Opioids Will one day of H use make me have to raise my methadone use?

[downforthedawn]

I Am on 40 mgs of methadone and I have been for a year now. If I use H (or, more likely nowadays, fent) for one day will it raise my methadone dose? I know its not a good decision but i just need a clear unbiased answer. Thanks.

 

[HeadphonesandLSD]

Hard to say because we have no idea how much fent/heroin you plan to do or how much of any actives (fent. or otherwise) are contained within it. We also don't know if you plan to IV it, snort it or whatever other route you might be choose. The only advice I can give you is test it for the usual bad stuff (cuts and xylazine). Start very low if you feel it's clean enough to risk (if snorting no more than a tiny bump about the size of a match head. Maybe less now that was the old advice before the fentadope took over the market). Then go from there.

I feel like you've probably not used H before or at least H from whatever batch you're getting if you're asking this question in the first place. Better safe than sorry.

I personally wouldn't attempt it because I was taking a lower daily dose of methadone than you (10-20mg) and couldn't get much of anything from the usual opioids I like. Although I never tried using heroin while I was on methadone because I was trying to quit at that time and cut myself off from all my sources of it. I know some people that would attempt to break through the methadone blockade and they always told me it was a total waste of time and money. They only got placebo rush from using the needle. However, they were on much higher daily doses than me (80-120+mg daily).

A one time use probably won't increase your tolerance at all I think. Now if you made it an everyday habit and used a lot of H on top of the methadone then maybe so. The longer acting opioids used for treatment purposes like methadone and bupe are typically what blows your tolerance out of the water. Not the shorter acting ones like H, oxy, hydro etc. However, the wild card here is the possible fentanyl. Which while a short acting opioid is way stronger than most everything outside of other experimental opioids. I'm sure if you kept using it that it would eventually have some effect on over all long term tolerance. But my only experience with fent was those old school gel patches and I was very careful (and scared) of it when I tried it. I did not like it. It felt colt (no warmth/rush) and did not provide any euphoria. I also nodded out pretty hard on a fent. lolypop once but it wasn't nearly as good as my usual oxycodone habit. I only tried it a few times because it ended up killing two people I knew who fell asleep with the smaller ER patches in their mouths.

You probably already know this but if you've been on methadone for a year it isn't the greatest idea. You most likely won't find what you're seeking from it and it will be a waste of your time and money. Please be careful if you do end up doing this.

Take care.

 

[downforthedawn]

Thanks for the response. For some context, I became an H addict (and then an unwilling fent addict) at 19, got clean using MAT in 2019, used D for 6 months in 2023 to lower my dose from 180 to 40 (risky af but it worked), got clean again. I buy the done from a trusted friend but this week their bottles leaked and I had none for 72 hours. I was starting to really feel it and i had to go to work so I ended up buying 2 bags. Not even 5 mins later I was able to buy meds and now here I am with these 2 stupid bags I can't even bring myself to toss.

You're right in saying i don't trust the supply- i know the seller but a lot can change in 2 years. Apologies for the word salad, these bags have been burning a hole in my pocket for 2 days and obviously its bothering me a lot. Appreciate the detailed answer!

 

[Keif' Richards]

No, a single day of usage should not cause significant problems. It's very unlikely that it will cause a noticeable different in how your Methadone dose works. This is only one day. Things get exponentially more tricky as you use for 2-3 days. Given the potency of the Opioids out on the street right now, I could see 3 days of usage leading to a palpable decrease in the effectiveness of your Methadone dosage. At any rate, if this did happen, it would likely just mean 3-5 days of feeling out of whack before you return to your previous state of tolerance.

I highly advise against dallying with this stuff on your own free will man. If you're taking Methadone and you feel it's helping you, it's not worth it. You know as well as I do; if you can do something once, you can do it a million times. Lots of people decide they're going to use street Opioids for a single day. Lots of people say they're only going to smoke Crack once or twice.

I know I'm gonna sound like a DARE officer here. I had a friend who was in 12-Step stuff with me. She had been panhandling and occasionally prostituting to get money for Opioids. Years ago, she got on Methadone and in the process, got her kids back, got her husband back and led a pretty much fairy-tale existence considering what she had been doing.

She had a bad day or whatever and ended up using Fentanyl. When she had originally gotten into recovery, Fentanyl had not yet come on the scene heavily. Fast forward til now and she's been using Fentanyl every day, is homeless, has a restraining order from both her daughrer and her ex-husband. During this time, she got knocked up by a fellow street addict. The baby was born severely premature. She had been taking ~300mg Methadone per day and using as much Fentanyl as she could get. Imagine that baby's withdrawal as their first experience out of the womb. I'm no doctor, but you cannot convince me that this doesn't lead to long-term effects of some kind on the child.

The ups, downs and misery that is the process of becoming addicted to and dependent upon Heroin is amplified and accelerated when a person uses Fentanyl.

 

[HeadphonesandLSD]

You're right in saying i don't trust the supply- i know the seller but a lot can change in 2 years. Apologies for the word salad, these bags have been burning a hole in my pocket for 2 days and obviously its bothering me a lot. Appreciate the detailed answer!

Your posts read fine to me. I too bought methadone off the street for many years from a friend that got take homes. Hence why my doses were so low. I eventually jumped off at 10mg cold turkey. Hellish week followed but by day 7 I was feeling much better and even went hiking. I felt really good that day because 7 days before I dumped 50mg of methadone on the ground. But I'm on not saint and I ended up going back on a few months later when shit happened in life. Had to kick it again. Then after a few more months clean I discovered kratom. Used that for a few years. Tried to quit with bupe. Ended up just taking bupe with kratom because I figured out they worked together fine. Quit again then after another horrible thing in life happening I ended up on the kratom again which I now use to maintain. I'm trying to taper down again now and have reduced my doses by half in the last week or so (although I was up to 50 grams per day again).

If it were just heroin I'd say go for it and it probably wouldn't raise your tolerance too much. Meaning the methadone at 40mg would probably still hold you. My main worry would be it leading back into a full relapse. I'm sure you know once you get a taste it's hard to say no to scoring another bag then another then another.

But with fent. dope and that other shit in it now that rots your body parts I'd steer clear of it. I love heroin to (and morphine even more) and I'd probably take some right now if it were in front of me just because its been so long since I last had a proper nod. I guess once a junkie always a junkie. You should really consider buying a test kit/strips and seeing what's in it before you decide to partake. I wouldn't trust any heroin off the street these days. But I understand why you ran out and got some now. In the future maybe consider trying kratom when you miss doses instead. I've found it very effective for starving off withdrawal even if you buy the kind they're selling in all the smoke shops these days. Some of those brands are decent and I haven't had any problems with it. Although it's very expensive compared to what I've see online it's not overly expensive as long as you stay away from the extracts and just buy the powder. Toss and washing it isn't that bad and it'll hold you long enough to get 4-6 hours of sleep and throughout the day until you can get back to seeing the tin man again.

 

[vision conquest]

I've been on mmt for 25 years, most of the time I do the right thing but now and again I play up.

I am on 60mg now and just yesterday I played up, smoked a quarter g of good rock, but in Australia we hardly have any fent and I know this was good h.

I don't feel grat the next day but I cope ok, but I only have to go more than a couple of days and I suffer.

In my opinion you can get away with a single tickle but definitely don't go past that and whether or not it is worth it only you can say.

 

[GetMeOutOfThisCRAP]

No, it won't lol. Tolerance in general is created from a repetition of use over a period of time. For example, if someone knee deep in opiate withdrawal had not used for 3 weeks and suddenly relapsed, it would not bring the terror of the symptoms immediately back to square 1 from one slip-up.

Should you continue to use heroin intermittently on methadone--which is quite commonly done sadly--you will definitely notice a rise in your general opiate tolerance. At that point, you would probably need a higher methadone dose (which they wouldn't give you I'm guessing nor be too thrilled about the heroin use during treatment). I'm not judging you or anything, and situations like this are incredibly common. I just think that to be on methadone treatment and have it actually work to its maximum capacity, one would need to do their best to not indulge in outside opiate sources. I also want to point out that using *on methadone* increases the risk of opiate overdose. If you are using a lot of heroin on top of the methadone, it would obviously be far easier to OD because of the added methadone dosage.

I'm willing to be almost everyone on methadone has been like, "you know what? fuck it!" and abused a ton of whatever their former choice in opiates were on top of the methadone. It's not going to end well. Your tolerance will become sky high, risk of overdosing much more possible, and the efficiency of opiate treatment become nullified. You do not want to need crazy high doses of methadone because you used heroin way too often on the treatment itself.

 

[TheUltimateFixx]

For one day only -? Nah.

 

[LucidSDreamr]

Only if you use that as justification. But no