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Opioids My MMT clinic banning the pills?

Methacodone

Methacodone

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Joined
Sep 25, 2014
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Ok, when I very 1st started MMT, I was on Liquid methadone, until 8 months later, I found that they also carried the 10mg pills and 40mg wafers, the dosing nurse asked me if I wanted to try them to see if they work better for you, I tried them, and holy shit 8o what a difference, the pills take a little longer to kick in, but when they do, IME, they feel 2x stronger than the liquid. I've been in MMT for 2+ years, so ive been on the pills for well over a year, my dosing nurse a couple weeks ago told me that they're getting rid of the pills, I asked why? She said she doesn't know and that I had to talk to the supervisor. So I went and talked to him, his answers were, 'it's a hassle with the pills, we have to count them everyday, and they're easier for the nurses to steal, and the DEA recommended to stick to liquid'.......

I completely understand what he said, but imo that's BS. Because the clinic I go to has been opened for 30+ years, and they've had the pills for that long, IMO, the reason they're getting rid of them is because the cost, they're way more expensive than the liquid. and of course MMT is a all-profit industry. I was SO pissed when I heard that.

I tested the waters 1 day, in the middle of my treatment, this was about 5 months ago, I told the dosing nurse give me the liquid today, to whether or not that's it's placebo, or not. So, that day I got dosed liquid, I LITERALLY went into minor w/d in the morning, that's never happened to me with the pills.

I've done lots of re search on methadone, and MOST sources/people say that pills are in fact more potent. I totally believe it because I experienced it.

Liquid methadone is made for opiate w/d, and the pills are made for chronic pain, you're doctor/supervisor will tell you the opposite and tell you its the same, but to me it isn't!!

The reason im pissed is because im stable and have been stable for the last year on 80mg of pills. I DONT want to raise my dose, and once the pills are gone, (they said beginning of april), im going to be stuck with liquid. 80mg of liquid doesn't get me stable for the whole day, like the pills do.

Other MMT patients, who have pills in their clinic, are you guys going through the same thing? Are they banning them everywhere or just in my clinic?
 
Why don't you want to raise your dose? If the pills are stronger than the liquid, like you say, raising your dose from 80mg of pills to , say, 90mg liquid ( just enough to keep you stable ) would, despite the number, actually keep you the same. Get my drift?

I understand you don't want to take more methadone, but if in transitioning from the liquid to the pills, you get sick, then that means somehow your getting less methadone, so would need to increase the amount of liquid to get the "same amount" of medicine you did on the pills. So even though you're technically increasing your dosage, if they is a variation in strength between the liquid and the pills, you would actually be staying constant, where as if you didn't increase your dosage you would be decreasing your intake.

And to answer your last question, my clinic uses the 40mg diskettes ( wafers ). I've taken the liquid when I was in the hospital for a week and although I don't really think I noticed a difference in strength, I like the diskettes better. I can't seem I get the nasty liquid taste out of my mouth. I've also taken the pills when buyin off he street, but again, didn't really notice a difference. People that I've spoke to at other clinics say they totally prefer the diskettes over the liquid, they say they're stronger. So maybe if you have a choice at your program, try big orange wafers instead of the liquid. Good luck!
 
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Methadone 10mg/ml Injection / Physeptone 10mg/ml Injection -
Characteristics (SPC) by Martindale Pharmaceuticals Ltd.
 
I have never used a needle outside of the hospital, I took my opiates orally, (Oxycodone/Hydrocodone), and smoked (Black Tar Heroin).

Yeah, I never heard of a clinic using IV to their patients, the whole reason being on methadone is to keep you away from IV and other illicit drugs that cause Euphoria (Oxy, Morphine, Opana, Dilaudid, etc.)

The reason I don't want to get a dose raise is because it's only going to keep me at MMT longer. 10mg is A LOT, that's about 15% more than what im getting today (80mg), that's a big jump. My doctor told me the best way out of MMT is going down 1mg per week, that's an extra 10 weeks....2 1/2 months. You have to look at all the prospects, before jumping on dose rasises and stuff like that.

This sucks man, I mean I have no choice................ill see how it works once the pills are gone. I hope 80mg of liquid will still keep me stable for the day. Another thing im afraid of is relapsing, I do sometimes take other opiates on top of my 'done to get high, but that's occasionly. I used morphine today, but the day before, no opiates but methadone, yet I was still stable.

All I can do is hope for the best, and prepare for the worst. :(
 
Oh, I didn't know they even made the 40mg wafers anymore... I use to get those from someone that went to a clinic, and they stopped em years ago, I think there reason was they were easier to divert, but they were better I guese, just for the fact that the liquid is nasty, and there other option was like this powder stuff where you had to measure out all the crap and it was really easy to spill..Anyway.
 
Methacodone said:
I have never used a needle outside of the hospital, I took my opiates orally, (Oxycodone/Hydrocodone), and smoked (Black Tar)

All I can do is hope for the best, and prepare for the worst. :(
Click to expand...

I had decreased my doses and it can take a while to adapt, with me, 4-7 days from 80 mg to 70 mg.
It was not as bad as withdraws though. Just sort of sick, nausea, etc.
Good luck!
 
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Grr, my post disappeared.

Is there a prescribing Dr. that can RX you the methadone pills instead of the clinic? Where I live, a majority go through the clinic, but some, like me, get a RX monthly for them as well.

Like you, I prefer the pills. Never tried the liquid, and zero desire to. My metabolism burns through opiates fast, so I could only imagine what the body would do to liquid. The pills, just one 10mg dose, last u to 5 hrs, isn't that weird?

As for the pill/liquid thing, I've always believed that's why people are on such high doses...because the liquid wears off so fast.

Good luck honey. It's your sobriety/health, get the best treatment possible!
 
I would just go up 10mg. I've been on methadone a few times and been weaned off from as high as 110mg. At the start I would go down 5mg a week, then when I felt withdrawals stop for a week. Then I would go down 2•5mg a week. It's only when you get down to 20-30mg you really notice the reductions so that's when you might reduce 1mg a week.
Good luck.
 
LilikoiMoon- Thanks so much for the support!!! it really means a lot to me!

I have an appointment with my MMT counselor tomorrow morning, and the doctor is in only on Monday, Wednsday, and Friday. So tomorrow is Wednsaday, im thinking about talking to my mmt doctor about this, and see what he can do for me. I hope he can make small orders to people like me who prefer the pills, I doubt he'll do anything like that, because all doctors say its placebo, they're the same.

It's funny to me because, we're the one taking the drug, not the doctor or supervisor who are saying they're the same. Yes, doctors are some of the smartest people in the world, and my knowledge isn't even close to his, but im the one using the drug, and im the one that's saying they're not the same, by experience!

Oh well, if they're not able to keep the pills, ill call around other clinics and hope at least 1 will still have the pills. I live in a big city, and theirs tons of MMT clinics, if they're not willing to help me and keep me on pills, im leaving the clinic. Because my insurance pays a lot of money for the shit, before I had insurance, I was there for a year and a couple months w/o insurance actually, and was paying $15 a freaking day. that's close to $5k!!
 
Johno88- its tough man, I don't like getting dose raises, makes me feel MORE of an addict as I already am. But if that's the only choice I have, then I guess I have to stick to it, Thanks for the support btw, much appreciated.
 
Screaming_Skull said:
Oh, I didn't know they even made the 40mg wafers anymore... I use to get those from someone that went to a clinic, and they stopped em years ago, I think there reason was they were easier to divert, but they were better I guese, just for the fact that the liquid is nasty, and there other option was like this powder stuff where you had to measure out all the crap and it was really easy to spill..Anyway.
Click to expand...

Yeah they got rid of the 40mg wafers a long time ago, at local pharmacies. They were causing too many OD's, I believe both the OC version of Oxycontin and the 40mg Methadone wafers got banned around the same time.
The OC's became OP's, and now pharmacies carry only 5 and 10mg methadone pills. Enforced by the FDA and DEA.

40mg wafers are only found at MMT clinics. I currently take 40mg wafers today at my clinic.
 
Methacodone, your av pic *drools* lol. Those whites are hell nasally.

I don't know a whole lot about methadone, but I'm trying my best to learn. I like the drug , a lot, but refuse to go clinic route, or high doses.

Methadone works well in pill form for "me", just trying to figure out why people prefer the liquid and if they are really benefiting from high doses.
 
Try to split dose your liquid. Half at your normal time, and half 12 hours later.
That always seemed to make a days worth last longer for me at any given dose.
 
LilikoiMoon said:
Methacodone, your av pic *drools* lol. Those whites are hell nasally.

I don't know a whole lot about methadone, but I'm trying my best to learn. I like the drug , a lot, but refuse to go clinic route, or high doses.

Methadone works well in pill form for "me", just trying to figure out why people prefer the liquid and if they are really benefiting from high doses.
Click to expand...

Haha, you have NO idea how much I love the Roxanne 10mg 'dones. I'm on 80mg of methadone daily, and supposed to get 2 40mg wafers, those are also from Roxanne, which work really well also. But I request a half and half dose to my dosing nurse and she gives me 1 40mg wafer and 4 10mg pills everyday. The 10's just have a kick to em that I love. Idk why, but the half and half dose makes we feel better than getting 2 40mg wafers. The 10mg methadone pill is my favorite pill of all time. After that, my 2nd favorite is the 30mg Roxicodones. :)
 
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