Ive been on every opiate there is for over 17 years for a chronic joint condition including over 10 years on methadone at various high doseages (180mg at present). IMO there is no better painkiller although opinions vary on this. Everything the above poster says is correct but generally there is an incredible amount of disinformation around regarding methadone, probably more so than any other opiate.
Hey, haven't checked here since a while, I'm now down to 44mg since I last posted around here, and then will be at 41 in 2 weeks and so on until i'm at 35....I had planned to switch to suboxone but I was at a way too high dosage which scared the fuck out of me, the doctor which was the kind of girl I would have hung out with in college I saw that morning when I was supposed to be kept inpatient for a day or two really tried to minimize the dangers of precipitated wd's from going on methadone to suboxone and when I told her the doctor whom I had planned the switch with (I rarely ever see the same doc at my monthly meetings, which something is cool, sometimes not) was warning me of how difficult it could be since I was still at 47.
Right now I have problems only taking 44 and take a little more from my takehomes and endure a day without methadone most weeks to see how I would fare during the day or 2 i'd be kept and watched withdrawing in their face.
The thing is I want to switch absolutely because out of nowhere, methadone has started to give me a lot of side effects that it didn't at first...which is a first when you consider medication taken long term for me...always thought it was other people than me...well not this time. I gained 70lbs in the 9 months i've been on methadone, but not at first, I gained 40 in march and 30 from april to now...and blood tests ordered by my GP didn't show fun things : massive drop in testosterone, I will be taken care of by a "men's health specialist" on the 13th...he has the same last name as me so things should go well with him, I am told I'll be given a shot then scripted a gel to put on my back everyday after showering until it gets to an acceptable level....I hadn't noticed anything that could tell me I lacked testosterone...well, not sexually for sure, but the rest yes, thats why i went to my GP and asked for what I rarely do : yearly blood tests, I even checked more boxes than my doc had checked and I'm glad I did now...partially.
Because the doc who said ok, we'll postpone your switch to suboxone for a month (I'll be switched at 41 or 38mgs, not sure, we'll see how a shot of testosterone will help me, I have it real fucking low guys, 0,66 when I should be at a 0,4 nanogram per L I think, well I know the number I should be at is 4.) but this chick very casually, like I said, this methadone/suboxone doc could have been a friend of mine easily in college which is kinda weird, that dude you gotta have those cortisol levels done something about, i'm at 105 which means it is a bit low, she said it isn't dramatic but that it is also a side effect of any full mu opiate agnonist taken long term (possible side effect). Methadone just seems nastier and give more of them side effects easily. Anybody ever had problems with their adrenal glands from methadone here ?
What can be done about it ? Can the doctor who will do something about my testosterone do something about this too ? All I know is that it explains a lot, yes, I do not ruin myself financially anymore and the social part is better too since I stopped shooting up dilaudids. But I gained all that weight and it fucked 2 very important hormones in my body which cause me to be tired and be unable to do anything about that excess weight except eating less fat, which is not too difficult considering I live with my mom who's an authentic chef. I can't wait to see that guy, I'm seeing him as an emergency too or I would have had to wait till october...my GP had to speak with him on the phone. I'm also bothered that the pain is now back that I got below 47mg a day, which is the reason I got into opiates in the first place, and I don't hold much hope about bupe being good for pain, i'm aware of temgesic and Butrans patches but they are most likely not for people with a massive opiate history like me. I know this is a complicated and long post but if any of you have something to say about any part of my problems with methadone and what it did to me in those 9 months or about the imminent (for my health's sake) switch to suboxone, I'll take it...