TheUltimateFixx
Bluelighter
PS they're called Gallus Medical Detox, not Gallup. I mistyped.
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OD Moderators: Keif’ Richards | negrogesic
Opioids Where to get methadone besides clinics
- Thread starter PinkHorse
- Start date
In the United States, it's still technically illegal at a federal level to prescribe drugs to addicts for the sole purpose of addiction maintenance. Methadone can only be prescribed and administered at clinics that are overseen directly by the DEA. Each clinic keeps a record down to the milligram of how much Methadone they have dispensed and the DEA audits these numbers.
It's somewhat confusing. 20 years ago, as far as I know, Methadone was only approved for temporary usage i.e. to get people completely abstinent from Opioids. This led to clinics basically stopping and restarting their clients every six months to start a new treatment phase. I believe this is how Buprenorphine was framed also, perhaps it still is.
Considering there are cancer patients and so on who are unable to get adequate pain relief, you would be pretty unlikely to find a doctor willing to take such a gigantic risk with their license. I'm sure wealthy people have different systems than us, but for your average American, your choices are go to a clinic or be prescribed Buprenorphine (for many, Buprenorphine is not strong enough to treat their dependency anymore).
The good news is that Covid caused the clinics to greatly relax their take-home policies. It's fairly easy for person to get up to weekly takehomes these days. I see it within 3 months in a lot of cases.
I'm sure it varies by state. Like, I'm sure Texas absolutely blows, whereas my home state MA or my current state VT are much more liberal. I know that you're allowed to use Cannabis without it affecting takehomes here in VT. I'd reckon California must be somewhat similar. At any rate, it's not much time that you have to put in these days to get a weekly takehome script.
Once you have that figured out, you can pick a day on which you don't work, get your script and not worry about it.
It's somewhat confusing. 20 years ago, as far as I know, Methadone was only approved for temporary usage i.e. to get people completely abstinent from Opioids. This led to clinics basically stopping and restarting their clients every six months to start a new treatment phase. I believe this is how Buprenorphine was framed also, perhaps it still is.
Considering there are cancer patients and so on who are unable to get adequate pain relief, you would be pretty unlikely to find a doctor willing to take such a gigantic risk with their license. I'm sure wealthy people have different systems than us, but for your average American, your choices are go to a clinic or be prescribed Buprenorphine (for many, Buprenorphine is not strong enough to treat their dependency anymore).
The good news is that Covid caused the clinics to greatly relax their take-home policies. It's fairly easy for person to get up to weekly takehomes these days. I see it within 3 months in a lot of cases.
I'm sure it varies by state. Like, I'm sure Texas absolutely blows, whereas my home state MA or my current state VT are much more liberal. I know that you're allowed to use Cannabis without it affecting takehomes here in VT. I'd reckon California must be somewhat similar. At any rate, it's not much time that you have to put in these days to get a weekly takehome script.
Once you have that figured out, you can pick a day on which you don't work, get your script and not worry about it.
joesmyname
Bluelighter
I found them. Gallup kept talking me to a detox in NM.
Thanks for clarifying though. I most definitely will reach out in the future when I’m getting out…. I’ll need all of the help I can get and would appreciate it like no other!
joesmyname
Bluelighter
Spot on Keif. It presents some challenges but the re-evaluating during Covid helped. Not sure where that Bi-partisan treatment bill ended up concerning MM and the like.
Being in Ma has definitely helped with that.
TheUltimateFixx
Bluelighter
Haha I typed it wrong because I've got that popular poll organisation stuck in my head Xd
TheUltimateFixx
Bluelighter
I can’t figure it. I think harm reduction has different meanings to different people. I’d even go as far as to say that pointing people in safer directions, no matter the substance involved, is better than letting someone play roulette but I understand… guess this isn’t the place.
Some good people around tho
I've always seen harm reduction as meeting people where they're at, and not make unrealistic demands for an entire life change overnight.
It's a nuanced thing.
Like I used to make the rounds among the homeless addicts in my area with a rucksack full of supplies; ask who needs clean needles? what gauge? alcohol swabs? Would anyone like me to accompany them to the hospital if they're suspicious of that environment but need medical care -?
That sort of stuff.
PS no sourcing on this site is STILL a good policy, because otherwise if you let individuals recommend vendors to each other in general, in 2 weeks BlueLight would just be another online drug market. YES I know on occasion these things overlap. I mean I wish it was allowed to recommend bona fide vendors by name who care about their customer base and do NOT cut their product with 10 types of toxic trash, offer consistent quality etc. That would CERTAINLY be in the interests of harm reduction. But the commercial aspect would take over; that's the nature of it.
joesmyname
Bluelighter
I agree entirely. It’s not as easy black or white….. one big gray area but that’s where level-headed individuals like yourself are needed.
The harm reduction you spoke of specifically was something I used to do when I was sober as well having a career that made my face easily recognizable. One of the best feelings I’ve experienced. Popping in an abando at 2:00 am and making sure everyone was well. Good times.
And on the subject of methadone…. It helps and does wonders for people. I just don’t want people getting the wrong idea due to my situation.
ChemicallyEnhanced
Bluelighter
Don't know if it's the same in America, but here you can go to an addiction clinic (not the same thing and it can be kept a secret, including from your doctors, medical records etc). When I went the straight-up asked if I wanted Methadone of Buprenorphine (I went with methadone just 'cause I thought the Bupe would likely also have blockers in it and I DO need opioids for severe pain and was actually taking my codeine and morphine scripts as I was supposed to but abusing oxy and morphine I sourced separately on top and was trying to stop THAT). They have you stay here like 9am-4pmish for a few days. They asked me not to take any opioids for 12 hours before going) they gave me 15mg Methadone when I got there and asked me about withdrawal every couple hours and periodically gave me another 10mg. Got me up to 60mg over 3 days where I was stable.
F.U.B.A.R.
Bluelight Crew
Are you talking about a private addiction clinic here? Because I was told by my (NHS) drug service that they are legally obliged to update your medical records.
ChemicallyEnhanced
Bluelighter
No. Well, I never asked, but it was free, so I assume NHS. I think it varies depending where you live, though. First time I went, I was sent BY my doctor (good of him tbh, I was "Caught out" and confessed abuse opioids and he literally had me booked in the next morning), but a separate time I self-referred and yeah, I made VERY sure that my doctors would never know and it wouldn't go on my records 'cause fucked if I was gonna risk my opioid prescriptions being cut off.
But I DO live in the North where 90% of the population are twacked out of their minds 24/7 so they are/were* probably just desperate to get people to accept treatment.
*This second time was in 2016, so I have no idea if they still have confidentiality thing going on or if they legally HAVE to have it on your records or inform your GP now.
Maybe it's like seeing a private doctor, where you CAN say you don't want the NHS services knowing you're seeing them, and they'll agree, but also won't prescribe you ANYTHING abusable or that has a "street value" because obviously paying to see a private doctor only to ask for like Oxy or something and then insisting they don't contact your NHS doctor or have it on their records is extremely sus.
OEandricearoni
Bluelighter
In the US it's really hard to get it prescribed outside the methadone clinic. It HAS to be for pain. If it's for MAT a doctor can't prescribe it normally with like a month script. You have to do the whole clinic thing.
To be honest I wish it was just treated like sub. Especially nowadays with all the fent around, sub just doesn't work for people like it used to with heroin. So a lot of people are forced to do the clinic thing.
To be honest I wish it was just treated like sub. Especially nowadays with all the fent around, sub just doesn't work for people like it used to with heroin. So a lot of people are forced to do the clinic thing.
LucidSDreamr
Bluelighter
I get methadone for chronic pain but the doctor will never go above 10 mg per day and I have an extensive medical record of surgeries and all kinds of shit that justifies it.
Also I found a needle in a haystack no doctor will likely prescribe any schedule 2 opioid to anybody for anything unless they are a junkie and dope sick.
Also I found a needle in a haystack no doctor will likely prescribe any schedule 2 opioid to anybody for anything unless they are a junkie and dope sick.
Some people recommended IC26 a methadone analogue