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Methadone Detox or Maintenance

dwg52378

dwg52378

Bluelighter
Joined
Aug 27, 2008
Messages
322
Location
Los Angeles, CA
Hello, I am an opioid addict and I'm going to a clinic tomorrow. I can't decide on 30 day detox or maintenance. I spend way too much money per month getting it from friends and I can not quit on my own. I have a baby on the way very soon and don't have time to make a mistake as a new father. I feel like a missing link is finally found when I take opioids. In the past, if I quit, I always relapse eventually. How do you decide which route to go?
 
Well man it's obviously a complicated decision in alot of ways because obviously methadone maintainence is going to be a long term option, meaning you're going to become dependant on that and then when you think the time is right look at tapering down and starting to get the wheels in motion to finally quit.

But i think what it comes down to is how much you really want to quit. Methadone maintainence can be good where the patient is genuinely trying to stay clean and stuff, but on the other hand if the person isn't serious about stopping MMT can just make being a junky alot easier, meaning they trade having a lower tolerance for always having opioid dose daily for cheap, and then still use heroin here and there.

But you havn't given us nearly enough information about your usage history and what not for us to give you some better advice. And only you can decide if detox and then no opiates is for you, or if you want to stay on methadone.

Don't expect to maintain any kind of recreational experiences with methadone if you plan to stay on it, MMT is for the most part not recreational in the slightest and if you go into MMT expecting to get a mild opiate glow everyday you're going to be very pissed off in a few months when your addicted to a dose that seemingly dosn't effect you at all, though you're in severe dopesickness without it.

I dont know what to say really i dont know nearly enough about you to advice which direction is the best to take.

It comes down to the severity of the addiction, if you've only been popping some oc80s for 6 months well then imo it'd be pretty silly to turn to methadone to "beat" this addiction by starting another way more severe addiction. But if you're seriously in deep now taking your H by vein multiple times per day for the last year well then a detox might not be realistic in keeping you clean in the longterm, it's just so difficult to advise you though really when i dont know anything about your use.

Also keep in mind alot of people have had great success with buprenorphine, definitely do not overlook this option man.
 
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Thank you. Your statement of " if you go into MMT expecting to get a mild opiate glow everyday you're going to be very pissed off in a few months" helps because that's what I was hoping for. I have been using approx 50-80mg Methadone every other day for about six months. Prior to that, I used a different array of pharmaceutical opioids, you name it, on a daily basis for 2 years. I quit with professional help and benzos RX from doctor. Now, I am addicted to methadone itself and I keep buying it even though I want to stop. I don't actually get dope sick though, its more depression, anxiety, insomnia, life just seems so dreadful without it and I have no energy or motivation. It just seems like I will always be addicted to opiates. I have been spending $ 800 plus/month on Methadone so I think I should just get it legitimately. My friend/co worker has been on MMT for 2 years and he seems to have that glow, that edge, even still. I could see it. Oh, and my wife said it's time to stop paying for it because I keep trying to quit on my own and I fail, so I have to do something.
 
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I disagree that going the route of methadone maintenance makes being a junkie easier. Combine an increased tolerance with random and frequent u/as and to me that seems to suggest that you better quit or eventually they will kick you out of the program. Of course there are different programs with different philosophies. Some are very treatment oriented and others simply give you the methadone and that's about it. I have been on methadone for almost 2 years and if you aren't trying to quit all other opiates completely then there is no point going on methadone, in my opinion. You aren't going to get any pleasure from it in the long run if that's why you are considering it. On the other hand if you are trying to change your life then, it can be a great opportunity to get off the illegal opiates and get a legitimate dose and still function in society. Like 8L4YN3 said, you didn't give a lot of history in your first post. And I would agree with him when he said, think twice about methadone maintenance if you are using small amounts of pills or something like that. But, in your second post you said you were using methadone, but getting it illegally, so maybe getting a stable dose legitimately might help. I think you should explore things and talk to the staff at the clinic and get more info. Try to be as honest as possible too, because if you are serious it's the only way that things are going to work. Good luck!
 
K8eBayB said:
I disagree that going the route of methadone maintenance makes being a junkie easier. Combine an increased tolerance with random and frequent u/as and to me that seems to suggest that you better quit or eventually they will kick you out of the program. Of course there are different programs with different philosophies. Some are very treatment oriented and others simply give you the methadone and that's about it. I have been on methadone for almost 2 years and if you aren't trying to quit all other opiates completely then there is no point going on methadone, in my opinion. You aren't going to get any pleasure from it in the long run if that's why you are considering it. On the other hand if you are trying to change your life then, it can be a great opportunity to get off the illegal opiates and get a legitimate dose and still function in society. Like 8L4YN3 said, you didn't give a lot of history in your first post. And I would agree with him when he said, think twice about methadone maintenance if you are using small amounts of pills or something like that. But, in your second post you said you were using methadone, but getting it illegally, so maybe getting a stable dose legitimately might help. I think you should explore things and talk to the staff at the clinic and get more info. Try to be as honest as possible too, because if you are serious it's the only way that things are going to work. Good luck!
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Thank you and I will speak honestly with them tomorrow.
 
8L4YN3 said:
Don't expect to maintain any kind of recreational experiences with methadone if you plan to stay on it, MMT is for the most part not recreational in the slightest and if you go into MMT expecting to get a mild opiate glow everyday you're going to be very pissed off in a few months when your addicted to a dose that seemingly dosn't effect you at all, though you're in severe dopesickness without it.
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Well it is true that you aren't supposed to get your Methadone and have "the time of your life" with the dose.
Its there to put cravings to ease and fill those opioid receptors with an opioid. You develope a dependence to Methadone, a tolerance that builds and builds and you have to keep up with it to get high but you are not supposed to chase the "first time high" like i wrote.

But you are not supposed to feel shitty either, there is a thing in the middle and that thing is what its all about. Ballance. Equalibrium.

Most people on MMT do get a "opioid glow" from their Methadone and a lot of people are satisfied with that, then there are those that aren't and chug down alcohol and Benzos and whatnot to catch a better buzz.

Some people might say that those who do chase that buzz ain't ready to quit the lifestyle.
I won't go into that right now.
 
^ i know three people at the same clinic and they all get at least a mild opiate glow/buzz/high and one guy has been on for 20 years one guy two. I just got 0n 40mg MMT and will slowly increase to 50-60 I plan. It does seem to satisfy me and my co patient friends, so i totally agree. But some people still do plenty of heroin and others yet still.
 
For 6 months I have maintaned by getting methadose from friends, now that I started my own MMT at the same clinic, the methadone seems much stronger. I really didnt think my friends were diluting it, but why else would 40mg daily seem so much stronger than 60-80mg every other day, which is about what I used to do getting it from my friends.
 
dwg52378 said:
Hello, I am an opioid addict and I'm going to a clinic tomorrow. I can't decide on 30 day detox or maintenance. I spend way too much money per month getting it from friends and I can not quit on my own. I have a baby on the way very soon and don't have time to make a mistake as a new father. I feel like a missing link is finally found when I take opioids. In the past, if I quit, I always relapse eventually. How do you decide which route to go?
Click to expand...

It is totally down to you some people benefit from a quick fast detox from methadone but other need it for a longer period of time to stop them falling back into the life of heroin abuse and addiction.

I am personally on methadone maintenance and take 50ml/mg of methadone daily and its working wonders I am even considering starting a very slow taper as I feel I have now stabilized on it.
 
If you feel ready to quit - Detox. If you don't - Maintenence

Be careful with maintenence though, very easy for it to end up making it all worse.

:)
 
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