People talk a lot about the "liquid handcuffs" that are Methadone. I don't dispute that it's something you get completely locked into. I also believe that many of us are already in handcuffs when we get to the clinic. Usually, these are worse than anything the clinic will ever do to you.
@ovo1024 It's a tricky question. The standard for Methadone Maintenance has held that 80mg-120mg Methadone/day is the sweet spot. I'm not sure of the complex science behind this, but I will say that this range seems to work for a lot of people, myself included. I was a 3-4g a day Heroin/Morphine injector for a little over a decade. My usual would be like 2g per day. At any rate, I was using decent dope and this dosage was significant.
Back then, around 2012 maybe, I would've been considered on the higher end of the spectrum in terms of tolerance. This has changed completely since the arrival of Fentanyl and similarly powerful synthetic Opioids. Fentanyl is not limited by the need for agriculture and a complex web of commercial interests. Fentanyl can be made easily if the right chemicals are available. We also know that Opioid tolerance/dependence is essentially an infinite line. We can keep feeding people more Opioids, make them tolerant and then increase that dosage, seemingly without end.
We have people on the street who are literally 5-10 times more addicted than I or my people ever would have been in the days of Heroin. Most people who use Fentanyl here in my town have completely detached from the clinic system. Even having the clinic as a back up is not worth the trouble to these people. Previously, even active users of Heroin who didn't really toe the line at the clinic would keep a presence there so they could pick up a dose in a pinch. Things have changed.
You mentioned that you felt you were feeling pretty well-covered. This is great. The choice is up to you here. Given that you're still having cravings and using Fentanyl, it could be worth a shot to raise another 10mg-20mg and see how that treats you.
I would highly advise making a plan ahead of time for how you're going to proceed. By this I mean, you need to decide when the dose is gonna be raised. Once you know this, you need to commit in a meaningful way to only using the Methadone. It will be a painful process for the first few days. It's nothing you can't handle though.
If you absolutely can't stop the Fentanyl no matter what you do at the clinic, I would suggest not doing the clinic at all. The clinic can be a miracle for the right person. For the wrong person, it's just adding another 45lb weight to the anchor holding down your life. You can hit me up anytime if you wanna talk brother.
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