I really wouldn't be suggesting people to go on methadone like its candy ... Methadone should be LAST RESORT LIFE SAVING MAINTENANCE DRUG I think you should try everything before having to resort to that. It should be as a "fuck I'm gonna die absolutely nothing else works not subs , not tapering , not codeine/hydro taper, not Kratom , not loperamide , or cold turkey . Only after that try methadone ...
I also agree with this 100%.
Methadone is a very powerful Narcotic that can give a WD that's worse than H WD.
I tried lots of things to get off dope before getting on Methadone.
Hydrocodone and Oxycodone wouldn't touch me unless I dose 200mg+ in a single dose, and that's just to feel well. Who the fuck can afford that?
I also tried low doses of Hydrocodone with Benzodiazepines, Xanax, Klonopin, and Valium. I had all 3. Valium helped the most out of the 3 in equivalent doses.
But that still wasn't enough, I just couldn't get well with ANYTHING besides smoking more dope.
My withdrawal was Bad. 2+ years straight of using 80mg to 120mg daily of Hydrocodone, + 3 years straight of using 120mg to 200mg daily of Oxycodone, + about 2 years straight of using 0.5g-1g of Black tar Heroin daily.
It was SO bad an ambulance was called, Guess what? I almost died, how? Dehydration.
My skin was turning yellow, blue, and purple at the same time. The paramedics said 'you're very lucky that you called us, if you waited 20 to 30 more minutes you could've went into a coma or possibly have died, you're way to dehydrated buddy'
I stayed in the Hospital for 3 days, I was on IV fluids 24/7, along with 30mg Morphine, 2mg Ativan, 50mg Promethazine, and 0.1mg of Clonodine pumped inside me every 4 hours.
After I got discharged, since my Insurance didn't cover rehab, the doctor assigned me to a Methadone clinic. I got sent to the clinic by my amazing nurse.
She was so sweet, kind, and extremely helpful. She stayed with me at the clinic until I was admitted to the program, and get my dose. Which took about 5 hours.
After being admitted, got my dose, and felt AMAZING after. I noticed how potent Methadone really is with my very 1st dose, my doctor put me on 70mg daily,but by law, the patients aren't allowed to get more than 40mg on the first day of treatment. 2nd day, got 50mg, 3rd day 60mg, and then finally got my dose that I was scripted, 70mg.
My withdrawal was without question, bad enough to get me on Methadone. I mean the ER DOCTOR assigned me to one, cuz he saw how sick I really was.
People who go in there for a pussy 6 month use of Vicodin taking like 40mg a day think, 'omg I'm so sick' that makes me laugh.
A real, and Hardcore Opiate withdrawal comes from using hardcore Narcotics, using daily for AT LEAST 3 years.
What I consider a real, and Hardcore opiate withdrawal,
Oxycodone- Minimum of 3 years, using AT LEAST 100mg daily
Oxymorphone- Minimum of 1-2 years, using AT LEAST 40mg daily, with the Bioavailability of AT LEAST 50%
Heroin- Minimum of 1-2 years, using AT LEAST 1/2g daily
Methadone- Minimum of 1-2 years, using AT LEAST 30mg daily
Hydromorphone- Minimum of 1-2 years, using AT LEAST 8mg daily, with the Bioavailability of AT LEAST 80%
Morphine- Minimum of 2 years, using AT LEAST 100mg daily, with the bioavailability of AT LEAST 80%
So ya, you don't get a serious Opiate withdrawal with weak opiates like Codeine or Vicodin.
Tramadol is the only weak opioid that gives a bad withdrawal because of its SSRI properties.