Opioids Rehab. The Clinic. Or detox.

[merajjj840]

Hey,

Long time drug user. Long time CPP. Nerve damage in my wrists, elbows, and extends into my armpit, both arms.
Not sure what to do anymore. I have a legitimate medical condition, but I'm a drug addict to the point that I cannot maintain this anymore. School started again. I'm trying to get my Masters, it is going well though. I'm just always high for class, meetings, everything. Nobody says anything. Not sure if its because they don't see it, or don't know if its my meds, or?

The question: if you go to rehab your doctor is notified, yes? People that have chronic pain, what happens after rehab? What happens IN rehab?

What if I go to a methadone clinic? They do maintenance.. Not pain care, right? So, I should try and get my normal doc to give me methadone? (Suboxone does nothing for my pain). He already said no to methadone, for pain.

Current prescriptions for you to understand tolerance to opiates & others:
3x 10mg oxycodone
50mcg fentanyl patch changed q48
3x 5mg valium
1x 1mg ativan
A slew of other non-narcotic medication

I dont abuse the benzos. I abuse the opiates, particularly the fentanyl. I could wear 150mcg and be fine. I usually wear the patch, put 1/3 in my mouth, take the other meds. That doesn't get me high, it just gets me normal.

the culprit
heroin
I have used heroin since I was 15. I'm 23. I didn't become authentically addicted till I was 17. My pain began after a car accident when I was 18.

I use, up the nose, (sometimes smoked - rare, sometimes plugged, not as rare) .3g-.5g of dope to get high. That's on top of everything else. .1-.2g will get me normal. The most I ever did was .8g. It always changes, ofc, BUT one of my friends is a bit of a chemist. He said it was 62% pure. Located outside of the capital of NY.


I want out. I can't use suboxone to get off the dope because of the fent. I can't source methadone off the street, nor any other pills of any significance *high dosages of morphine, dilaudid, oxymorphone, things like that*


Rehab. The clinic. Or detox.

Wtf do I do? Keep in mind, that nerve damage I mentioned.

Advice welcome, insults, not so much.

 

[poppyplanet]

If I were you, I would definitely get on suboxone. Methadone can be useful for certain individuals but for me, it sucked. After 2 days of using it, my cravings came creeping back. Suboxone has kept me off of heroin for years now.

 

[poppyplanet]

Also, if you take a benzo with your subs, it will help your pain. In my view, taking benzos while on methadone maintenance is risky. For me and other people I know, it caused way too much sedation and even death with a couple of my friends.

 

[when I dream]

If you have the means I would definitely recommend rehab, as long as the one you choose has a program for patients in pain management. They would help you found a workable schedule of medication that works for your pain but also lets you lead a relatively normal life. It won't be easy as I'm sure some meds you may need to be detoxed off of, but hopefully you would come out with tools to keep yourself off of the less necessary drugs.

So yeah, I'd recommend a good rehab center with a pain management program. Good luck man.

 

[Methacodone]

I'm currently in a methadone program for my past opiate addiction.

Was using,
Hydrocodone 80-120mg/daily/2years, Oxycodone 130-200mg/daily/3years, Smoking black tar heroin 1/2g/daily for 1 year. So after 6+ years of opiate abuse, im now in a methadone program for the last 2+ years.
Honestly, the only reason I went on methadone was because I became broke, I hit rock bottom.
When you start methadone, you feel good for about 2-4 weeks, meaning getting high. After that, you'll just start feeling normal with every days dose.
Honestly, it did change my life for the better, no more lying, stealing, sneaking out for a fix, hurting my family, etc.
But theres ups and downs for every drug imo.
Now, im stuck on methadone, even though its better than doing heroin everyday, your still using a very strong opiate,.so its kinda just a replacement for other drugs.
I'm currently tapering off of Xanax and valium, using klonopin. After my benzo taper finishes (2-3 more months), ill start tapering methadone.
I got a hell of a ride ahead of me.

 

[cj]

There not going to give you opiates while your in rehab regardless of your medical need.

 

[jkmkaye]

I am not an expert about rehab and what goes on for sure. But is it only me, but my pain dr. tells me that I should be getting pain relief from the Subutex. Well, I do not.....I often think they just say that to convince you to stop taking the other opiates. If it were me, I would not count on Subutex/Suboxone for pain relief even though they say it is.....

 

[maddawg300]

Detox isn't a bad idea if you want to get on suboxone they will give it to you there they will also give you phenobarbital to get you off of benzos. Lot of people go to detox first then to rehab so that might be something you might want to do. Yes your doctor will be notified if you go to rehab or detox.

 

[GreenGrenny]

Heya. SWIM has done many withdrawals (tapering and not tapering) from heroin, buprenorphine (Subutex like Suboxone ish) and benzodiazepines, oh alcohol too. The reason SWIM did these dangerous home alone WDs is that the British NHS do not know how to get people off of their Sub scripts once on. And, as you said, you are mixing your opiates - which throws a tapered suboxone approach out of the window.

Here is SWIMS advice, 25 year poly drug user and trying to do a similar life changing withdrawal from benzos and alcohol again... so know where you are at, ish!
Make sure you have 50MG genuine branded DIAZEPAM. Enough for one month. Things are different there, know... but this is how it works here....
Also make sure you have some Librium, Vitamin B complex, Iron and Calcium and full range of vitamins available. Get chewy gummy bear vitamin C's.
Ibuprofen, 250mg only if needed every 4 hours. Same with 500mg paracetamol.
We want to make sure you get to treatment without having seizures, because SWIM afraid mate, from one poly-drug user to another, you are going to need help with this.
You must start sipping water - straight away. Don't bloody drown yourself but drink constantly through the day / night whenever you are awake.
Get some Feroglobin B12 which has Zinc, Minerals and B complex. One table spoon full 3 times a day.
Do you smoke? Get some Silver Haze. 50 / 50 indica / sativa. And a few mid range beers will help with hyper-sensitivity.

Main thing is, get yourself stable - as in don't increase your intake. Make an appointment for a HOSPITAL detox. Not a rehab.
You may have to check yourself in to accident emergency. Just show them the meds, don't worry - if the law is not as relaxed as it is here then take a list of quantities of EVERYTHING because they will ask you to make a diary and you need to do this now. !!!!!! sorry pal....
Duty of Care will be there, they will blood test you and admit you to hospital, you will be there probably 2 weeks on a rapid withdrawal. You MUST not do this on your own.
OK? I'm 38 and been through it all...... seizures and all, opiates, benzos, RCs, crack, heroin, meph...... alcohol....... . . . .just ask me any question I will tell you what to expect and what effects you will have in the meantime! But first - get your base meds sorted that means you won't fit etc. Then get your ass to the hospital my friend and keep in touch, PM me any time. Gaaaawd bless you will be OK SWIM know it, well done for doing this.
WICKED!!!!
GreenGrenny x

ps. if you cant afford it coz of your bonkers health system..... you come see LondSwimmy GreenGrenny, will seriously look after you and get you the help you need...... NO SHIT. Geta flight to London friend. PM ME!!

 

[LilikoiMoon]

Methadone actually relieves some of my pain, and keeps withdrawals at bay. I'm talking 30mg max daily dose, though.

Suboxone gives me horrible migraines, and makes my body ache.

I'm currently on 10mg Opana 6x per day with 40mg Opana for night time relief. Of course like any other addict, I do more than I should.

That being said, I love methadone, but refuse to go the clinic route. I get the 10mg tablets and keep them on hand for withdrawals and medication breaks I take every 3-4 months. I've never tried the liquid, nor do I have any interest of going higher than 30mg per day. I dose twice daily where clinic patients dose once, because that's what works for my body.

Only you know if you can handle the daily requirements of a clinic setting, plus the cost. I've been in rehab before and while I enjoyed my stay, I can't be bound by clinic rules, or told what to do.

What works for some doesn't work for everyone.

Good luck!

 

[Methacodone]

Lilikomoon--

So you have opana and methadone both RX'd to you? If so, DAMN, the 2 strongest opiates on the market (besides Fentanyl)...you must have broken something, or something else terrible like that, to be getting RX'd OPANA and METHADONE.
You're right though, pain management methadone don't go over 30-40mg/daily, the 40mg wafers were banned for chronic pain, but still available in MMT clinics.

I'm actually in MMT currently, I also use the tablets, my clinic has the 40mg wafers from Roxanne imprinted 54 883, and the 10mg pills also from Roxanne imprinted 54 142. My clinic also has the Cherry red liquid methadone, I believe it's 10mg/1ml, BACK in the day I heard they used to use a green liquid methadone, which was only 1mg/1ml, im on 80mg, and getting 80ml of a discusting tasting medicine, that's fucking nasty.
But, I was on the cherry liquid methadone my 1st year at mmt (been in mmt for 2 1/2 years), until I noticed they did carry pills also, the dosing nurse offered me to try them and see if they work better, I agreed, and BOY, pills blow the liquid away IME. They feel stronger, cleaner, AND last longer. Ever since I switched I never went back to liquid. My nurse is also cool enough to give me how I like my dose, im supposed to get 2 40mg wafers daily, but I like the 10mg Roxanne methadone, so I requested a half and half dose, 1 40mg wafer, and 4 10mg pills, and she gave it to me. It's probably in my head, but that holds me a LITTLE better than getting 2 wafers. I mean, the more pills, the better, right?

 

[LilikoiMoon]

Lilikomoon--

So you have opana and methadone both RX'd to you? If so, DAMN, the 2 strongest opiates on the market (besides Fentanyl)...you must have broken something, or something else terrible like that, to be getting RX'd OPANA and METHADONE.
You're right though, pain management methadone don't go over 30-40mg/daily, the 40mg wafers were banned for chronic pain, but still available in MMT clinics.

I'm actually in MMT currently, I also use the tablets, my clinic has the 40mg wafers from Roxanne imprinted 54 883, and the 10mg pills also from Roxanne imprinted 54 142. My clinic also has the Cherry red liquid methadone, I believe it's 10mg/1ml, BACK in the day I heard they used to use a green liquid methadone, which was only 1mg/1ml, im on 80mg, and getting 80ml of a discusting tasting medicine, that's fucking nasty.
But, I was on the cherry liquid methadone my 1st year at mmt (been in mmt for 2 1/2 years), until I noticed they did carry pills also, the dosing nurse offered me to try them and see if they work better, I agreed, and BOY, pills blow the liquid away IME. They feel stronger, cleaner, AND last longer. Ever since I switched I never went back to liquid. My nurse is also cool enough to give me how I like my dose, im supposed to get 2 40mg wafers daily, but I like the 10mg Roxanne methadone, so I requested a half and half dose, 1 40mg wafer, and 4 10mg pills, and she gave it to me. It's probably in my head, but that holds me a LITTLE better than getting 2 wafers. I mean, the more pills, the better, right?

I haven't broken any laws, haven't broken into anything either, and I'd NEVER touch Fent!

My situation is a little different and without getting into it again, you can find some information on here from previous post.

I don't take dones very often, just when I need a medication break and I don't take dones longer than a week. My system is weird to where I can wean down and off, then go off opiates all together for about a month.

The clinic setting bothers me because they push your dosage up so high instead of weaning down and keeping people sober, if that makes sense, but it's just my opinion. I have a friend who was on 160mg of methadone, like hella more than the 70mg of oxy prior.

 

[Methacodone]

I haven't broken any laws, haven't broken into anything either, and I'd NEVER touch Fent!

My situation is a little different and without getting into it again, you can find some information on here from previous post.

I don't take dones very often, just when I need a medication break and I don't take dones longer than a week. My system is weird to where I can wean down and off, then go off opiates all together for about a month.

The clinic setting bothers me because they push your dosage up so high instead of weaning down and keeping people sober, if that makes sense, but it's just my opinion. I have a friend who was on 160mg of methadone, like hella more than the 70mg of oxy prior.

You misunderstood what I said, I meant you must have broken something in your body to get RX'd those superior Narcotics.

And imo you got it all wrong about MMT, they don't keep raising your dose. It's all on YOU. YOU can be on w/e dose you like. Taper however you like, you can just stop going to the methadone clinic also (no contract signed stating you MUST stay a certain time).

I have plenty of experience with MMT, and IME you take total control. Yes, you do random drug tests monthly, and yes you have to see the doctor each time for important things like, rasing your dose, lowering your dose, or getting take homes, etc.

I'd rather be on methadone than how I was before I got on methadone. Like I said, I was eating hydrocodone and oxycodone like candy for 5 years, and after oxy got to expensive, and I needed a large dose of hydro to feel satisfied, which is too much apap (I hate CWE, imo you lose some hydro), or too much money, so I smoked black tar heroin for a year. Now im here, 2 1/2 years later, on MMT.

 

[Erikmen]

I can relate to that. I have had withdraws from all sort of opiates including h. but methadone has been the hardest one. Trust me, it´s way worse than every other substances I´ve taken.

I had thought I had it all taken care of. I believed I had a perfect normal life, with my family, kids, working, travelling abroad all the time and even volunteering.

I had it all, but was also very dependent of methadone. I was always afraid of loosing my stash, or my doctor.
It started 7 years ago, with very high dosages (150 mg was my initial dose many years ago) I stabilized at 60 mg and now I´m preparing to cope with zero.

My thoughts of freedom and relief plus total independence had turned to my worst nightmare as I can´t sleep, I´m having withdraws from the past 14-15 days.
During this winter I went to Boston and have gone down to 10 mg (extra 5 mg SOS) not every day and it was still manageable when I was there.

Anyway, the result now is that I am always tired, still can´t sleep, restlessness is an ongoing maybe chronic condition and I feel that I have this endless flue and mostly all withdraw symptoms you can imagine. My doctor says my body will restart to produce endorphin and that can take 6 months to one year.

In short, I´m very happy for you as you have beat the monster and is not an addicted anymore. You have control.
I know Fentanyl is so strong and very difficult to stop. So that is a win, win situation for now.
Just don´t let methadone be your next level for so long. In a blink of an eye you may see yourself in the same spot in years from now.

Being here on BLight has really been a wake up call for me to decide to quit methadone. And I´m sure that in few months from now I´ll be okay. If not I will keep trying..

Wish all the luck!!

 

[wezface]

Damn Erik, didn't know you were tapering. Good luck! You can do it. You've got a disgustingly positive attitude and shit.

To the OP, I have similar (very, very similar) issues and our situations seem near identical. I have actually been considering just doing MMT through the clinic and seeing if that helps my pain enough that I don't need pain meds from the doctors. Might be something to think about. But whatever you do, you'll also need support. A counselor, clean friends to hang out with, good environment, all that jazz.
Best of luck to ya.

 

[Erikmen]

Damn Erik, didn't know you were tapering. Good luck! You can do it. You've got a disgustingly positive attitude and shit.

To the OP, I have similar (very, very similar) issues and our situations seem near identical. I have actually been considering just doing MMT through the clinic and seeing if that helps my pain enough that I don't need pain meds from the doctors. Might be something to think about. But whatever you do, you'll also need support. A counselor, clean friends to hang out with, good environment, all that jazz.
Best of luck to ya.

Thanks! I also wish you luck and peace of mind!
Erik

 

[LilikoiMoon]

You misunderstood what I said, I meant you must have broken something in your body to get RX'd those superior Narcotics.

And imo you got it all wrong about MMT, they don't keep raising your dose. It's all on YOU. YOU can be on w/e dose you like. Taper however you like, you can just stop going to the methadone clinic also (no contract signed stating you MUST stay a certain time).

I have plenty of experience with MMT, and IME you take total control. Yes, you do random drug tests monthly, and yes you have to see the doctor each time for important things like, rasing your dose, lowering your dose, or getting take homes, etc.

I'd rather be on methadone than how I was before I got on methadone. Like I said, I was eating hydrocodone and oxycodone like candy for 5 years, and after oxy got to expensive, and I needed a large dose of hydro to feel satisfied, which is too much apap (I hate CWE, imo you lose some hydro), or too much money, so I smoked black tar heroin for a year. Now im here, 2 1/2 years later, on MMT.

Sorry if I come off as bitchy, I can't see half of what's on my phone. Lol.

Feel free to PM me, I can explain better there.

As for the MC, only familiar with my local clinic and several patientssay they were happy on low doses but when they wanted to quit, they were up a dose in mg.

It's great it's worked for you. Hugs.

 

[Methacodone]

Sorry if I come off as bitchy, I can't see half of what's on my phone. Lol.

Feel free to PM me, I can explain better there.

As for the MC, only familiar with my local clinic and several patientssay they were happy on low doses but when they wanted to quit, they were up a dose in mg.

It's great it's worked for you. Hugs.

haha it's all good. Everyone has their moments.

Actually, I was a member of a couple of websites like bluelight, and I don't go to any of them anymore because the people/mods at those sites are complete idiots, and ass holes.

Blue light is the only one I keep coming too, because I have never had a problem with anyone here, and trust me, no hard feelings between the both of us.

I will DEF. PM you if I have further questions, thank you!

 

[Methacodone]

I wont mention which web sites, though.
As I believe that's against the rules here at BL?

 

[Erikmen]

What sort of web sites are you talking about?