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Methadone Therapy - 1 week and no withdrawl, is the worst to come?

L

LotusExige

Bluelighter
Joined
Jul 19, 2014
Messages
65
Location
Germany
My back story - started 5 years ago with vicodin and ended 1 week ago taking 60-70mg dilaudid daily (sometimes as much as 100mg when I'd take a 32mg Exalgo, long release). 1 week ago I started methadone. Day 1 and 2 I took 40mg, 3-6 30mg and the last 2 20mg. So far I feel great, much better than when I was on the dialudid (as I'm sleeping, the dilaudid gives me total insomnia). I'm going to drop down to 10mg daily tomorrow and see how I feel on that. I'm almost more scared each day as I'm worried all of a sudden I'm going to be extremely sick - the main goal is to NOT miss any work (as I've missed a lot).

I'm also curious about opiate use after going through withdrawl. I see my doctor in 2 days so I'll ask her as I assume once you've been physical dependent on opiates that the dependence can come back more quickly for me/us than a novice user. The question is in the future when I do have pain (which is now very occasionally where once it was constant) will I be able to take something (dilaudid) or is this like being an alcoholic and I can never touch it again. To be clear I don't really have addiction issues as while I've lightly abused it before I only take what I'm prescribed, etc. I'm really only concerned about physical addiction/dependence - I do not want to have to go through that/this ever again.

I hope the methadone is just doing it's job really well and that's what's making me feel so much better. I do hope to be off the methadone as quickly as possible and so far it seems I might get my wish. I appreciate any thoughts you have. Thanks.
 
No you are all good. Methadone is a incredibly powerful drug. Its a full opiate antagonist, an nmda antagonist and a serotonin and epinephrine rebuke inhibitor.
Neuropathic Pain: Causes, Management and Understanding

It also has a very long half life, which will allow you to go from running on such a huge rollercoaster ride. Your exit out from methadone, when and if you choose to do it will be rough, but this medication will likely stabalize and promote peace finally and a standard of living that you will find most agreeable and enjoyable.

Methadone commonly affects Vitamin D levels. This can have significant negative consequences, but is easily dealt with by adjusting supplemental Vit D intake. I had to go 200% above the recommended dosage, but this was indicated by blood tests and under doctor's recommendation.

It can also play havoc with testosterone levels above 40 mgpd, this can make the situation rough. If you are a male I would have your levels checked every six months and reserch TRT for its benefits and draw backs so you are knowledgeable around personal decisions surrounding TRT in adjunction to MRT.

Methadone side effects, separating fact and fiction.

Low vitamin d status of patients in methadone maintenance treatment.
Methadone
Hypogonadism and Low Testosterone Levels as a Side Effect of Methadone and Buprenorphine

Opioid-Induced Endocrinopathy

So no you are not dreaming, and welcome back to your life:)

Please take this time to consider and plan for a way out;)
 
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Also, regarding your question about opiate use in the future... I was addicted to opiates daily for 10 years. I have quit several times, and each time I did (for up to a year) I started getting withdrawals and with frightening speed descending into the same cycle I had previously been in, like I picked up right where I left off, after only 1-2 uses. Like when I hadn't been addicted before or was young in it, I could go for days and days before I'd get a hint of withdrawal. Now, last time I tried, it happens extremely rapidly, the first or second use.

I quit again, for good, 3.5 months ago and I'm never going to try again, history has shown me that trying to use them again will only lead me back to the same place, so I've decided to never do so again. Of course I don't have chronic pain either.
 
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