I need help because I'm getting mad frustrated with my MMT. I started three weeks ago at 20 mg. Apparently my clinic is the slowest clinic ever as far as raising dose. I've gotten increased once a week - first 5 mg then 10 mg and then 10 again, so I'm now at 45. When I first started I was in between jobs, and my dose was kinda holding me ok, but only til like 10-11 at night and I was using a couple bags some nights. I'm trying real hard to stop using now because I've already failed two piss tests.
The trouble is, I got a new job. I work in restaurants and it's very fast paced, physically demanding work where I'm on my feet 8 hours a day. Now that I'm working, I'm burning through my dose by the time I leave work. Yesterday I was so sick by bedtime that I couldn't even set up my coffee pot or load the dishwasher or anything. I also like to work out 4-5 days a week and that just makes it even worse.
This happened to me with bupe too. Last year I started at 16 mg and kept using the whole time I was working. Then I got laid off and was unemployed for 7 months. In that time I quickly tapered down to about 2 mg a day and was doing great. Then I found a new job, and suddenly bupe could no longer hold me at any dose. I tried all the way up to 32. I tried dosing multiple times a day, which helped a little, but not much.
Am I just screwed?? My clinic doesn't split dose. I know I'll get take homes eventually, but I have to stop using to do that, and I'm afraid when I start working nights, I'll end up using because my dose won't hold me til 2 am when I get done work. I dose at 9 am, and my clinic closes dosing at 11:30, so that's the latest I could dose. I'd get out of work over 14 hours later and so far my dose has never held me 14 hours. The longest it's currently holding me is about 10 and that's on my days off.
I know I can use potentiators, but I can't realistically take Tagamet every day for years on end, that can't be good.
I just want some advice before I get any further along, because right now I've only been on MMT for three weeks. If it's not going to work for me, I'd rather know now and get off it before the withdrawals would be any worse.
I did discuss all this with my counselor at the clinic, but he wasn't much help. He just said to stick with it and hopefully I'll get to a dose that holds me. He is a recovering addict, but he's never been on methadone or suboxone, and also has never done the kind of work I do. I'm looking for advice from someone who's been on MMT and also has had a demanding physical job.
Sorry for the long post. Hope to get some replies ASAP. Thanks.