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Opioids Recovering. Suboxone & Methadone Rapid Detox vs. Maintenance. Miracle drugs really?

Medicatedone

Greenlighter
Joined
Dec 19, 2012
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Baltimore, MD
Recovering. Suboxone & Methadone Rapid Detox vs. Maintenance. Miracle drugs really?

I'm looking for other peoples input on this topic because i feel that a lot of recovering or trying to recover opiate addicts would disagree with me. In MY opinion Suboxone/Subutex, and Methadone should not be used for extended periods of time. Even the typical month or two detox done by doctors doesn't really work, it just prolongs the withdraw. I say this from personal experience with both. For me they worked great at first, aside from minor side effects, but by the time I was weaned down and finally took my last dose, i was in bad withdraw at about 36 hours after. When i say bad i mean even worse than when i started going to the clinic. Cause after a little over a month your body will become dependent on the Suboxone or Methadone, and most of us know that Suboxone withdraws can last a month and Methadone can last a for months! Thats the reason why i have always picked dope back up after i completed the programs. I cannot fathom the idea of being on Methadone or Suboxone for the rest of my life or even a few years at that. I'm not hating on anyone if it works for them it works for them, just didnt for me. It finally took a couple big wake-up calls for me to finally get it and have 9 months sober now, besides my adderall script which i dont count cause ive been on it since i was a child. It is amazing the person i have become, but it will always be tough here and there… I was hopeless… No matter what, there is ALWAYS hope and we can change. Sorry i rambled a bit this is my first post, id just like to hear what people from all over feel about this topic…. THANKS!!:D
 
Yeah man, I agree with your post. I've been in and out of methadone clinics and different suboxone doctors before I finally had enough of relapsing on heroin and decided to get free of everything. I understand that people need these maintenance opiates to function throughout their lives whether it be pain, social anxiety, or just as a blocker to prevent a relapse. I've been on Suboxone for a little over a year and finally decided to try and jump off of it during my one week vacation for the year. While taking the Suboxone everyday does enhance my mood and energy level, I was normal before I got addicted to opiates. The problem for me right now is that a week is not enough for me to go back to my physically demanding job believe it or not. The common physical withdrawals have pretty much gone away but now I'm battling insomnia and RLS by only getting a combined 9 hours of sleep over the past three days. I did a decent taper too, got down to .5mg per day for a good month but now I wish that I had tapered lower. Physically the maintenance program was not necessary but mentally it probably was to make sure I didn't relapse with Suboxone being a blocker and the counseling that came along with it which could be done without the meds.
 
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3 or 4 days off sub, i think 3. probably be 90% in three weeks... i totally agree. fuck maintenance. but then, maybe it has saved lives also, preventing those from killing themselves on the street. fucking ethics
 
Do you think that a maintenance program would be any more effective for the depression experienced months or even years after withdrawl? I would assume so but would it be more effective and a better option in the long run compared to SSRIs?
 
Do you think that a maintenance program would be any more effective for the depression experienced months or even years after withdrawl? I would assume so but would it be more effective and a better option in the long run compared to SSRIs?


yes actually i do, because suboxone has been approved in the UK for depression its just that regardless your gonna face withdraw which sucks, and if you think about it before you start and know it can happen you don't know what you've gotten yourself into until you try to get off….
 
I'm looking for other peoples input on this topic because i feel that a lot of recovering or trying to recover opiate addicts would disagree with me. In MY opinion Suboxone/Subutex, and Methadone should not be used for extended periods of time. Even the typical month or two detox done by doctors doesn't really work, it just prolongs the withdraw. I say this from personal experience with both. For me they worked great at first, aside from minor side effects, but by the time I was weaned down and finally took my last dose, i was in bad withdraw at about 36 hours after. When i say bad i mean even worse than when i started going to the clinic. Cause after a little over a month your body will become dependent on the Suboxone or Methadone, and most of us know that Suboxone withdraws can last a month and Methadone can last a for months! Thats the reason why i have always picked dope back up after i completed the programs. I cannot fathom the idea of being on Methadone or Suboxone for the rest of my life or even a few years at that. I'm not hating on anyone if it works for them it works for them, just didnt for me. It finally took a couple big wake-up calls for me to finally get it and have 9 months sober now, besides my adderall script which i dont count cause ive been on it since i was a child. It is amazing the person i have become, but it will always be tough here and there… I was hopeless… No matter what, there is ALWAYS hope and we can change. Sorry i rambled a bit this is my first post, id just like to hear what people from all over feel about this topic…. THANKS!!:D

I have done this MANY times... It is possible VERY possible to get off of suboxone with out ANY WITHDRAWLS WHATSOEVER... it has to be done very slowly and very carefully.... I can show you the schedule that I use.. here it is..


SO the first few days I am trying to detox here is what I do...

First day, DO normal amount of heroin i usually do. Wait.. Take 24mg suboxone when I feel the beginning feelings of withdrawl. I know for my body that I don't have to wait to be on a 8 or 9 on the withdrawl scale to take suboxone, for me if I wait that long, It wont work and I will fuck up and use again, the way for me to get off of dope effectively is to try to avoid withdrawl at all costs.
next day, when I don't feel 100% I take half of my normal dose of heroin and wait again for it to wear off, again when I feel sick I take 24mg of subs... At this point I am trying to build up a good amount of sub in my system so that I wont need to dose wit heroin. I keep doing this until I no longer need to do the heroin shot to feel normal it usually takes about 3 days. On the forth day I no longer need the heroin to keep me in check, all I need now is a steady dosage of subs on a schedule.
Every night I dose 16mg for 8 days. On the 9th day I take 8mg and I continue that for 5 days. Then for three days I take 10mg, the reason that I don't stay on a steady dosage is because by the end of the first few days I have built up a massive amount of subs in my system so i reduce the mg to keep it up but not too high, when it starts to lower the amount left in my body (when the massive amount starts to metabolize out) then I up my dosage 2mg to 10 instead of 8 for three days. After those three days, I go back down to 8mg. Now my body is comfortable on 8mg. I have successfully tapered slowly enough to get down to 8mg. I Continue to take 8mg for at least three weeks. after three weeks I break up my pill into quarters and start taking 6mg a day for 2 weeks. Then for three weeks I take 4mg. Then for 5 weeks I take 4-2 mgs whatever I need, and during this time I try to take the least amount possible to stay comfortable. After my 5 weeks is over I then go down to only 2mgs for 3 weeks. After that three weeks I go down to 2mg every other day. or 1mg a day, (your choice) for three weeks I do this. Doing this gets your body used to getting less of the opiate, but at such a slow pace you dont really notice any withdrawl symptoms at all. Then again after that three weeks I cut my dose in half again to 1mg every other day. (or .5mg a day again what ever works better for you.) when you are comfortable doing this then you take 1mg to .5mg every 2 days. and then after three weeks of that take .5mg every three days. and then after that for like 2 to three weeks I find I dont need the suboxone anymore at all. the key to this tapering method is doing it extremely slowly so your body isn't getting freaked out by a lack of opiates but you are slowly reintroducing normality to your body and it adjusts very slowly. below I am going to show a schedule of what I just explained.

This is how I successfully wean off of suboxone with NO withdrawl effects whatsoever.

Day 1: Normal dose of Heroin,
Wait until that wears off and then dose with 24mg ( or your amount you need to reach homeostasis)

Day 2: Half the normal dose of heroin,
wait until it wears off then dose with 24mg

Day 3: half the normal dose of heroin
wait until it wears off then dose with 24mg

Day 4: By this time I no longer need the herion b/c i have built up enough sub in my system, and I no longer need the heroin. on this day I take 16mg of suboxone.

Day 4 to Day 11: Dose 16mg of suboxone nightly or in the morning your choice.

Day 12 to Day 16: 8mg Nightly

Day 17 to Day 19: 10mg Nightly

For three weeks I take 8mg nightly

After that I take 6mg for 2 weeks nightly

After that I take 4mg for three weeks nightly

After that I alternate days taking 2 to 4mg for five weeks (during this time try to take the least amount possible that will keep you in a good mood and not giving you cravings.) It is important to try to taper down to 2mg by the end of these 5 weeks but do so slowly enough that you aren't getting cravings and so that you feel normal.

After that I do only 2mg for three weeks nightly

After those three weeks I do one of these two, 2mg every other day or 1mg every day for two weeks nightly

Again, after that for weeks I take my dose and cut it in half, wither 1mg every other night or .5mg nightly for 2 to 3 weeks.

After you are comfortable at this level go ahead and skip a day and take .5mg every other day for 2 weeks

After that go ahead and take .5mg every 2 days for a couple weeks (do what is comfortable for you, there is no rush, if you rush this wont work.)

When you feel comfortable cutting down again try to take .5mg every 3 days for 2-3 weeks.

Then if you really want to taper all the way out do it again, .5mg every 4 days for 3 weeks.

I find after that, I no longer need the suboxone, and I am free of it, and feel like a brand new person, a person who doesn't need opiates to feel normal. I have used this schedule to get off of heroin many times. I have done this with out ANY withdrawl in the long term I have not ever got withdrawl from suboxone using this method, I made this up myself because this is what works for me, I'm sure people with different metabolisms might have to tweak this to work with your body. For me though this works.

I know some of you are going to ask me why I take heroin while I am taking suboxone, for me, this is the only way I can transition to suboxone without feeling like total and complete shit for 3 days while transitioning. If I don't dose with dope the first few days, I am not going to sleep, and I will be kicking all night long, and because I work full time, I don't have time to be sick. So yes I take suboxone and heroin together, mind you, I NEVER take suboxone while feeling the effects of heroin. I only take heroin AFTER i have been feeling sick and the suboxone isn't enough to get me normal. There comes a point when you have so much suboxone in your system that you wont feel the heroin if you do it anyways... The only reason that I can feel the heroin in the first few days when I am sick is obviously because I don't have enough in my system, that is why i am still getting sick, the suboxone isn't occupying all of my opiate receptors and I need that heroin to fill them just until the suboxone can get in there and slowly reconfigure the activation of my opiate receptors to a more normal level. The goal in the beginning is to get off the heroin and get enough subs in your system so you don't need it, that is the only reason i use it, at that point you have to be willing to just stop and only do it to feel normal, NOT TO GET HIGH.

I hope this helps, I know it can seem a little confusing AND LONG. but it works for me and i hope that i can help you get off of heroin pain free as well. This schedule took a lot of tweaking for me to get it right for me, so don't expect it will be perfect for you, but you can find what works best for you, and adjust it accordingly.

THANKS!

OPIDOPECAKE
 
I agree wholeheartedly with the methadone part. It is far more hardcore than most of the habits people had going into the clinics in the first place. With infamously horrid and long lasting withdrawals it is said to be the worst opioid to kick

Suboxone though, isn't even full agonist. It's withdrawals are very weak when compared to oxy heroin methadone etc. they do last longer than heroin or oxy, but the intensity is so much less. Also if you were opiate addict and then got on Suboxone, no matter how hard you try, it will.not.get.you.high. Period. This is another huge advantage over methadone. The last way it's superior to methadone is having the naloxone in it, which makes it incredibly frustrating to try to get high, as just getting high once fucks up the day prior and day after the said slip-up. Methadone does block, but not as much as suboxone (at least at reasonable doses), and doesn't threaten precipitated w/d.

No opiate habit is healthy, but IME when you compare a Suboxone habit to a heroin, oxy, or methadone habit, it pales in comparison both when you want to quit and while you're on it.
 
I was on suboxone for over two years it took two months to get over the withdrawals. The first three weeks were pure hell on earth. I relapsed and it got real bad IV 120 mg of morphine a day or 5 K 4’s a day. Well broke of course I decided that was that, I read a post that suggested that I use methadone to detox off the opiates since it really is not a true opiate. I did 30 mg of methadone for 6 days and that was it I quit, since I really did not want to go down that road. Well it’s day 6 since the last dose of methadone I went through a bit of withdrawal. But nothing like it would have been had I gone cold turkey. Both of the drugs suboxone and Methadone should be only used to detox and that is about 4 to 5 days. Do not let yourself get fooled into a 6 month or 21 day detox you will go through more hell than as if you went cold turkey off the opiate of choice.8)
 
I personally find ppl exaggerate the w/d's of methadone greatly....Feels the same as w/d from any other potent mu agonist to me.
 
I personally find ppl exaggerate the w/d's of methadone greatly....Feels the same as w/d from any other potent mu agonist to me.

true.. but i think many ppl compare it to short half-life opiates like hydrocodone... i personally didnt think the severity of the WD's was bad... it was how long everything lasted... most ppl can tolerate pain but its another thing to be in bad pain for days on end followed by feeling crappy for weeks.. the other thing is that on methadone the MMT system encourages ppl to go to high doses and stay there... often when ppl quit from methadone it is because of problems dealing with the beauracracy or money issues... so you have a situation where a person is at a high dose of methadone and ends up quitting reasonably quickly or even CT... and thats a pretty ruthless WD...

if you taper (like i did) its really not *that* bad... i mean it did suck ass but i was able to make it through without anything.. no benzos.. no loperamide.. nothing...
 
Actually, I'm petty sure though that in general maintenance has better results for keeping people clean off of their DOC's than rapid tapers do. Just think about how many people you meet that you're getting high with that say something like 'oh yeah, I just got out of detox'. Really, think about that-and then I think people would stop bitching about how 'the miracle drug is worse than the heroin!" (BTW, I'm not inferring that the OP was 'bitching', i
 
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