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  • BDD Moderators: Keif’ Richards | negrogesic

need advice...Methadone vs. Suboxone??

So i wanted to update everyone... I am currently 3 months into my methadone treatment, and I am doing well. I found my stable dose which is 85 and i have had all clean ua's. I just started my first faze which allows an extra takehome dose every week. So now I dont have to come on saturday and sunday. I take the bus so that really helps. I will keep everyone posted .

Wow, that's rough. I can read between the lines on the post you made on 8-10-14. That is a for-profit methadone clinic (I mean which ones aren't?)... but honestly - I would've went to the suboxone. Tough decision though, but truthfully, methadone withdrawals are much, much worse than suboxone withdrawals. suboxone is more of a light physical and moderate mental withdrawal, while methadone is both heavy mental & physical withdrawal.

I'm not saying that suboxone won't give you bad w/d, because it will, if used in large amounts over a large amount of time... but, on the countrary - methadone will give you way, way worse withdrawal than suboxone, because methadone is stored all around your body. I'm not sure, or 100% on this, but I think methadone stores in your bones, muscles, and fat... Suboxone doesn't attach to your body this much, if you get what I'm saying...

You're 3 months in? You also stated that your counselour said you can switch treatments 3 months in? Go ahead and try to get that suboxone appointment, and try to switch. The longer you're on methadone, and as your doses increase, the harder & longer your withdrawals will be.
I'm not saying that suboxone doesn't have the same effect (bigger dosage, longer use leads to harder & longer w/d) - what I AM stating though, is that suboxone withdrawals won't be nearly as bad as methadone withdrawals. Methadone is also highly addictive.. and you CAN get a type of nod/high off of it, if you saved enough take-homes. You cannot do this with suboxone maintainance, yet, you'd be getting the same expected results - reduced cravings for opiates, and a blockage of any opiate you try to use.

There's more pro's with suboxone vs. methadone, which has more cons. This is just my advice, but get off the methadone while you can!
Your life might be coming together, and it seems like the dread of opiate addiction is over (aka. being trapped, handcuffed to an addictive drug such as heroin) - but everything will return when you finally attempt to get off of methadone/suboxone. You might have got your life together over the next 2 years, got a wife, made a family, even bought a house, and landed a great job... Yet - you're still on methadone/suboxone maintainance, you're still trapped/handcuffed to the drug. When you decide to get off of it, even with tapering, methadone is like living in hell, while suboxone is probably considered easier and less harsh with the w/d symptoms in comparison. Yet, you might go insane for a month with the methadone w/d. Literally, mentally unstable. How would you hold up all of these goals you've achieved? That family - seeing what you're going through, that house you paid for with a loan, and your job. You definetly can't attend to them for the next month, as you'd be recovering.

In my opinion, get off the methadone with a suboxone taper, or taper the methadone right now.. Go through the withdrawals (which will be WAY better than if you use the methadone any longer - the longer you're on it, the worse your withdrawals) Anyways, go through the withdrawals while they won't be as intense, then build up your life. It will become harder for you to go back to drugs if you've built up you're life, not chained to the addictive chemicals. If you've built your life up whilst on a methadone/suboxone program, it will all go down the toilet once you try to eventually get off/taper off of the methadone/suboxone.
 
You may want to consider switching to suboxone after you taper down a bit on the methadone. I did this and personally it didn't work for me because my methadone dose was too high (130mg) but many people do this and you noted quite a few benefits of doing the suboxone. The bit downside to this is that due to methadone's long half-life, you have to wait like two to three days for your first dose of suboxone, which will really suck. But it may be something you want to consider, like I said.
 
In my opinion, get off the methadone with a suboxone taper, or taper the methadone right now.. Go through the withdrawals (which will be WAY better than if you use the methadone any longer - the longer you're on it, the worse your withdrawals) Anyways, go through the withdrawals while they won't be as intense, then build up your life. It will become harder for you to go back to drugs if you've built up you're life, not chained to the addictive chemicals. If you've built your life up whilst on a methadone/suboxone program, it will all go down the toilet once you try to eventually get off/taper off of the methadone/suboxone.

I realize this is your opinion, but it is really not true that it's that difficult to "build up your life" while on MMT. I was on MMT for two years; I did it right, spent about a year on maintenance dose and then tapered down and came off. I had a job, I had a life, and I gained a lot of things while on MMT that were away from my junkie lifestyle... and if you do it properly and are committed, you can maintain that gain after you come off MMT.
 
I realize this is your opinion, but it is really not true that it's that difficult to "build up your life" while on MMT. I was on MMT for two years; I did it right, spent about a year on maintenance dose and then tapered down and came off. I had a job, I had a life, and I gained a lot of things while on MMT that were away from my junkie lifestyle... and if you do it properly and are committed, you can maintain that gain after you come off MMT.
I never said that it was difficult to build your life up on MMT. It's actually a life-changing event, one day you were looking for a fix to get well, the next, you go to a convenient Mdone clinic and get a dose, whilst keeping opiate cravings at bay, and making it harder for the user to become high off of their DOC (because of methadone's blocking effects). You get your life back once you're "free'd from chains". But you're really not, you're just switching one addiction for another...

What I'm saying is that you will get accustomed to a good life while on MMT. Then you decide you want to taper off. If done incorrectly, you WILL most definitely have cravings, and an urge to dose on your DOC (Possibly). You're right, if done correctly, you can do a long, long, almost painless taper while you've already built your life back up on MMT.... but, only if done right - without the possibility of relapse - which is a hard thing to do.
 
That I agree with. I went down as quickly as they would let me (3mg/week)and it was really difficult. Definitely had to fight the cravings doing that.
 
So its been a while since I have posted anything about whats been up . im still in treatment at the clinic and recently Medicaid has started paying for treatment. So money isn't an issue currently. I have had a few slip ups, not with opiates but with benzos which is a big no no with any done clinic. Luckily its been short relapses- no longer than a few days. No hot ua's so that is good. Just trying not to fuck up too bad and ruin a good thing.
 
Methadone made me quit and have a 'normal' life for years. It was -in my case the only way out.
Now, after years, I managed to quit everything. It's not easy but I'm finally off opiates for almost 5 months.
 
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