methadone, buprenorphine and other opioid pharmacotherapies

[Crankinit]

Your doctor's suggestion might not be a bad one, at least in the short term. Yeah a higher dose means the taper is going to be longer later on, but that's all moot if you drop off the program and go back to shooting up because the subs aren't dealing with your cravings, or swap your habit over to another drug. You don't have to stay on the higher dose forever, you could go up for a bit, then taper back down once you feel more comfortable about being able to resist the cravings. At the least you could try it, and if it doesn't help after 2 or 3 days you can drop back to 8mg.

If you find the cravings are coming later in the day you could look into split dosing.

Alternatively, you could consider swapping to methadone. Some people find it helps them more with the cravings than suboxone.

 

[brighton]

^ Thanks. Id consider swapping to methadone but I really dig the anti depressant and anti anxiety effects from the suboxone.
I think Il feel better when Im not living in my van and have an apartment. In a few weeks. Maybe Il just up my dose until then.

 

[SKR]

Yeah Brighton mate, you're doing it tough man. I hope your situation improves quickly.

 

[chugs]

now that I'm off methadone everything is so much more consuming and difficult.

This is what i worry about, coming off suboxone.

How are you doing? Have you broken?

 

[brighton]

Yeah Brighton mate, you're doing it tough man. I hope your situation improves quickly.

Thanks Its winter in two weeks. I hope I have an apartment by then. Im still going to polytech every day, Im studying carpentry. Oh such irony, Im homeless and spend four days a week building a fucking house

 

[SKR]

^ Yeah man that's just cruel, just gotta keep your sense of humour with these things hey. Good on you for doing carpentry man, It's a great trade to have. I probably should have done it myself. I've got mates who are builders and the prices they were able to build their own homes at were excellent. The world always needs people who can build stuff brighton. I'm a cabinet maker and french polisher by trade and specialised and found the most joy in antique restoration mostly, although I haven't worked in that capacity for well over a decade. I'm still working in the furniture industry (Importation) and I'm considering going back into the family business which is furniture related but I have to see how my health is going pain-wise especially.

What's the temperature like where you are in NZ? I struggle with the cold these days and I live in Queensland, which really doesn't get cold certainly by kiwi standards so I would likely shiver to death wherever you are.

 

[brighton]

^ Cool, I bet you could kit out a mean house truck
Furniture importation a? Is it arriving stuffed with oxy?!

I just signed the lease on my new apartment today!! Ive never had my own place before, Im excited. Its on the ground floor in a block of six, new paint & carpet, a huge lounge and smallish bedroom, a carpark and the biggest kitchen Ive ever had and its only a five minute walk to the CBD! Im so stoked. Ands its hella cheap - about 40% below market rent.

Happy hump day!

 

[brighton]

oh yeah and temperature wise its been getting down to 6 overnight and 10-14 during the day.

 

[brighton]

Something like that!! I resolved my chronic pain with lots of phyiso but I didnt tell my doctors so the scripts kept coming. And using lots of poppy seeds as well as morphine, homebake (do aussies know homebake?) and oxy more and more frequently and got to the point where I was sick of it all but couldnt get thru the day without opiates.

Ive been on the subs about six months and still have to consume on premisses 6 days a week! Although I have a meeting tomorrow to sort out some sort of takeaway increase.

 

[SKR]

^Keep up the good work Brighton, you made the right choice for you by the sounds of it.

 

[brighton]

^ Thanks sweetheart! I had a meeting today with my case manager to talk about a takeaway increase. Omg she is so smoking hot. Actually almost all the workers at the opiate treatment service are. Such fun
I saw my friends daughter there today (who cant be more than 16) getting her methadone dose. I mean, how much of a habit could someone that young have? I think doctors too often push it as a miracle drug and/or the only solution for anyone with even the smallest of habits.

 

[chugs]

5 years later down the track, that baby monkey on her backs going to be a fucking gorilla.

In five years all drug addictions will be cured. No one will be taking buprenorphine or methadone.

We'll all be taking Ibudilast, with varying dosages depending on the patient. At one level it'll be used for acute withdrawals from everything from methamphetamine, cocaine, and opiates. I would argue that over-eating and most addictive behaviours stem from TL4 activation.

Whilst on another level patients will take Ibudilast on a regular basis to neturalise proinflammatory / suppress TL4 receptors.

We are on the periphery of a exciting period that the addiction treatment industry is refusing to embrace. A criminal industry sector that for the most part uses it authority to prey upon addicts, like leaches.

So many people are given excessive doses of methadone and buprenorphine. The risk of overdose and death with methadone induction is real and there are so many cavalier clinics out there. Even the public clinics, with their apathy and general hate for their clientele leads to poor outcomes.

The god-like ego of the prescribers is a significant problem. Their dictator like powers, their biases and bigotries are legendary, as are their inability to stay on schedule. Really pisses me off when I see these leaches, trapping their patients in a revolving door that is terribly profitable for them.

 

[Crankinit]

In five years all drug addictions will be cured. No one will be taking buprenorphine or methadone.

We'll all be taking Ibudilast, with varying dosages depending on the patient. At one level it'll be used for acute withdrawals from everything from methamphetamine, cocaine, and opiates. I would argue that over-eating and most addictive behaviours stem from TL4 activation.

Whilst on another level patients will take Ibudilast on a regular basis to neturalise proinflammatory / suppress TL4 receptors.

We are on the periphery of a exciting period that the addiction treatment industry is refusing to embrace. A criminal industry sector that for the most part uses it authority to prey upon addicts, like leaches.

So many people are given excessive doses of methadone and buprenorphine. The risk of overdose and death with methadone induction is real and there are so many cavalier clinics out there. Even the public clinics, with their apathy and general hate for their clientele leads to poor outcomes.

The god-like ego of the prescribers is a significant problem. Their dictator like powers, their biases and bigotries are legendary, as are their inability to stay on schedule. Really pisses me off when I see these leaches, trapping their patients in a revolving door that is terribly profitable for them.

While I don't disagree that there's a serious issue with the medical system, it's interaction with drug addicts and opioid prescription/maintenance, I think to predict that any single drug or treatment will offer a treatment for all forms of addiction, everywhere, let alone do so universally within the next 5 years, is... incredibly optimistic, at very best.

Even if this Ibudilast you're taking about really is the addiction panacea you claim (which I highly doubt), the process of getting it trialed, authorized, produced and distributed would alone take a decade or more and cost millions of dollars.

 

[brighton]

Chugs - Have you got any links/studies to back up what you are saying?

I always thought Jesus was the cure-all

 

[ohmy3]

Hi so I tried rectally plugging methadone. I am in the suboxone clinic. It was dumb I didn't get high. I don't think the oral syringe was in far enough. My question is do you think it will show up on my drug test today? Most spilled out. If not all. It was like 90 mgs. I pissed in a cup the day I took it so I would have clean pee. But I am worried they will detect its old pee. Help me!

 

[Acanthus]

Anyone know what the deal is with buprenorphine and driving? I've always just done it since taking it everyday obviously means one isn't too affected by it. Disconcertingly though, in the local paper I now see that they're introducing widespread roadside drug-testing (opiates included) to go hand-in-hand with the breathalizers, and all roadside officers will be trained in it's use (in other words, a pretty decent chance of being subjected to it). The article also noted that a huge percentage of people have been caught positive, an impressive number of those for opiates.

It's an interesting topic because if legally prescribed drugs can be deemed intoxicants one cannot drive on, then denizens simply taking headache pills can be done over. Or even chowing down on heaps of poppy seeds. A lot of vulnerable groups like the disabled, elderly, and ill would also be held back from driving due to their reliance on pain medications.

And if it's only for illegal opiates, then how on earth would they differentiate and practically enforce that? Secondary testing of metabolites coupled with demanding to see a script? Als wouldn't this be logically absurd, as legality and sourc obviously have no real relevance as to how inebriated someone is by the drug.

Such an issue brings up so many questions, because let's face it: modern humanity is extremely drug dependent.

(Sorry for any typos, slippery touch screen )

 

[Bubblegummer]

Hey guys and dolls,

I'm wondering if I can take some Endone to get a buzz while I'm in a stable dose of Suboxone? I have a little stash for a rainy day but don't want to take any if it's either dangerous or plainly won't work.

Thanks!

 

[Crankinit]

^ It won't work, you'd just be wasting the endone.

 

[the_ketaman]

In five years all drug addictions will be cured. No one will be taking buprenorphine or methadone.

We'll all be taking Ibudilast, with varying dosages depending on the patient. At one level it'll be used for acute withdrawals from everything from methamphetamine, cocaine, and opiates. I would argue that over-eating and most addictive behaviours stem from TL4 activation.

Whilst on another level patients will take Ibudilast on a regular basis to neturalise proinflammatory / suppress TL4 receptors.

We are on the periphery of a exciting period that the addiction treatment industry is refusing to embrace. A criminal industry sector that for the most part uses it authority to prey upon addicts, like leaches.

So many people are given excessive doses of methadone and buprenorphine. The risk of overdose and death with methadone induction is real and there are so many cavalier clinics out there. Even the public clinics, with their apathy and general hate for their clientele leads to poor outcomes.

The god-like ego of the prescribers is a significant problem. Their dictator like powers, their biases and bigotries are legendary, as are their inability to stay on schedule. Really pisses me off when I see these leaches, trapping their patients in a revolving door that is terribly profitable for them.

Oh My God!!!! I have been trying to find a different post that mentioned this stuff for so long! Im on methadone and have a bad(and getting worse) meth habit, plus all the clonazepam to control the side-effects of methamphetamine. This stuff sounds like a miracle drug! I don't quite understand how it works but whatever drugs I have access too(except alcohol, deleriants & psychedelics which I use properly) I will abuse the heck out of. I suppose ive changed the way I use benzos, instead of just taking them all the time if I had them then when I actually needed them id have run out and end up crippled by the intense panic anxiety, plus rebound anxiety probably plays a part. I now keep them for appropriate times but theyre still getting used a lot and my tolerance never went down even after 2 year break so if I have to take 3-5 2mg tabs it feels like such a waste. Sometimes I only need 2-4mg other times though like today I needed 10mg and im not even smashed, I was yesterday after having 4mg! Sure tolerance went down a bit but I still needed 4mg of Xanax after 2 years of benzo abstinence where as 1mg used to knock me out!

 

[the_ketaman]

sorry to double post but I have two different subjects and I didn't want to clutter one post.

Im on 70mg of methadone down from 100mg, ive reduced over about 2-3 months which sounds very slow but that's my goal, to do it al slowly as possible without it taking forever. So I come down 5mg every 1-2 weeks, sometimes longer because at first I did 5mg reductions for 4 weeks straight and ended up feeling pretty horrible, nothing too physical just very depressed and mentally vacant. So im doing it in a way that wont affect my emotional state too much.

I was going to go to 12ml(60mg) and switch to bupe t that dose but im thinking I might just get completely clean as im 24 and ive heard from a lot of people than 25 was their age where it was stop or live with the fact that you'll be a junkie or on a program either methadone or bupe forever. That's terrifying so im getting clean. Plus ive only used H 3-4 times in over a year and I need so much because of methadone that its not even worth it. Plus Probation & parole have told me its rehab or back to court where im certain id get 18 months incarceration.

So naturally I did what any intelligent person would do, I chose rehab! And its a rehab especially designed for heroin/opiate/methadone addictions but can also help with my meth and benzo problem, but I have to be detoxed from the benzo's and meth beforehand but they do the methadone detox slowly, and sadly its the only rehab in Australia that takes ppl on methadone and you cant just detox of the 'done in a week in hospital, its too hard so were so lucky to have this place. Im surprised that there isn't more but everyone is addicted to ice & alcohol atm so that's what the rehabs are catering for. Every other rehab ive been to treats pot addiction the same as heroin addiction and that isn't right to me, I need specific help for my heroin problem and separate help for my meth habit because I use them both for completely different reasons that couldn't be more different! Its called MTAR which stands for 'Methadone to Abstinence Residential' and wits run by WHOS which stands for 'We Help Ourselves' and that's what I want, course I need help, but I want it to ultimately be ME that does the hard yards to ensure I have a future.

I have respect for any one on MMT or Bupe coz sometimes its our only option, I OD'd very badly on heroin 6 weeks after I got clean from bupe & Xanax and I should be dead really, I believe I was saved by an angel because the circumstances surrounding the whole thing just aren't normal, so ive felt since that day that I have unfinished business on this planet and ive been a lot more sensible and only used H a few times and I don't use coke at all anymore(I used to IV it but I wont even snort it now) coz I OD'd the last time I used that and that was the scariesnt thing ive been through, so I took it as a sign and I just don't go near it! But going back on a program so soon after getting clean was a big decision and once I realised that I either get on methadone agai or im going to die from and OD
And the way it happened, I was buying grams and the purity was roughly the same each time and in Australia coke is almost always crap but this was real, potent cocaine but then I got another gram and it must have been 3 times more pure than the other batches and after having the same amount id have had with the other batches I just went white, blood pressure and BPM went ballistic and I was overcome with complete fear and dread, apologising saying to ppl if I die im so sorry I was in hysterics crying and apologising constantly. At least with a H Od you don't know whats happened until you wake but cocaine OD you are hyper-aware of everything going on and it causes anxiety which makes your heart go even faster!