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Opioids Methadone low end starter dose for pain.

klifjump

Greenlighter
Joined
Feb 22, 2012
Messages
11
Location
USA
Ok.
I'm an old school junkie, who at least "tries" to be smart about it.
Here's the deal.
I've got chronic pain and scored a Methadone 10 Mg.
My only previous experience with Methadone was on a 21 day rapid Heroin detox. (twice)
Throughout my use, I've maintained low tolerances to Opiates. (Uncomfortable level for Morphine would be 50 Mg+ pill, 20-30 Mg I.V.)
I got a hold of "a" Methadone 10 Mg. and would like to use it today for my pain. Safely
As I generally tolerate Opiates well, and have been on the drug previously I am not worried about "allergic/unexpected" side effects, and will NOT be under the influence of any other meds or alcohol.
What would be a typical "safe" starter? All? Half? Quarter? (I know it's not none!) lol
Thank you
 
This resource says start out at 2.5mg a dose (5mg a day) and then recommends slowing working your way up. I've taken 5mg methadone at once with no opiate tolerance and it was just fine.

I say start out at 2.5mg (a quarter of the pill) - wait 90 minutes or so and see how you feel. Methadone takes a while to fully kick in.
 
Ok, thanks. That was actually about what I was thinking.
I'll check that resource too.
Q. Now, In this case, I WILL NOT be taking for pleasure effect, however, I have always been fairly "in tune" with my body and notice changes easily. Will this be a typical "opiate" effect or will it even have a "felt" level of effect.
(IDK why, but for some reason my mind keeps wanting to tell me that it's a detox drug and therefore not a "real" opiate)
YES, I DO KNOW THAT IS NOT TRUE!
 
ok. Read the reference.
2.5Mg. it is!
Any comments regarding the "sick" of two days use as we've described?
I'm not thinking there would be with such a low dose for such a short time.
Anybody disagree?
Thank you again.
 
If he has tolerance to 30mg IV Morphine, I'd say he shoudl start with half, definately not full pill, wait an hour or two, should be an hour if you are connected with your body, and see if it gets you where you want. If it gets you some plreasurable effects... maybe try 1/4, important is, you dont wanna be in pain for 90min just to know if it works.
 
The 30Mg. I.V. would be an upper end "pleasure" comfort level. Which according to the reference,
30 Mg. Morphine I.V. EDR 3.0 Mg. Methadone OD
Staying safer rather than sorrier, 2.5 Mg. initial dosage, wait 90 mins. study effect, additional doses at 2.5 Mg. every 8 hours as needed, not to exceed 5 Mg. daily.
Sounds like a safe (as illicit's can be) dosage and Rx regimen for use of this drug, in this manor.
(Don't we all wish our Dr.'s took this much consideration when prescribing?
Thank you again.
klifjump

P.S. Once you've paid for it, a dealer doesn't have to sell you on how good it is. So when the Heroin dealer says to you, "Be careful," that means, "Be careful!"
 
O.K. Here's the update.
Did 1/4 of the 10Mg. Methadone as discussed and am pleased to report that not only am I no worse for wear, but my pain has subsided, I feel the drug slightly which is always kinda nice. (It's pretty smooth, pleasant, comfortable.)
Starting at the smaller dose was a good idea, simply because 1. Safety 2. It was intelligent and responsible use
3. Reduces risk of interactions or unforeseen complications 4. Allowed for realistic evaluation of the drug and it's effects on myself 5. More simply wasn't needed
So thanks again for all the input.
Better to do a small hit and adjust, than to only get one good one ever again!
 
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