So I’ve been on methadone for awhile now, maybe like 4-5 months. I’m only on 40mg, though that doesn’t quite cover me and I should be getting bumped up 5 soon. Currently I have to have just a little bit of heroin in the morning — less than half a sheet, barely anything.
Problem is I’ve developed this severe nausea that’s lasted weeks, we’ve ruled a lot of things out and the doc thinks it’s the methadone now. I’m also very, very sensitive to opiates in terms of cardiac depression. My resting heart rate is regularly 40 on methadone which my doc is obvi concerned about.
I’m wondering if switching to subs/bupe would help since it’s just a partial agonist? I’m terrified of both precipitated and normal withdrawal. I’m currently a complete mess though I’ve scraped myself together a bit over the last couple weeks. If I’m mentally destabilised from withdrawal I’ll inevitably do a bunch of other drugs and almost overdose/ actually do it since I’m runnng out of luck I think.
My doctor at the drug place when I asked about switching made it sound like the easiest thing in the world, just wait 24 hours and you’ll be fine. Granted, I’m on a fairly low dose, but I’ve heard of people waiting like 3 days before?
I’m also terrified of the subs not covering me. With methadone I can obviously just top up if there’s withdrawal — I shouldn’t I know but it’s an option and even if I don’t do it, knowing I’ve got a fall back makes me feel better. With subs that wouldn’t be an option right? If I topped up, I’d then have to wait it out again and endure some decent withdrawal?
Problem is I’ve developed this severe nausea that’s lasted weeks, we’ve ruled a lot of things out and the doc thinks it’s the methadone now. I’m also very, very sensitive to opiates in terms of cardiac depression. My resting heart rate is regularly 40 on methadone which my doc is obvi concerned about.
I’m wondering if switching to subs/bupe would help since it’s just a partial agonist? I’m terrified of both precipitated and normal withdrawal. I’m currently a complete mess though I’ve scraped myself together a bit over the last couple weeks. If I’m mentally destabilised from withdrawal I’ll inevitably do a bunch of other drugs and almost overdose/ actually do it since I’m runnng out of luck I think.
My doctor at the drug place when I asked about switching made it sound like the easiest thing in the world, just wait 24 hours and you’ll be fine. Granted, I’m on a fairly low dose, but I’ve heard of people waiting like 3 days before?
I’m also terrified of the subs not covering me. With methadone I can obviously just top up if there’s withdrawal — I shouldn’t I know but it’s an option and even if I don’t do it, knowing I’ve got a fall back makes me feel better. With subs that wouldn’t be an option right? If I topped up, I’d then have to wait it out again and endure some decent withdrawal?
