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  • BDD Moderators: Keif’ Richards

Methadone patients in the ER...

N

NJDOKE

Bluelighter
Joined
Mar 19, 2009
Messages
105
Ok I am on 150mg of Methadone for about 6 years. I was just thinking If I was ever severely injured in a accident. And had huge trauma, and had severe pain. What would they administer me for the pain in the ER? I mean obviously 150mg of methadone is going to block any opiod. Also if anyone has any stories of their own on this subject please share...
 
I worry about this from time to time too, I am on suboxone maintenance. I've pondered carrying a medic-alert stating that I am on bupe (LEVO-DROMORON/PALFIUM ONLY!!!! :P) Unfortunately most medical professionals are pretty ignorant about these topics and I think the answer would depend on the knowledge level of your treatment team and that might be pretty shallow :( It's a scary thought.
 
Yeah it freaks me out because I dont feel anything the times I have tried to get high. And thats shooting 7 bags of good H, almost 24 hours after last methadone dose. I cant see them giving more methadone. And with suboxone there is a quick ceiling effect so I cant see them giving you suboxone. There has to be a answer that were not seeing...
 
there are a few ultra potent opioids (See above) that might do the trick but I can't see them realistically being used :(
 
^Agreed. It is sort of a sticky situation. It's worth mentioning that its always the best option to tell your treating emergency medical professionals that you are on methadone (or buprenorphine) maintenance.
 
Yeah I was actually in a car accident where I messed both my knees up pretty bad. Wasnt by any means a severe injury though. This was about 2 years ago. I got the ambulance ride to ER when I got there after working on me , I had to piss for a ua. They had to see I was on methadone. I had to deal with the Knee pain. Because they still prescribed Vicoden witch are good for nothing. My knees looked like they were on the inside of my legs Swollen.
 
After surgery, I was given so much medication that my "pupils were pinpoint". I do think this is a big issue. I wasn't on methadone, but dilaudid pills. They had to give me 4 kinds of pain relievers including demerol, IV dilaudid, etc and I was still writhing in pain -- so they can mix things, to whatever effect, mine wasn't great. 150 methadone seems like a lot to conquer, maybe you can work this out with a pain management pro and have it on a med alert bracelet with a chip that has pre-authorization, etc in the event of something or a paper already on file at your ER. I know someone that has a paper already done-up from her pain doc when she has to go to the ER for IV pain relief.
 
Yeah thats a good idea having some sort of med alert bracelet saying if your on methadone , bupe, or whatever other medication you take daily. If I was on a straight opiod I wouldnt be to worried because they can just give you more of a certain drug to override and get you comfortable. What scares me about the methadone is that no opiods will work on me no matter how much I take. I have so much built up in my system that even a couple days after last methadone dose I still hardly feel a healthy shot of H. I guess I just hope I m not ever seriously injured...
 
Ok, then, yeah, the medbracelet sounds good. Having a plan in place sounds good -- kind of like a DNR, except for a plan for pain management -- I'm sure there is a name for that!

What about meds like Savella, Nucinta or Lyrica, etc?

If it was me, I'd have a pro work something out and keep it on file/notarized. Peace of mind and I hate pain....

Speaking of which, I should probably do the same considering my last experience and I think Demerol is gone now, so.
 
I've thought of this myself, but there are opioids they can give us in cases like this. They know that we are extremely tolerant to high doses of opioids, so they won't shy away from giving us big doses of highly potent opioids. Oxymorphone, hydromorphone, morphine, and levorphanol would all work in high doses. Of course we can't forget fentanyl and its analogues.
 
Levorphanol works extremely well......I was administered it threw IV during out patient surgery & I was flying high & very euphoric & this was during surgery & it lasted 6 hours after the surgery. I can only imagine how well Levorphanol works w/o surgery..............:)
 
I wonder though if you just came in after a random accident how liable would be togiveyou adequate pain tx. Unfortunately the "junkie drug seeker" stigma can be pretty significant and pain that doesn't respond to alittle morphine might be thought of as faked :(
 
I'm on Suboxone and I carry a card around in my pocket that says that I am on it. My doctor said that for pain you'll be administered a general anaesthetic with a benzodiazepine and an increase in your dose. No opioid can break past the blocking effects of buprenorphine. That's what it says to do on my card
 
I am on suboxone maintenance and carry a card in my wallet-hopefully someone will know to look there-you guys have me thinking I need a bracelet..
My doctor told me that if I was involved in an accident that they are able to give you fentanyl and it is able to work even though you have suboxone in your system-whether this also works for methadone I have no idea.
 
K'd-OUT-in-AZ said:
Fentanyl won't work, regardless the dose. That is what my doctor said. No opioid will work, it doesn't matter the potency. It completely fills the opioid receptors so that no opiate can break through. That is what I was told.
Click to expand...

The OP is not on bupe. He's on methadone and on methadone, high doses of strong opioids such as morphine, hydromorphone, oxymorphone, and levorphanol will work. Same with fentanyl and its analogues.

Codeine won't work, hydrocodone and oxycodone won't, but there are others that will.
 
Buprenorphine doesn't have the highest affinity. If you aren't in the USA you may be able to get ketobemidone or dextromoramide. Those will cut through methadone or bupe with no problem.
 
kokaino said:
The OP is not on bupe. He's on methadone and on methadone, high doses of strong opioids such as morphine, hydromorphone, oxymorphone, and levorphanol will work. Same with fentanyl and its analogues.

Codeine won't work, hydrocodone and oxycodone won't, but there are others that will.
Click to expand...

I know that I was replying to another person who brought buprenorphine up. You need to read through.
 
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