots of something, to none, to some. Intentionally looking to go it something like that way also builds into your plan a far more realistic expectation of successful change that is otherwise often ridiculously described as a "relapse."

As I've said, ultimately the best way of managing your withdrawal is whatever way successfully gets you to your goal. Instead of thinking of it as stopping opioids, consider that you are reversing course on your physical tolerance/dependence to an acute dosing in the presence of pain situation. Your body will respond differently acutely to an unexpected highly effective dose after 48 hours of wds than it would for your regular evening night cap dose. That is the gist.

Finally, I think given your responses that the gabapentin dosing example I posted above might actually be an appropriate guidelines for you. Less is uniquely more with gabapentin, and stagger that dosing, and reevaluate.
 
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Thank you very much for taking the time out of your day for your responses and insight Ind33d. They have been really helpful. I def feel good about my chances of success. I really like your thought of instead of thinking of if as stopping opioids but reversing course to an Acute dose.

And ya I have been very lucky (or maybe it’s unlucky lol) to have family that have been willing to part ways with medication to help manage my pain. It’s next to impossible to get anything at my age even after dealing with this for 15+ years. There is so much wrong with pain medication and how they prescribe it post the OxyContin “pandemic” but I digress.
 
pain medication
Forgive me if this has already been mentioned, but I wanted you to be aware of it:

It's well-documented that long-term opioid use (even if carefully managed) lowers one's pain threshold. So while you are tapering you will notice acute pain more frequently &/or more intensely. This oversensitivity to pain is reversible, but it takes time.
 
Thank you very much for taking the time out of your day for your responses and insight Ind33d. They have been really helpful. I def feel good about my chances of success. I really like your thought of instead of thinking of if as stopping opioids but reversing course to an Acute dose.

And ya I have been very lucky (or maybe it’s unlucky lol) to have family that have been willing to part ways with medication to help manage my pain. It’s next to impossible to get anything at my age even after dealing with this for 15+ years. There is so much wrong with pain medication and how they prescribe it post the OxyContin “pandemic” but I digress.

I hear you resoundingly.

Not a problem, any time. Keep us posted as you work it out, if inclined.
 
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