Bomb319
Bluelighter
It seems as if almost everybody on MMT as well as doctors and pharmacists concur that methadone does not seem to cause anywhere near the same degree of euphoria as other equally strong opiates. At the very least, there is a consensus that any euphoric effect will wear off over time, and is one of the effects of methadone that is quickest to wear off, no matter what the dosage is.
Here's my question:
I've now been on MMT for just over a year. I started at 30 mg and went up by 20 mg weekly (sometimes 10) until I reached 220 mg just over a couple of months ago. This dose is fairly high and it's because I always seem to experience some significant withdrawal by the next morning if I take my methadone at around 8:30-10:30 am the previous morning. Some of this may be psychological as I am now absolutely phobic of experiencing opiate withdrawal after suffering years of hell in which I was so sick I couldn't leave my bed for days, yet knowing I'd have to go out and spend at least a couple hours in public to score my next fix - the only thing that would make me feel better short of waiting it out in bed for weeks. No matter what dose of methadone I'm on, I seem to rapidly build tolerance within a few weeks, and do suffer some degree of physical withdrawal by next morning - sometimes even an hour or two less than a 24 hour day. In fact, I will experience a few early withdrawal symptoms such as yawning and some tearing as soon as that very evening.
Now despite methadone's reputation as not causing euphoria. I absolutely find that once I take it, I experience very typical opiate effects on my mood and demeanor. I can feel it kicking about 40 minutes after I take it. Not simply just feeling "normal" once again, it definitely feels good and very relaxing/calming once it does kick in. In fact, it feels more or less as it would if I were to take a reasonably high dose of oral opioids such as oxycodone. While it certainly is nowhere near as intense as IV heroin or Dilaudid, it more or less feels like any oral dose of a good opiate except for the fact that the most intense feeling lingers for around 3 hours before fading into imperceptibility, although if I take a potentiator such as diphenhydramine later on that night, I will feel it start to increase again (although doing that also seems to reduce the length of time it's effective for which contributes greatly to my morning withdrawal symptoms). I also get a HUGE burst of energy from it; in the morning while having mild withdrawal, I still have my energy levels almost completely sapped and it's very hard for me to get anything done, or even sometimes leave my house to get my next dose in the first place! But once it kicks in, I become very happy, talkative and relaxed, and I can also work without any problems. I tried a job which started at 7:30 am and so I couldn't get my dose until about 10:30, and it didn't kick in fully until around 11:30. It was a disaster. I had no motivation, energy, was sweating and yawning a lot and overall was nearly incapacitated such that I had to quit. I absolutely NEED to have my dose in the AM for energy.
So here's the thing. Is it normal to have these usually mild but often approaching moderate w/d symptoms as early as 24 hours after dosing? Part of the reason it is working so well for me is that I DO continue to feel that sought after opiated feeling - strong enough to make me feel great and kill any cravings I may have. From what I've read, I just am curious as to whether or not this is unusual, and if anyone here knows what I'm talking about. Even though it works very well for me and has allowed me to cease ALL other opioid usage foe the first time since 2008, is it bad that it's only effective because I sill get a certain degree of "high" from it? Most other people I've talked to said that methadone works for them because it only makes them feel normal again. I want to know if this impacts my treatment and is detrimental in the long term. Right now at least, I know I could never go off of it or even decrease my dose. I feel just as addicted as ever (although much more so due to the high dosage and relatively lengthy effects) although obviously much better since I have a daily dose and no longer need to worry about the hellish "daily grind" of somehow getting enough money, contacting one of my dealers who has shit and is able to meet, getting out there while really sick, and having to duck into a public bathroom to shoot up.
Anyone else have thoughts on this, please? Also, have you experienced such rapid w/d on it as I have? Don't get me wrong - it's NOTHING compared to what it would be if I missed several days. I tried going without for an extra 18 hours once, and started to feel that terrible crushing depression sensation and feelings of unreality similar to that of full blown heroin withdrawal. My sense of smell started to come back strongly, I started to become nauseated enough to worry about keeping my next dose down, my pupils were the size of dinner plates, etc. The usual morning withdrawal may sap me of energy and feel uncomfortable, but it could certainly be a lot worse. I just thought that most people are held for 24 hours or longer such that they at least feel totally normal right before taking their next dose.
Here's my question:
I've now been on MMT for just over a year. I started at 30 mg and went up by 20 mg weekly (sometimes 10) until I reached 220 mg just over a couple of months ago. This dose is fairly high and it's because I always seem to experience some significant withdrawal by the next morning if I take my methadone at around 8:30-10:30 am the previous morning. Some of this may be psychological as I am now absolutely phobic of experiencing opiate withdrawal after suffering years of hell in which I was so sick I couldn't leave my bed for days, yet knowing I'd have to go out and spend at least a couple hours in public to score my next fix - the only thing that would make me feel better short of waiting it out in bed for weeks. No matter what dose of methadone I'm on, I seem to rapidly build tolerance within a few weeks, and do suffer some degree of physical withdrawal by next morning - sometimes even an hour or two less than a 24 hour day. In fact, I will experience a few early withdrawal symptoms such as yawning and some tearing as soon as that very evening.
Now despite methadone's reputation as not causing euphoria. I absolutely find that once I take it, I experience very typical opiate effects on my mood and demeanor. I can feel it kicking about 40 minutes after I take it. Not simply just feeling "normal" once again, it definitely feels good and very relaxing/calming once it does kick in. In fact, it feels more or less as it would if I were to take a reasonably high dose of oral opioids such as oxycodone. While it certainly is nowhere near as intense as IV heroin or Dilaudid, it more or less feels like any oral dose of a good opiate except for the fact that the most intense feeling lingers for around 3 hours before fading into imperceptibility, although if I take a potentiator such as diphenhydramine later on that night, I will feel it start to increase again (although doing that also seems to reduce the length of time it's effective for which contributes greatly to my morning withdrawal symptoms). I also get a HUGE burst of energy from it; in the morning while having mild withdrawal, I still have my energy levels almost completely sapped and it's very hard for me to get anything done, or even sometimes leave my house to get my next dose in the first place! But once it kicks in, I become very happy, talkative and relaxed, and I can also work without any problems. I tried a job which started at 7:30 am and so I couldn't get my dose until about 10:30, and it didn't kick in fully until around 11:30. It was a disaster. I had no motivation, energy, was sweating and yawning a lot and overall was nearly incapacitated such that I had to quit. I absolutely NEED to have my dose in the AM for energy.
So here's the thing. Is it normal to have these usually mild but often approaching moderate w/d symptoms as early as 24 hours after dosing? Part of the reason it is working so well for me is that I DO continue to feel that sought after opiated feeling - strong enough to make me feel great and kill any cravings I may have. From what I've read, I just am curious as to whether or not this is unusual, and if anyone here knows what I'm talking about. Even though it works very well for me and has allowed me to cease ALL other opioid usage foe the first time since 2008, is it bad that it's only effective because I sill get a certain degree of "high" from it? Most other people I've talked to said that methadone works for them because it only makes them feel normal again. I want to know if this impacts my treatment and is detrimental in the long term. Right now at least, I know I could never go off of it or even decrease my dose. I feel just as addicted as ever (although much more so due to the high dosage and relatively lengthy effects) although obviously much better since I have a daily dose and no longer need to worry about the hellish "daily grind" of somehow getting enough money, contacting one of my dealers who has shit and is able to meet, getting out there while really sick, and having to duck into a public bathroom to shoot up.
Anyone else have thoughts on this, please? Also, have you experienced such rapid w/d on it as I have? Don't get me wrong - it's NOTHING compared to what it would be if I missed several days. I tried going without for an extra 18 hours once, and started to feel that terrible crushing depression sensation and feelings of unreality similar to that of full blown heroin withdrawal. My sense of smell started to come back strongly, I started to become nauseated enough to worry about keeping my next dose down, my pupils were the size of dinner plates, etc. The usual morning withdrawal may sap me of energy and feel uncomfortable, but it could certainly be a lot worse. I just thought that most people are held for 24 hours or longer such that they at least feel totally normal right before taking their next dose.