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⫸STICKY⫷ Australian Opiate Withdrawal Maintainance Medication Prescribers

Anyone watch this crazy! seems to bag methadone a lot, society view methadone as just another drug, but legal to use. Curious about what people think?, sure people mix with it and use but not everyone. Btw i been on Mdone for 15yrs now getting old in the tooth, but i feel bit stuck as i don't like drug withdrawals kind of a habit now like brushing ones teeth , and PAWS Acute Syndrome, Perhaps i will be 80 with my walking cane picking up my dose.

https://www.youtube.com/watch?v=kKCwcP7A-RE
 
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Good luck to everybody making this very wise decision... keep trying. Thats the key. Eventually you will succeed (unless youre one of the lucky ones who gets off first time). The other key (ok, two key door, whatever) is to find a replacement and the reason why you used in the first place. Quitting is easy, staying off is the hard part.

Would give absolutely anything (well, a lot at any rate) to be able to go back x number of years and convince myself not to start... it's wasted so much of my time and caused so many problems with no benefits at all to speak of. I could say that I have good excuses but everyone makes their own choices at the end of the day. I guess one small benefit is that it's taught me patience and some small amount of self-discipline?! Nothing like waiting for XYZ to show up or ZYX to happen when you're feeling like the absolute worst kind of hell and have no choice whatsoever in the matter. Actually that is a definite benefit now I consider it... but still overall it's not been worth it.

Anybody reading this who knows what I'm on about, do your best to keep anybody who hasnt used in the dark about this stuff (especially to "warn" them, that just makes it sound heaps mysterious and alluring). If they already know and want answers, tell them about how bad you feel running out and how it isn't even that great anyway, how it robs you of every pleasure and reduces your lifes purpose to just one thing... Theres worse stuff out there of course, but this is a great way to make your life disappear so fast you'll be amazed at where the time goes... (was that really 10 years ago??) You'll never forget about it even if you get clean, wheoever said "try everything once twice if you like" it should of mentioned OP's as an exception quite specifically :D
 
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Hi all, I have been using h for quite a while and have tried to stop numrous times. So its come to the point now i am planing to do a rapid detox.
 
Anyone watch this crazy! seems to bag methadone a lot, society view methadone as just another drug, but legal to use. Curious about what people think?, sure people mix with it and use but not everyone. Btw i been on Mdone for 15yrs now getting old in the tooth, but i feel bit stuck as i don't like drug withdrawals kind of a habit now like brushing ones teeth , and PAWS Acute Syndrome, Perhaps i will be 80 with my walking cane picking up my dose.

https://www.youtube.com/watch?v=kKCwcP7A-RE

I think people should be allowed to live their lives however they see fit. You only get 1 chance and it should be enjoyed. Now if your addiction is having major health and negative effects on you and the people around you then professional help is needed.

Methadone/Suboxone/Subutex are just substitutes that the State benefits from financially and IMO those drugs are way harder and more damaging to the body than say pure opiates like Codeine. They keep the patient on longer and longer so they gain revenue from the 'addict' Look what is going on in American, it's disgusting.
 
...Methadone/Suboxone/Subutex are just substitutes that the State benefits from financially and IMO those drugs are way harder and more damaging to the body than say pure opiates like Codeine...

Curiously, how is it codeine a "pure" opiate? As compared with any other? :\ You mean naturally occurring right (albeit in very minimal amount from the poppy plan)? In fact majority of the codeine used medicinally is synthesised - much quicker, cheaper and easier that way. So the codeine you're putting in your mouth to get high, I'm sorry but it's "pure" but your (or any) definition. So if to say by your (bolded) quote essentially "natural products are good and healthy" and "synthetic products are bad and unhealthy" - this really is tired and worn out. I really don't know where to begin to correct this other than to say read more (from BL, Science-Based Medicine, basic processees in the fields of biology/anatomy/biochemistry/patho - that should give you at least a base to form evidence-based theories/hypotheses/ideas on)

Firstly, to begin with, you cannot compare Australia's drug-rehab facilities/programs to those in Australia. There are too many disparities between them to even start tbh!
These programs ARE (and definition in my personal safe) life-safers! The pro's outweigh any against any con which may be found.

If you're referring to the "damage" being any more greater or less than any other opiate, you're wrong. Biochemically one could say they're in fact "softer" on the body being a partial agonist (in fact buprenorphine is an partial agonist/antagonist), having just one (safe) ROA, the types opiate-subtypes.

When talking about Suboxone; the mere fact that it's in a combination solution (with ) prevents abuse - you cannot get high* off them, IV is out of the question as the Naloxone binds just as readily as and any other ROA will not allow a higher BA of the buprenorphine than Naloxone! Your required dose will be organised via consultation.

Although methadone and (straight) buprenorphine are prescribed***; unless there is a specific cause for you not to be put on Suboxone - usually due to the Naloxone with people having allergic rxns, pregnancy, D/D-interactions (very rare), etc. - you won't prescribed them (methadone or a preparation with just buprenorphine in it). Needless to say, if you are truely wanting to quit and were given Suboxone/Subutex, it wouldn't (shouldn't) worry you that you've been given a drug of extra "freedoms" such as a much higher abuse potential. Right?! ;)

Although ORT (though it's not called ORT here, I forget what we now call it) is State funded - I would not say in the least they "benefit" from ANY of the ORT/needle exchange/etc-type programs!! The proven epidemiology and public health care HR/HM projects and activities are too complicated to go into atm (at this time of night) but believe me the costs of these three drugs Methadone/Suboxone/Subutex are one of the cheapest and benefits seen (don't just think about the proximal, "the dude just got off drug x", benefits but look further way beyond that. It's there where the benefits make their most important effect!)

In fact the Chemist/Pharmacy you go to get dosed doesn't themselves pay for it (they're charging you a "working" fee since you're tying up a Pharmacists while they are dosing you). When you start on a program, (depending ALL the large number of variables which you would have in your situation) you are given a choice for a 7-day rapid detox or (more appropriate for long time, heavy users) continuous, titrated use over x amount of years (the amount again is determined when you under go through the program's entry process and what mg's you are stabalised on).



Anyway polo792, whether it's your first try to get off the stuff, or 100th, at least you've giving it a bash and attempting to get things straight! Let me know which state you're in and I'm more than happy to PM you some information which can get you start on your journey on getting clean! Regardless, hit me back (PM me) if you wanna chat about anything, whatcha going though, etc. (Not to diminish what you've gone thourhg but) There's many people on here who've been/seen/etc through the eact same thing.


Goodluck bro!



* any higher than the threshold, upper limit of 32mg.
** from my last reading you've even be put on buprenorphine and not methadone. Buprenorphine is safer on the growing embryo. But that's from reading so don't quote me on it.
*** For new pt's to the program!
 
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A random thought I had a while back about methadone/bupe therapy - is there any anonymity? Would somebody with a family doctor and a psychiatrist have reason to be concerned that those doctors would find out? Like through medicare or something?
 
A random thought I had a while back about methadone/bupe therapy - is there any anonymity? Would somebody with a family doctor and a psychiatrist have reason to be concerned that those doctors would find out? Like through medicare or something?

Hmmm, good question. On first thought - no. The information is confidential. However for a GP/Psychiatrist to get your authority number (which is assigned, and required, for one to be on ORT) all they need to do it send of a fax application form (obviously proving who they are also).

Ah yes and no! (This applies only within SA however) have a read through Maintenance Pharmacotherapy Prescriber Clinical Resources. From just a skim-read unless you're on the doctor-shopper list (eg, "The South Australian "Section 58 - Privileged Circular"), give consent (read: sign forms) to the practitioner or meet this criteria;

A patient's name may be added onto the list if they fulfill certain criteria. The criteria are where a person, within any 3 month period has had supplied to them:

a) PBS items prescribed by 6 or more different prescribers (excluding specialists and consultant physicians);
b) a total of 25 or more Target PBS items; or
c) a total of 50 or more PBS items.


Target items: are analgesics, anti-epileptics, anti-Parkinson medicine, psycholeptics, psychoanaleptics (including antidepressants) and all other nervous system medicines.

(the list in reference here is different to the Privileged Circular!)


National Clinical Guidelines and Procedures for the Use of Buprenorphine in the Treatment of Opioid Dependence (Abbreviated version here) (or less commonly these days; Clinical guidelines and procedures for the use of methadone in the maintenance treatment of opioid dependence [Abbreviated version here]) - are all good reads.



Not saying that you were evening thinking about it but for those who are/do, there is no way (I guess past identity fraud [read: pretending to be someone else with all the paper work, licences, etc]) of going to different providers and being on the program multiple times. You get assigned an authority number which follows you wherever you go! :)
 
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Just as a quick update. I ended up at Roma St clinic, and am 4 months clean. Just moved to one day of takehomes. Have started my second business. Life... Is looking up :)

As of August 31st, I'll be 1 year away from Heroin (and most other drugs in general, I've been a real good boy to be honest). I'm pretty proud, and I couldn't have done it without the excellent guys from Roma St clinic, and MDC in the valley, along with my girlfriend.

Funnily enough, my girlfriend and my one year anniversery is... wait for it... on the 31st of August as well :) I refused to "officially" ask her out until I knew I was sober. Now look at me! :D
 
Dr Martin G at Home Hill in North Queensland around a hundred k south of Townsville services the burdekin and surrounds prescribes methadone and suboxone and other stuff.

Unfortunately at the moment there is only one dispensing point George fotinos chemist in Ayr ten k from Home Hill and this chemist treats all treatment clients like pieces of junkie shit and since I'm on this I have to put up with their horrible treatment five days a week.
 
Just get take aways bro. I used to get a months worth of 16mg/day suboxone when i was on maintenance ... thank fuck i'm off it now
 
Just get take aways bro. I used to get a months worth of 16mg/day suboxone when i was on maintenance ... thank fuck i'm off it now

I don't like having takeaway as I am sometimes tempted to inject them and also tempted to use them faster then I get them meaning some days I don't have any and feel like shit. I choose to dose in the chemist everyday save sat and sun because that's what I feel is best for my health and I pay them five dollars everyday even sat and sun when they don't do nothing for me yet despite this they treat me like shit and threaten me.

Today while I was waiting half an hour to be served while other customers yes I'm a real customer too got served well I used a perfume tester and they then threatened me if I used one of their testers again they would cut me off my medicine. I don't like threats against my health but am powerless in this situation and they know it and exploit it.
 
Three days? Well if that's what they say...but I can guarantee you if you convince your doctor you need a months worth at a time you can get it. But it sounds like you don't want to. Fair enough.
 
Anyone watch this crazy! seems to bag methadone a lot, society view methadone as just another drug, but legal to use. Curious about what people think?, sure people mix with it and use but not everyone. Btw i been on Mdone for 15yrs now getting old in the tooth, but i feel bit stuck as i don't like drug withdrawals kind of a habit now like brushing ones teeth , and PAWS Acute Syndrome, Perhaps i will be 80 with my walking cane picking up my dose.

https://www.youtube.com/watch?v=kKCwcP7A-RE

I really don't like Russell Brand's stance on drug issues, including this video that he made - promoting himself, mind you which should give you an indication of his target audience - but he is entitled to his opinion.


Added: Choice quote from an "expert":
Who really cares anyway? Because they're just drug addicts.
 
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Cheers trayel, its so hard and ive been trying to get clean for the past 3 weeks going on to the 4th weeks. I have to return back to work soon ams honestly I haven't tried that hard. But now the realisation of my limited time has hit me and I need to really knuckle down. Does anyone know if someone begins getting withdrawals symptoms and then take a little bit of naltrexzone would that speed up the withdrawal progress?
 
Hey polo. I had a real nasty opiate habit myself made worse due to being able to get what ever I liked from the docs due to injurys I have . Been clean for 6 months now and it's quite surreal .

I did a 4 month stint in rehab witch uses the CBT S.M.A.R.T method apposed to the 12 step god stuff witch I have trouble with.

U really have taken the first step in recovery. I tried for 12 months to get straight getting 7-10days then lapsing . Did this about 20 times bfor I went to rehab. The most challenging thing staying clean is handling all those emotions u feel when off drugs . I'd recomend some sort of free counseling as this would have really helped me when I was going it alone . And in the early days just take it 1 hour 1 day at a time . And don't think about quoting drugs for the rest of ur life just make a commitment for 1 week . Then another week and then a month if u can handle it . It seems silly but if I think of quitting drugs forever its quite overwelming . So I commit to 1 month at a time .

Any who well done mate !! Expect challenging times but look fwd to a life free from the prison off addiction !! And yeah feel free to shoot us a pm any time .

P.s what state u in?
 
Thanks mate but this won't the first time I have been on hammer I have been on and off it since high school.and the ppl I grew up are the made it hard to stop. I used to think I can control it but eventually I know I was fooling myself. I have done rapid detox in st kilda acfew years ago n honestly counselling doesn't help me, I am the type of person the more I talk about it the more I want to do it so hence I never do counselling. Basically I have to go back to work on Monday and I have no choice but to do a rapid epic at home under my parents supervision.
 
The standard taper from methadone is 5mg a fortnight, or 5mg a week if there is a reason the patient needs to come off asap - such as impending incarceration or admission to rehab.
There are no medications that will alleviate opiate-detox symptoms other than more opiates. Sure, benzos help the racing thoughts, and atypical anti-psychotics help you sleep long and deep, and all the other stuff for physical symptoms will ease physical discomfort. But, unfortunately, it's not the physical manifestations of opiate cessation which are the kicker - it's that bloody yearning, that over-whelming need for opiates, which is the challenge. A buprenorphine detox can be helpful.

I once decided to go through a cold-turkey detox, just to see what it was like. It was pretty F#$%@, and lasted a good 10-14 days. The worst day was the Tuesday, having had a 250mg IV administration of Kapanol (morphine) the previous Friday. All in all, worth it. Now I know I can do it again if I need to. Good luck ya'll
 
^ You can get takeaway doses for suboxone, at least in Vic. I only pick up once a week.
 
^ You can get takeaway doses for suboxone, at least in Vic. I only pick up once a week.

Yeah, you can get take-away doses of Suboxone/Subutex in QLD. Depending on the level of trust between you and your doctor (and you and yourself), you can do a once-a-week pick-up....
 
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