I've been on opiates for over ten years now and I made the worst mistake of getting on methadone 3 years ago. I had surgery after surgery so the dope usage continued to escalate. By my tenth surgery, I thought 240mg of parenteral dilaudid/day plus 180 actiq 1600mcg suckers per month was a bad habit but I was wrong, boy was I wrong. I went to Hazelden and managed to kick the habit that they didn't believe was real, until the Qwest assay came back. It was the hardest thing I'd done to that point in my life but after 18 days w/o sleep, but I finally did. I started to feel better and stayed drug free for 6 months, white knuckling it and resisting 12 step meetings and the whole recovery bit. My knee pain was becoming more and more of a problem and the addict in me justified my wonderful decision to start methadone. Ob ovo (at the beginning), I found it to be an amazing painkiller b/c of its' fantastic longevity. However, it's the ridiculous half-life that makes it such a montser to kick. I'm now stuck on 300mg of methadone per day and really want to stop b/c I am producing ZERO testosterone and the law of diminishing returns is just pummeling me. I tried kicking cold turkey nine months ago with tons of alprazolam, vistaril, soma, clonidine, and cannabis. I ended up seizing on day 15 and ended up in the ER, not b/c of my detox protocol, but from trying to stop such high doses of methadone w/o a reduction plan. I was told by the attending doc that I absolutely MUST taper by 10mg/month. Did you know that Hazelden won't even accept a patient on methadone unless they've cut down to 30mg/day. Not to mention the fact that the oral bioavailability of methadone ranges about as much as any drug possibly can. It's half life ranges from 10-190 hours! That's the reason they pulled the 40mg Methadose tabs off the market. Someone whose opiate naive may take a 40mg diskette and b/c of his/her DNA, they metabolize 90% of it and that 36mg dose results in an tragic fatality. I've been toying with the idea of going back on fentora, actiq and duragesic (I'll need insane quantities in order to switch but I know I can kick such a short acting opiate that is ONLY a mu agonizing opiate). Fentanyl w/d is intense and horrible, don't get me wrong, but it doesn't compare with methadone. Post acute withdrawal will suck from where I'd be sitting, but it's better than acute w/d that lasts just as long and doesn't even start until about 3-4 days in. Methadone w/d takes literally months, not 5-10 days of hell, I'm talking about up to half a year (depending on how long you've used and how much you take and how old you are((the younger you are, the more resilient and elastic your limbic system is)).) I'm a pharmacology major so I can kind of explain what's going on with methadone w/d compared to semi/synthetic dope w/d like dilaudid, oxycontin, opana, etc. Methadone is not just a potent mu agonist, it's also an extremely potent kapppa agonist and it doesn't end there. It's a potent NMDA antagonist (N-methyl-D-aspartic acid) and is crucial in regulating cortisol and glutamate transference. Glutamate is the antithesis of GABA so in lamens' terms it's the excitory neurotransmitter responsible for jacking people up during the fight/flight response and making them esp. restless and unsettled during w/d. It then floods your system with cortisol which is a stress chemical that green-lights antagonization of corticotropoin releasing hormone, CRH, which is crucial for warding off anxiety and boosting seratonin. So when one quits methadone, they aren't just kicking an opiate, they're kicking a serious antidepressant and anxiolytic. Tramadol, brand name Ultram, is like baby methadone b/c it's not just a partial mu opiate agonist, it's also a potent SSRI + SNRI and its' w/d profile is similar to methadone but much, much less treacherous. I didn't mean to throw my life story into this simple survey, I apologize, but I certainly think methadone should be re-named methadont.