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Supervised Consumption

SuperVised

Greenlighter
Joined
Jan 12, 2017
Messages
2
Hi All,

I'm new here, but I have probably read many advisory posts here whilst doing internet searches ;-)

I basically registered to find out information/input regarding the current practice of supervised consumption of substitute opioid medication(buprenorphine and methadone)
I'm really keen to hear what people think about it as a practice as well as experiences people have had.
I don't want to taint the water by expressing my own views just yet, but it would be great to hear from you.
 
maintenance programs are just legal/Rx opiates designed to placate addicts so that they don't go chasing their original DOC(s) on the street and contribute indirectly to crime.
 
Not sure what you mean? It's excellent harm reduction, but would be more effective if more governments supported opiate replacement therapy, not just opioid replacement therapy. I wish it was more available and had less restrictions.
 
Are you talking to me or SuperVised, FM? I agree with what you said. It's definitely effective and should be more widely available. My use of the word "just" was to emphasize that the programs are simply state sponsored opiates so that we can get our fix safely.
 
I like methadone and buprenorphine. Especially methadone.

Some people would argue that people on such programs are merely replacing an addiction to one strong narcotic drug (like heroin, for example) with another. To me this ignores the fact that many negative aspects of the addict's former life are being eliminated, like dangerous variations in purity, sketchy practices like intravenous drug use (making the sometimes large assumption that the addict isn't out shooting drugs after getting on ORT), the often high-risk activity of buying and/or selling illegal drugs, the damaging effect on one's pocketbook (although ORT can be expensive too), etc.
 
I was referring to SuperVised, I wasn't sure what aspect of the treatment she was asking for our opinion of.

Burnt, I think you're right, it's the stability of the program that's important for many people.
 
Absolutely, the stability and certainly the harm-reduction factor of not dying (which most, if not all IV heroin addicts should be familiar with the territory of OD and fatality). I know for a fact that when I roll over to the clinic and drink my 60mg of liquid, cherry Methadose (10mg/1mL oral solution) I can confidently assume I won't hit the floor or be visiting the ER once the dose peaks. Unlike a shot of dope, which of any could have been my last and the toll to be paid- my life.

I prefer MMT (Methadone maintenance therapy) over BMT (Buprenorphine maintenance therapy) mostly because I've gotten to the point where my IV doses of heroin/fentanyl will not be eased by buprenorphine at any dose due to the ceiling and lack of analgesic properties, as it's merely a partial-agonsit. Methadone is full-agonist opioid that significantly effective in pain-relief, with NMDA-antagonist properties (also increases anaglesia, keeps tolerance stable, and is great for cravings), 3-4x the strength of morphine (10mg methadone = 2.5-3.33mg methadone), and also has no ceiling dose.
 
In mmt I have found a level of emotional and physical stability that I for years seemed unattainable to me because of the addiction to opioids that I battled daily for ten years without it I would likely be dead
 
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