Opioids Urgent! PLEASE can you tell me if you think I'm in danger here??

[Bomb319]

I am on methadone maintenance - 220 mg daily, and have been on that dose for about 6 months. Therefore my tolerance is very high, needless to say. Here's the thing - I metabolize methadone rapidly and often feel sick by the following morning. So what I have been doing nearly every time I get carries (4 per week) is take my 220 mg witness dose at the pharmacy, then take most but not all from my next dose immediately after. I have always left about 60-70 mg in the second dose, meaning that after one day without taking any at all, I take 220 + 160 = 380 mg at once. I take the rest of the either 60 or 70 mg remaining anywhere from 6-10 hours later.

It is important to know that I do NOT DO THIS TO GET HIGHER or whatever - that doesn't work with that much methadone anyway. I do it because I notice that by taking excess on one day, I actually feel much better and overall far less sick the next day than I do if I take my 220 mg dose daily; by the next morning, I have felt awful. It seems that loading up with a very high dose means that it's still in the process of breaking down the next day and so I avoid the shitty feeling. Now here's the problem:

I got two carries in a row today - a witness, one for Sun, and one for Mon. Because of the extra at once, I decided to take the entire Sunday dose at once rather than the usual 160 followed by the other 60 many hours later. This is the most methadone I have ever taken at once a ful 440 mg methadone in one single dose. I have also taken 0.2 mg of Clonidine. I am now very concerned, mostly because my pupils are the smallest I've ever seen - literally tiny dots, exceeding anything else I've ever seen before. I also am lightheaded, but likely from the Clonidine. I'm fully conscious, but very afraid of lapsing into unconsciousness and asphyxiation. I've never ODed before despite a 7 year history of opiate abuse because I'm usually quite careful, so I don't know what it feels like to cross the line. Now for those of you saying "Don't ask us, get your ass to the ER" I am hesitating because I don't feel that much different than usual yet (took the dose 1.5 hours ago now), it isn't that much higher than what I normally take, albeit I had it after eating very little, missing a day and later in the day than usual) and normally I would have taken the rest in a few hours anyway. Also, if I go to the ER and they see my pupils. they will probably give me Naloxone which would be horrible as fuck if it wasn't actually an emergency.

You guys have experience - trust you. Can you PLEASE REPLY ASAP? I'm still very worried because of increasing sedation and how ridiculously small my pupils now are....

 

[speedballs_over]

If you've been stable several months you can usually double your dose and feel little subjective effect, I did it many, many times with takeouts on Saturdays. YMMV. Try to get a naloxone kit and always try to someone who knows how to use it nearby. Good thing about methadone ODs is they are usually slow if nothing else is involved. It's not like drink, slam...

If you're really concerned and alone call 911 and don't tel them what's up besides labored, difficult breathing, turning blue. Don't say anything about dope, this is best way to try to keep cops away.

Be careful.

 

[Bomb319]

Ok this makes me feel a bit better - thank you so much, man. I also really appreciate the quick reply. This board can be slow, and I really needed a quick answer. I'm still quite concerned though since you said a methadone OD is slow...see the thing is, since I have never ODed before, I don't know where the "line" is (if there is one) where I know OD is imminent or I'm going to lose consciousness. Obviously my tendency is to wait it out and see, yet I don't know what it is that I'm waiting FOR, know what I mean?

And yes, I am stable on MMT and have been on it over a year, and am used to high doses - just not quite doubling and also not all at once. I still have another untouched bottle for Monday which I obiously am not going to crack open any time soon!

I just thought 440 mg is a LOT, and combined with the REALLY pinprick pupils, I could be in danger...

 

[TheLostBoys]

Pin prick pupils means you're high, like really high usually......& there's a thin line between really high & over dosing.

But you've been taking about 350 to 370mgs of methadone a day when you dip in, right?

You should be okay......but like the other posted stated, it is a slow come up. I remember taking 5mgs my first time & it kept coming at me in waves. Very interesting drug.

Since you are very careful on how you ingest your drugs, why don't you tell whoever is in charge that the 220mgs isn't holding you........

 

[Bomb319]

Thank you for your thoughtful reply

Yes, when I "dip in" (is that what it's called)? I always use 380 mg at the most - except of course for today which was 440. As I said previously however, I would always take the 50-60 mg remainder later that day anyway - sometimes just several hours after. I had always saved some just to be on the safe side.

The reason I'm not trying to up my given, authorized dose of 220 mg is twofold. Firstly, no matter how much I increase my dose, I seem to build at least some tolerance to it after no longer than a month, where I still experience some withdrawal by the next morning even though it's often mild. Second, it's already a very high dose and it will already be hell to eventually come off of, but there's no point making it worse for literally no benefit whatsoever.

So is "dipping in" to later doses very common for MMT patients then?

Oh yeah - I almost always take 15-300 mg pf diphenhydramine or dimenhydrinate each night. It absolutely "kicks up" the intensity of the 'done again when I take it, but at the expense of leaving me sicken the next morning overall and in general.

 

[TheLostBoys]

There are some MMT patients that like to double dose if they can because they're looking to get high.

Do you ever smoke weed? If so, why not try ingesting half your dose, 110mgs & some some good weed, it should potentiate the methadone very well.

Just trying to figure out a way where you can save the other half & dose later on in the day.

 

[Bomb319]

Nah bro, weed has just never really been my thing. It has a high likelihood of making me paranoid - especially if I am out and around people. If I smoke myself, it's usually fairly mellow - but the problem is I already gained nearly 50 pounds because of the fucking 'done, and weed would make that drastically worsel I also can't have any drugs detected in my regular and random screenings or else I lose my carries. Thanks anyway though.

 

[Screaming_Skull]

That's one thing that sucks about maintaince is the no weed thing... I mean I guese it depends, but IMO, they should just say weed is okay, I mean fuck. I know there are some Sub docs or Clinics that don't care about weed but then there are ones that do. Reson I say it sucks is because a SMALL amount of weed kicks in something with Maintaince drugs(makes them have more of an opiod euphoric effect) and IMO, with something like weed that does not affect breathing at all, it would help so many damn peeps not relaspe or start doing large cocktails of different Gaba drugs that could put them in the grave...BUT it's outta your system fast so people do it, but stay the hell away from weed..Sorry, I've never failed a urine and at my last appointment I did(for weed, and being on Subs for One 1/2 years that's a pretty good record of not failing a test, though I usully had been consuming massive amounts of benzo's the week before, those didn't show up but 3 hits of regular weed and my doctor seemed liked I messed up...saying it wasn't up to her but insurnce would stop covering with so many dirtys or something before the she would kick me outta the program for it, which I think is lie...Anyway sorry I'm ranting.

 

[sekio]

Bluelight is not an urgent help forum man.... we're just not!

i'm glad you got an answer, but really, if you have concerns like this you should be talking to someone like a doctor, or at least getting a friend over to keep an eye on you.

I'm gonna close this now.