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Opiate and opioid withdrawal: Coping strategies and medication

SproutOnSmack said:
Mornin'!
How's everyone getting on? :)

After close to 8 months of tapering and constant WD, I am close to opiate free.
Not reached the final hurdle yet, but I can now get by on just 12-24mg of Loperamide every 36 hours, cut the benzos out 10 days ago. I haven't had a 'solid' dose, as in above comfort dose levels, of PT in 25 days! :D
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This post brought me to tears.
8 months ago I got so close ^^
Now; in Hell.
Lady Fentanyl did what she does best and has ruined me.
The Shrine nearly gained my name, I'll say that much.

Now in a hellscape of WD I didn't believe possible. Used my very last dose (130ug x2 Buccal) 7 hours ago, spent 48hrs in bed after attempting CT.

7 hours. 7 fucking hours and I'm already shaking, sweating, tearing.
Fuck.
 
backroll said:
Backroll's 10 Point Plan

1. Taper down whatever you are on to the lowest you can go
2. This is the time to then jump off...I don't personally advocate the use of further opiates here (such as subs or less strong things like codeine). My theory is that you are going to be dragging out the pain if doing this. You are going to fucking suffer as it is, but if you tapered (over 2 weeks minimum) then this won't be anywhere near as bad as cold turkey
3. 2 types of BZP...something for the daytime (diazepam or clonazepam) and something to sleep (moggies or xanax)
4. Multivitamins & Loperamide Hydrochloride both in massive doses
5. 5-Htp, L-theanine etc etc. Whether you think these are mumbo jumbo hippy shit or not they do work
6. Try and eat and live well (your instincts will be to eat junk, which is fine, you are probably just happy to be eating again, but not best long-term) A bit of exercise similarly will seem like the last thing you want to do. But where else you gonna get your dopamine from? Apart from shagging! Which after 2 weeks is all you will be thinking of! Warm up with some good wanking sessions
7. Long-term thinking...tomorrow won't be as bad, take everyday day as it comes, get through hours and minutes if days are too long
8. Hot baths / cold showers. Really helps with the RLS
9. Delete those fucking numbers like my man says! And change your number! You are kidding yourself if you don't
10. WEED. Now this doesn't work for everyone but I personally find it to be almost as helpful as BZPs. It is like having company and strong enough to be both physically and mentally soothing.

Good Luck:D
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Old post but couldn't help looking through. Good post Blackroll, I personally agree with this, trying to get through some suboxone/H WD's. Im a glass-half-empty kinda guy so I always think hot bathes and shit like that will never work. Bring on the Xannies! is what I say haha.

Gonna do everything possible this time around. Baths, and especially exercise will play a huge part in all withdrawals though. that's how I got through my first time, 2nd time around is way harder for some reason, wish I could go to rehab honestly lol.
 
SproutOnSmack said:
This post brought me to tears.
8 months ago I got so close ^^
Now; in Hell.
Lady Fentanyl did what she does best and has ruined me.
The Shrine nearly gained my name, I'll say that much.

Now in a hellscape of WD I didn't believe possible. Used my very last dose (130ug x2 Buccal) 7 hours ago, spent 48hrs in bed after attempting CT.

7 hours. 7 fucking hours and I'm already shaking, sweating, tearing.
Fuck.
Click to expand...

Hope your feeling a bit better today sprout. I'm sure you already know this but do be careful with the fentanyl. A really dangerous substance outside a hospital setting for many reasons. Huge amount of respiratory depression and not particularly "recreational " by all accounts either. I had about a 6-7month stint on fentanyl patches from my old pain management doctor a year or two back and I had a lot of difficulty getting the patches to adhere properly. I cocked up ordering my repeat prescription one bank holiday weekend and went three days without and the withdrawal was pretty brutal. Very different from the withdrawal I suffered coming off methadone pills. What really struck me about it was not just the exacerbation of the underlying pain condition for which I was on the patches in the first place but also the pain in other unaffected joints which seemed to manifest itself as if from nowhere. I remember laying in bed with a pain running from the illiac crest on my right hip all tye way down to my feet that was so excruciating I could barely stand it. Must have been an 8 or 9. It was really awful.

I can really sympathise. The only real positive is that while the withdrawal from fentanyl is acutely painful it does subside fairly quickly after a few days (or at least the worst of it does).

When you mention a dose of 130ug x 2 buccaly what form of fentanyl were you taking? Were they cut up patches or actiq lozenges or something similar? I know it's not really relevant to tye WDs you are suffering but 130ug seemed a strange number...

Best of luck mate <3
 
It is brutal. Fentanyl after all is 50-60 x stronger than Morphine or more..
I find it extremely painful to go on withdraw coming off Fentanyl.
That is a rare situation where I think methadone is worth it - temporarily at least..
 
SproutOnSmack said:
This post brought me to tears.
8 months ago I got so close ^^
Now; in Hell.
Lady Fentanyl did what she does best and has ruined me.
The Shrine nearly gained my name, I'll say that much.

Now in a hellscape of WD I didn't believe possible. Used my very last dose (130ug x2 Buccal) 7 hours ago, spent 48hrs in bed after attempting CT.

7 hours. 7 fucking hours and I'm already shaking, sweating, tearing.
Fuck.
Click to expand...

I know the feeling and when I read about making through this in 8 months, I do wish to congratulate- of course but I can also see that this will probably finish with me first. I don't think I can go on for 8 months.. Zero endorphin is making me totally mad and my wife won't be able to handle this.. My kids, work. Shit man, this is bad. Don't take me wrong I'm just too pissed off w me right now
 
Ok I am doing a weird w/D I stoped doing daladin shooting up on the 18th of Feb and 3 days after that I took suboxone only had a half a strip and tapered off then I had 20 Tremadol took those in 2days and on the 23rd I started withdrawal I was able to get some benadryl I found a dollar to get 2 benadryl that helped a little i use it for a antihistamine and to help sleep it helps more with the sneezes and runny or stuffed up nose then on day 2 of w/D I was able to get gummy multivitamin and a bottle of benadryl and then started to do research and learned about kratom so I went and bought some but only enough for one dose that is 7.5g and that stuff really did help it made me able to sleep and now I'm a little over half way done with day 3 I woke up after about 5 hours sleep and i feel alot better today but I still feel bad just not as could it be the kratom still being in my system or am just over the hump I took the kratom at 4pm yesterday and it's now 7:20am I have no money until 1am tomorrow get a check i hope I can get through this i hope I don't relapse also a freind of mine wants to get a D and give me some i would have done it last night but everyone was dry he might ask me again today idk for sure what I might do.... I want this to stop oh I was on a half or quarter a day D iv is the worst behind me
 
I have been on methodone for 12 years now but 2 weeks ago I switched from oral methodone to iv methodone and I am feeling much better in general... not so depressed... more motivation... clearer head.... a few people have commented that i have been looking better than normal so its not just in my head...? I have stopped using on top of my dose as well.... Anybody got any theorys as to why changing roa would have such a dramatic effect...?
 
Not really no..
It's the same drug and bioavailability is the almost the same...

Maybe it's just psychological as your mind thinks that IV methadone is somehow stronger so you feel better. Or maybe just returning to the needle made u feel better...Never Understand
Underestimate the power in placebo and perception

..
 
minddetergent. said:
I have been on methodone for 12 years now but 2 weeks ago I switched from oral methodone to iv methodone and I am feeling much better in general... not so depressed... more motivation... clearer head.... a few people have commented that i have been looking better than normal so its not just in my head...?
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Were you on the needle before you started on the meth? If so, perhaps it's the mental part of your needle addiction. The mind-habit is at least as strong as the body-habit.
minddetergent. said:
I have stopped using on top of my dose as well.... Anybody got any theorys as to why changing roa would have such a dramatic effect...?
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Or it could be the fact of not using on top of your script. Especially if you were doing so intravenously. Now you've taken care of the needle addiction, you don't feel so much need to inject anything else?

Anyway, just glad you found something that works for you.
 
Yeah that could be it,,,, I was using on top of my dose before 3-4 times a week so having a bit of spare cash in my pocket probabl[y helps as me and my girl were spending all our cash on gear and white and would often hae no food for a couple of days before one of us got paid..
 
3 weeks clean on Saturday!
It's been Hell, but it's coming to an end, just PAWS left - c'mon you, deceptively cute sounding, bastard!
 
Yeah ..... It's a kind of light buzz that comes after the cluck is over.

As far as I can work out, it's caused by my endocrine system overshooting slightly and producing more endorphins than strictly necessary. There is never a comedown from it, it's just like a natural high that you might get from exercise or something. Only without doing anything to bring it on.
 
PredatorVision said:
I did actually go to a Doctor on my second and worst day of withdrawal (not asking for subs, more for addiction advice, substitutes are not something I want) though he was fucking useless and just looked down his nose at me like I was wasting his time, and I could tell he just wanted me out of the room as fast as possible. I asked about counseling and he told me to go and look at the talk to FRANK website.... Jesus Christ, what a clueless twat I thought, i'm in my mid twenties and look younger than my age despite several years of drug abuse by some miracle, so he was being pretty condescending.

I'm wondering what the options are in Manchester in particular for drug counseling and support? I've been pretty good at staying clean so far, though as i'm sure we're all aware it takes only a moments weakness to fall back into bad habits.

.
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Even GPs who 'specialise' in addiction seem to be very unhelpful. There's at least a couple of addiction support agencies in MCR that provide counseling free of charge, there's LIFELINE/RISE on Oldham Street and Kaye Street, and another place you could find by googling, but they require you to be 'clean' before you can begin the counseling, they believe that it wont work as effectively if you are still using. There may be some truth in that, but what about the people who might just need psychological support to get through the WDs? The workers on Kaye Street are very mixed, some of them are stunningly brilliant, some of them kind of struggle a bit with things. Sadly many of the best staff have left.

There's only the one free option for that in MCR otherwise you'll have to go private and get your chequebook out, and do some serious damage to your finances. £100+ an hour some of these cnuts charge, just who the fuck do they think they are:! No matter how good they are they arent worth that much. Its verging on exploitation. Doesnt even require that much training.
 
To be fair.. I wouldn't expect any deep insights from my own GP if I went in for "addiction advice", he'd just tell me to talk to a counselor... clueless twat sounds a bit harsh.
 
I recently shot dope on Monday night but didn't feel the full effects because I shot a small amount of suboxone way earlier that day. It's now Thursday and I want to shoot the suboxone again just to save some of it because I'm running out. Can I do that with out getting extremely sick, because as far as I'm aware you have to wait a certain amount of time after doing dope before you can shoot subs again. Thanks.
 
The doctor at my local substance misuse service said I know more about the drugs they dish out than she does, that scares me as I know fuck all bar lightweight internet research.

Tgunz, yes you will be fine to do that.
 
The first week sucks for sure. The best way is to do it ct I don't care what anyone else says about ct. I am on 8 weeks now and that's the only way to go. I am still not 100% but every week I feel a little better. The more things you take your just prolonging the agony.
 
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