trichr0me said:
I didn't mean i have a tolerance, i havent done any sort of opiate/opioid for 3 months...
Ok in that case, do NOT start at 30mg! If you have been opioid-free for 3 months... 30mg will lay you out. Start at 10.
But more importantly, why do you need it at all? You should be out of acute withdrawal by far, and halfway through the nebulous phase of post-acute withdrawal syndrome (although some folks don't ever get past it). I would recommend a course of treatment that does not involve a narcotic of any sort -- why become physically readdicted if right now you're only psychologically addicted (which I'm assuming you are, or why would you be seeking treatment?)?
Most if not all clinics require a POSITIVE drug screen for opioids before they will admit you to their treatment program. I'll say it again -- POSITIVE. Opioids need to SHOW UP in the drug screen or you will not be admitted. Short of popping another oxycontin before you leave that morning (the last thing in the world you should do if you're serious about quitting), you won't be able to start a methadone treatment program.
If I were you I would seriously take a look at some of the non-narcotic treatment options available for opioid addicts and recovering addicts. I don't know your financial situation, but if what you've said so far is true, I Imagine that one of the best things you could do for yourself right now is to get away -- not only from "the scene" e.g. previous dealers, sources, doctors, whatever, but also from your daily life -- a change in routine. A vacation, if possible. If you're phemoninally rich, check yourself into one of those inpatient treatment centers (aka RESORTS) on the east or west coast and relax for a month. If you can't afford a vacation, maybe visit a friend or family member that's at least a few hundred miles away for at least a week. Take some time to think, to reacquaint yourself with whatever it is you like to do that isn't drugs.
I know you haven't told us much about your situation, and that's fine, but no matter how big of a narcotics problem you have/had, if you have been opioid-free for 3 months, the last thing you need at this stage is more narcotics, even if they're offered under the guise of "addiction treatment." This is another reason I hate our society's drug policy so much. The ignorance is staggering and it ends up hurting some of the people with the best chances of recovering.
Anyway, this is all just my advice -- no need to even consider it if you don't want to. But in terms of Methadone, if you're opioid free for 3 months, your tolerance is barely anything -- 30mg of Methadone will have you sleeping for the rest of the day into the next one. Depending on your personal chemistry it could even cause some respiratory depression/hypoxia or other OD symptoms. Start with 10mg. And seriously consider just not going the Methadone route at all.
A happy medium might be to try to treat your symptoms with non-narcotic medication that you don't find recreational? For example, on those few occasions that I got past acute withdrawal and found myself in the miserable, unmotivated, depressed, don't-want-to-move-but-have-to-in-order-to-continue-surviving mood that comes afterward, I found that low doses of amphetamines (e.g. Adderall) and even less occasionally, benzos (if I couldn't sleep or if I was really stressed) would help me through the worst. Obviously you don't want to trade one addiction for another, but I've never found "uppers" recreational at all, nor benzos, so there's little danger in my case. Depending on your symptoms there are a lot of meds out there with low addiction potential or even with addiction potential that you may not find recreational. I'd have an honest talk with a doc you can trust -- maybe not your usual one, if you're worried about word getting around. *shrug* Like I said, I know very little about you, but I'd hate to see someone 3 months clean start taking a tremendously potent schedule II narcotic under the guise of "treatment."
Good luck-- be safe.