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Tapering From Methadone (Questions Inside)

MissFormaldehyde

Bluelighter
Joined
Aug 20, 2014
Messages
55
Location
Philadelphia, PA
My fiancé has been going to his clinic almost a year already and he has been on 100 mg for atleast half of that now. His clinic insists he has to go on a waiting list to get off since he has to switch facilities and they won't do it there. There are no open spots and they typically only do 5-10% a month so there won't be any for a while. He has decided inpatient isn't a route he wants to go again and he doesn't want to detox at home.

Is there anyway he can just switch somewhere? He doesn't get take homes because they have a strict schedule for their groups and 1-on-1's that he hasn't always been able to adhere to. Can he just go to a doctor and do it? He doesn't have the money to buy off the street and his program is already free.
 
Maybe I didn't take all that in correctly, but what is stopping him from switching to a different clinic that WILL aid him in doing a taper/detox?
 
I don't live in America so I can't really help with your questions but I would just like to register my incredulity at the notion of a clinic refusing to let someone who has been on juice for a year begin to taper. Utter, utter madness.
 
I haven't visited this for a while since there was only the one reply for a bit, but, they did start tapering and preparing to move him in late-June. He is now rapid detoxing because of his insurance lapsing, though, and is down to about 20 mg from 90 mg. He was comfortably in the 60's before this.

Once his insurance comes back on, he'll either stay there for a bit once he gets an appointment for the new place or is thinking about just switching back to Suboxone which helped him a lot in the past. Still a waiting game The reason he even relapsed (almost a year and a half ago now) in the first place is because he lost his job and eventually couldn't afford them legally or not with the added stress of feeling like a failure. Percs then dope was much cheaper.
 
Maybe I didn't take all that in correctly, but what is stopping him from switching to a different clinic that WILL aid him in doing a taper/detox?
I thought this was odd, too. He didn't really give much an explanation, but, later admitted he wanted to go to certain clinics because of location/environment. Some of them have a certain reputation for being where everybody who got kicked out of other programs eventually wound up. There was also a lot more paperwork involved than I would assume.
 
Am I understanding correctly, that he is switching from one MMT clinic to another? Is it a more convenient location, do they have difference policies, different social atmosphere? I'm not sure of the WHY for switching.
Are they both within under 20-30 minutes from where you live? I consider you to be very lucky if so! There is only one clinic near me, the next closest one is probably close to an hour away. A 90-120 min commute every morning? Nah, ain't nobody got time for dat!

In any case, if he is just going from one m-done clinic to another, why does he need to taper first?

On a separate note, do either of those clinics also offer suboxone? I imagine the program would be run a bit differently (I'd HOPE you get take-homes haha) but if they do offer sub and are accepting new patients, that would probably be the cheapest route of obtaining it, and also having a degree of accountability as to whether or not he is staying clean and sober (UA's)
 
I've never ever heard of a clinic not letting a patient taper. Wouldn't that actually be illegal?

Yeah what a terrible place. I have been in a situation where they told me i couldnt "go any lower on my subs because i wasnt allowed to taper yet and they dont write less then 8mg a day" When you are going to a facility you often sign waivers and shit saying you will play by the rules. I had a stock pile so i left but they basically kicked me out for demanding i come off.

I would look into different clinics. I would also see if the wording of "i came here to get off drugs and now you want to keep me on opiates you are worse then dope dealers" or "will you shut the fuck up and let me take charge of my recovery its giving your life to assholes like you that addicts need to stop in order to get better" Obviously dont say those things but its true and i would look into a better place because taking charge of your recovery is a big step of the process, i think.

I wish there was better advise to give. It is important that he maintains a relationship wtih the clinic as i am sure you both know just because you dont want to get left with nothing. Places like that really piss me off and I wish i could say those two things to the director along with "what do you think i am too weak to run my own life" Sorry it just infuriates me when places do this to their patients, giving people back their lives my ass. and i get the whole "addicts needing help at first" thing sure people need direction but if you walk up all confident and clearly not the same weak perosn you were and you say "shut the fuck up and let me own my recovery stop trying to force drugs upon me" that should be a pass to "ok this guy is obviously ready to taper"
 
Yea, I've def heard (and had to deal with it myself) of not being able to taper as much at a time as one might have liked to. It just is beyond me how any reasonable doctor would say, no, I won't allow you to get off methadone. That sounds like something more than paternalism. Sounds like GREED
 
I have a funny detox story. Here it goes:

When I went into MMT five years ago, I remember thinking: OMG. Here it goes. A second time. Again.

I was sick, withdrawing. I had no focus. I just wanted to feel better, but that did not happen right away. Different counselors were telling me to sit here and then sit there. I'm filling out form after form, sitting here and there. Finally I look up and see this young, attractive girl reading a book on addiction. A counselor walks over, who I later became good friends with, and he says to her, "ok ok." Some conversation about detoxing and how she did so well in this clinic. She just nods. She continues to read. I'm sweating and don't know what to do. To divert myself from the sickness I was experiencing I decide to engage her in some conversation. "What dosage are you on?"

She replies, "Oh, well, it's been two years, and I've been high most of the time so I really don't remember." Huh. And there were ppl everywhere, I mean, just WTF. I was looking for information about detox. And the answer I got was that she was high on this and that. Did the counselor really care? Did she care? I guess she was going out so what was the most they could do to her.

Then the next day, some dude offers me some stix. The place was loaded with guys and gals like this.

Honestly the ppl who detoxed MMT there were either very pleased - "ok, sir, this 120 is now 119," or displeased, "hey, nurse, listen I'm down to 80 and I'm dying I need to go back up!"
This place was just full of jokers. Per esempio: I mean, for some reason, after weeks and weeks of group I finally graduated to another, better group. This group was more intensive. The counselor who supervised the attractive young girl (who presumably had fully detoxed by now) was there. He kept talking about talent, about artistry. I thought, this is weird. Then he pointed to me, "My man, I know you can play." And he just kept on saying that. I don't know where he found out that I could play guitar and piano, or that I was very talented as he called it. I guess I had mentioned I was a piano teacher, and maybe that was the reason but that alone does not equate talent or creativity. Somehow he was convinced I was some sort of jazz genius. And the staff were planning my next phase-up so I could get more bottles. I decided to play along. I told him, "yea I play jazz."

Truth was I hadn't played guitar in a bit. I was playing and teaching piano but had no guitar students at the time. I was still getting my foot on the ground, so to speak. It was about 3 months since I touched my electric. I quickly studied the chords for Dave Brubeck's "Take Five." I memorized them and brought in the guitar next week as promised. I just played. And played. This went on during the group session.
"My man! Talented, talented, god bless. Extremely talented. My god." He just went on. "You know, there's lots of talented people here in the clinic, but you just don't seem them." It was a weird, yet satisfying moment. The fact that I could still get my chops together and play. But for a methadone clinic! Those groups went nowhere I swear - that group was fun though. After I played that day, I gained respect from virtually everyone in the staff. They knew I had fucked around in the very beginning, but they let everything go and I did get my take-home.

All this time I was still thinking of that girl - will I be able to taper? Or will I be getting high. I finally did taper, I did it on my own. It was not fun, but I learned a lot of things, got myself out of methadone for good, and was able to create a life for myself. If I get to where I'm going I will definitely visit the clinic, bring my guitar, and play some "Take Five" again, just for the hell of it. I'm sure they'll get a kick out of that and the fact that I finally detoxed methadone, something that everybody in my life was thinking, "well, its going to happen, but when?"

On a serious note, if you do need to detox, best bet from old-timers I've heard is to slowly decrease your methadone - then try the bupe route. Just don't get used to the bupe. And you're out. The only problem is you need to be in withdrawal to use the bupe.

Peace,

mandraxx
 
I've never ever heard of a clinic not letting a patient taper. Wouldn't that actually be illegal?

As far as end game goes, they have to let you taper. But if you are currently on a high dosage, they will most likely make you see the doctor first and if he does not sign off on the taper, then you are encouraged to wait. You can taper involuntarily - this is not illegal; however, you will lose many of your privileges and it won't be fun. This was how it worked at my clinic.
 
That makes a lot more sense, and was more of what I was thinking. Also been my (somewhat limited) experience too. Thanks for your posts man.
 
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