Opioids OD on Suboxone/Methadone

[Noxious Bliss]

Hello everyone. I've been registered on the site for a while but have only recently began to frequent BL again. I am well aware of how the following sounds and is, but please, I just need to understand what happened.

Okay, so at 2 pm Wednesday afternoon, I ingested around 40 mg of suboxone and 20 mg of methadone, over the course of 2 and a half hrs. I usually research any new substance heavily before indulging, however, beers and weed were going around, and unfortunately I did not adhere to the strict discipline of knowing what goes into my body. I ended up puking when I arrived home (~4:30 pm) and continued to do so until maybe Thursday afternoon. I could not keep anything down, water or food, and decided to ride it out. Since things were mostly the same around 8 pm Wed night, I contacted a poison control center for advice on whether or not I should go to the ER. Since it had been about 5 hours the man said I should probably be ok, but still explicitly stated I should get checked out by a doctor.

Now that I have informed myself on the stupidity of my decision, I am curious as to why I am not dead. Did the naloxone in the subs counteract it? Was all my puking a way for my body to save my life? Or am I just one in a million, who luckily survived what humans shouldn't when messing with this stuff?

Again, I know how idiotic I behaved and will take this as a much-needed lesson to never make the same mistake again, regardless of substance. I would appreciate it immensely if any of you well-informed members could shed any light on this issue, and enlighten me on why my kidneys/liver are still working. Thanks in advance, I greatly appreciate the input. Stay safe guys.

 

[Anon610]

Suboxone has always made me puke man. Even a 1/4 strip will make me puke at least once. Especially if I drink a decent amount of water. Then again my opiate tolerance is relatively low. I blow an oxy 30 and feel fine for 2 hours.
Would Suboxone counteract Methadone or vice versa? Not too sure about what receptors and such they act on. Sometimes staying awake is what keeps you alive man. A week or two ago I drank a lot of vodka on 60mg of Oxycontin, 40mg of Valium, and 12mg of Xanax. All because of 12.5mg of Ambien that didn't put me to sleep. I ended up taking the rest of my Ambien making it 50 or so mg. I stayed awake the whole time after realizing what I had done and was concerned. I mean just like you, I took a lot of CNS depressants and theoretically I should be dead. I mean I'm 122lbs and 5'7''.

 

[Tommyboy]

The suboxone could have blocked the methadone, and you may have just been sick from the suboxone which 40mgs of it would definitely have you feeling. Since suboxone does not cause as much respiratory depression as other opioids, it's probably what kept you from overdosing.

 

[dankster320]

see this is what i don't get... there is no recreational dose of methadone for a occasional opiate user!!!! ...for you to even get close to any "high" your dosing a possible o.d. I mean they give these drugs to "heroin addicts" for a reason ya?.

 

[Mr.Scagnattie]

First of all.. why would you take suboxone and a full opiate like methadone at the same time? It's pointless as the bupe would block the methadone or kick it off your receptors depending on the order you took them..

Also, 40mg's of suboxone? Is that a typo? That's an unreal and completely unnecessary dose, as the ceiling effect is 32mg's anyway (and even that is a ridiculous dose)

 

[Noxious Bliss]

First of all.. why would you take suboxone and a full opiate like methadone at the same time? It's pointless as the bupe would block the methadone or kick it off your receptors depending on the order you took them..

Also, 40mg's of suboxone? Is that a typo? That's an unreal and completely unnecessary dose, as the ceiling effect is 32mg's anyway (and even that is a ridiculous dose)

Because I was only aware that bupe was an opioid, same as with methadone. I was not aware why they were prescribed, only remembering seeing the chemical name a few times when researching other substances. I believed that since I had taken opiates before (oxy, vics, H) that I could probably handle whatever effects it brought on. I was unaware of the time the drugs took to take full effect on the user, thus I foolishly ate more.

And no, not a typo, 40 mg is correct. I did not know of the ceiling dose (obviously) and so ate more. I made a mistake, that has been established. Now, do you concur with Tommyboy on why I did not suffer respiratory depression? Because that would be of greater help than your previous criticism.

 

[Deadhead420]

You got pretty damn lucky I'd say. Buprenorphine (the active ingredient in Suboxone) is only a partial agonist so it has less respiratory depression than full agonists like methadone, oxycodone, and heroin. It also has the effect of blocking the effects of other opiates, so that 20mg of methadone you took most likely did nothing. That's a good thing in your case.

To put into perspective how stupidly high the dose you took was... 8-16mg buprenorphine is usually enough to hold over someone with a heavy, daily, IV heroin habit. For me, as little as 4mg did the trick back when I was IVing Dilaudids 3 times a day. You took 10 times that amount and you don't even have an opiate tolerance. If you would have taken 10 times a normal dose on any other opiate, you'd likely be dead right now if you didn't get rushed to the hospital and hit with Narcan.

 

[Noxious Bliss]

^^^ Thank you, exactly what I was looking for. Much appreciated man.

 

[sl1p609]

im on 170mgs of methadone daily and that was the stupidist shit I ever heard. . sorry but i just had to comment

why would you even take the mdone on top of suboxone. ...

just take more mdone

 

[paper planes]

you swallowed the sub didnt you..? Ive never understood how somebody can put anything in their body without knowing a fuckin lot about whats goin to happin

 

[weazel]

eiii mae, borra unas mensajes personales! Tengo una pregunta para usted, mejor en privado...y felicitaciones por el cambio a la metadona! Espero que sepas unas cosas sobre la escena "dopera" en CR todavia...

 

[Nozphexezora]

eiii mae, borra unas mensajes personales! Tengo una pregunta para usted, mejor en privado...y felicitaciones por el cambio a la metadona! Espero que sepas unas cosas sobre la escena "dopera" en CR todavia...

Errrr... BUENO!

 

[Mr.Scagnattie]

eiii mae, borra unas mensajes personales! Tengo una pregunta para usted, mejor en privado...y felicitaciones por el cambio a la metadona! Espero que sepas unas cosas sobre la escena "dopera" en CR todavia...

Please don't post in another language. Thanks.

 

[Khadijah]

see this is what i don't get... there is no recreational dose of methadone for a occasional opiate user!!!! ...for you to even get close to any "high" your dosing a possible o.d. I mean they give these drugs to "heroin addicts" for a reason ya?.

Uh....yes there is. No harm in being safe and cautious but methadone is absolutely usable for recreation in occasional users. you have to be careful and dose low but what you just said right there is just straight up wrong.

 

[midnight11]

LOL sorry this thread just made me laugh. I'm happy you're ok, but please, NEVER TAKE THAT MUCH SUBOXONE AGAIN EVERRRRRRRRRRRRRR. No offense, everybody makes mistakes, but that's a bunch of days worth to blow in one go

 

[oxyaddict05]

Now, do you concur with Tommyboy on why I did not suffer respiratory depression?

I'm no doctor, but I agree with what he said.

I had an opiate-naive friend take 12mg once, which if were taken in equivalent dose with a full-agonist, would possibly have killed her. She just puked for 3 days instead. But had no respiratory problems.

 

[Fire&Water]

This post should be a bold print sticky for Hard Reduction
OP...if you are using methadone or/and suboxone for recreational value, do yourself a big favor & stop taking drugs altogether unless it's life or death health circumstances...