tips to relieve methadone constipation?

[drug-bot]

swims on methadone maitaince, and is experiencing awful constipation. he took his first shit in a week today and it was devastatingly painful. swim knows all opiates can cause constipation, but thinks methadone is much worse. does anyone know any ways to help with it? would one go about it the ways one would to help relieve natural constipatiton?

[Coconut]

This should help SWIY out.

[kah50]

Try Miralax it is an excellent drug for constipation due to methadone. I had the same problem and miralax was the only thing that worked good. Give it a try.

[Aminator]

Given the fact I had a mild form of the runs for most of my life, going on MMT changed that to normal bowel status, i.e. 1x per day (could not be better). Guess I was lucky once.

One thing that might help is simply skipping a dose, or rather delaying it until the onset of WD produces a bowel movement. Depends on what symptoms
the individual starts with, in my case a running nose and hot/cold chills are bearable, if you have heavy joint pains and whatnot before your backdoor wakes up this is not for you.

In any case the doc you get your scripts from (or the clinic you visit) should also be able to help with this side effect too. They'll also be able to tell which meds can be used long-term and which cannot.

[y0ssarianlives]

SWIM has suffered the same issues as SWIY and knows how much of a pain (literally and figuratively) this issue can be. SWIM has used milk of magnesia, yogurt, and prune juice to help releive constpiation; there are also various OTC stool softeners that can help.

Along with these aforementioned items, make sure SWIY drinks lots of liquids and avoids stuff like candy, junk food, pop, ect.

Do a bit of reading and research; follow the link coconut posted and you should gain a bit of relief.

Peace!

[Caitlin23]

Whatever you do, DO NOT take a bunch of fiber w/o drinking adequate water. SWIM made that mistake once, and has since read several places to use an oral pill stool softener like docusate sodium.

Reputation Comments on this post:

Important advice!

[msmogadon]

Originally Posted by Caitlin23

Whatever you do, DO NOT take a bunch of fiber w/o drinking adequate water. SWIM made that mistake once.

lol SWIM is curious to know what happened? SWIM has tried that fibre stuff that is stirred into water and it helped her go but phew!!! It didn't smell to much like peaches and cream if SWIY knows what SWIM means

[Caitlin23]

Well, I was trying not to get too graphic at first, but Swiy asked for it! So here you go. Swim bought some of these new fiber products out there like: fiber bars, fiber that you sprinkle in your food, fiber pills, etc. These are NO good. When you take fiber without water it basically turns your shit to pure concrete and eventually gets stuck in your colon that way. It basically leads to fecal impaction, escpecially when combined with opiate usage. It can be fatal and is definately no fun, trust swim. Swim was just about to go to the hospital, when she finally forced this terrible concrete block out of her system.

Caitlin23 added 2 Minutes and 0 Seconds later...

Oh and the whole, shall I say "process", lasted about 8 hours.

[thebige]

Ok lets not get childish.........Now I was talking to my Shanghai Gal and she told me that low to moderate does of DXM can be benificial in reliveing opiate constipation in some people....your results may vary.Well thebige and Shanghai are not doctors.So you should ask one........by the way Im glad Caitlin23 does not have concrete in her system after a 8 hour full body workout!

[piggyinthemiddle]

Some other guy, finds that a few beers of an evening sort him out the following morning. Obviously, if one were dealing with an Alcohol problem at the same time that may not help.

The other thing S.O.G knows is that if one 'makes' oneself go, or at least try to go, every day, it relieves the worst of the symptoms. Not going for a week must be as close as any bloke is ever going to get to giving birth... Speaking from S.O.G's experience...

[moda00]

Yeah honestly swim has a split dose so this might not work for others but she finds it easiest to just wait until her morning dose wears off and withdrawals start to set in.. not the most fun or best solution, and not something to do all the time, but hey if you haven't gone in a week lol desperate times call for desperate measures Some of the meds others mention are probably a good option too, but I have no experience with them firsthand. I have heard drinking warm liquids- hot water, tea, etc. can help too.

Reputation Comments on this post:

good advice, thank you

[oggy]

Originally Posted by drug-bot

swims on methadone maitaince, and is experiencing awful constipation. he took his first shit in a week today and it was devastatingly painful. swim knows all opiates can cause constipation, but thinks methadone is much worse. does anyone know any ways to help with it? would one go about it the ways one would to help relieve natural constipatiton?

Be careful bot, doing that too often with give you piles. SWIM started bleeding quite a bit whenever he was withdrawing from pushing to hard when on heroin. If it felt that painful on methadone then you must be causing some damage.

Start eating your 5 portions of fruit n veg a day for immune function and dietary fiber, and keep some suppositories handy for next time. You don't want to be taking any kind of laxative too often.

[jon-q]

if swimbot lives in the states why not try eating a little"jerky"also a good strong filter coffee seems to help, pay close attention to what you eat what goes in must come out so stay away from dry binder type foods.

[gezza26]

SWIMS's been taking senna tablets everyday since opiate addiction and suboxone treatment and SWIM find they generally do the trick. SWIMS always been a bit prone to the runs though so maybe add a little docusate sodium in there too, to really get things cooking. Also SWIM finds caffiene and magnesium helps a lot too. SWIM prefers senna as it causes the bowels to move quicker, not to add water. SWIM finds chemical softeners just lead to urgent loose stools. If SWIY are really stuck SWIY can even try suppositories, but let SWIM tell SWIY feel violated and dirty hours after use hehe. SWIM thinks SWIY really need a laxative when SWIY on opiates though. Good thing about them is they actually slow down SWIY's natural bowel movements when SWIY stop taking them. SWIm knows this sounds bad, but if SWIY stop taking them when SWIY detoxing it really helps with the runs and evens you out.

[doublezero]

didnt read replys so sorry if it mentioned this before..

Dont just use a laxative, use something to soften the shit up as well. go to a pharmacy, and ask them for something to soften the stools and a laxative, pune juice is a good natural laxative, also bassy music, i got a bass box under my computer desk, turn the bass right up and it will vibrate your insides.

doublezero added 1 Minutes and 7 Seconds later...

pune***prune

[1shot2]

I take 90 mgs methadone daily and when I started I had bad constipation,the only thing that worked for me are glycol suppositories.I swear by them,stick 1 in your ass and you have 5 minute countdown ,and make sure you have access to a bathroom b4 you take the thing.

[meaculpa]

swim used to use epsom salts (magnesium sulphate), works VERY well and quickly, so quick access to the bathroom is neccessary!
however swim would advise eating a high fibre diet i.e fruit and veg and, as other poster recommends drinking lots of water first.

[fiveleggedrat]

Look up opioid antagonists that do not cross the BBB. They will prevent/reduce nasty body effects like constipation.

At least this works on paper/in theory and in the medical community. FDA approved an antagonist a while ago that does not cause WD's with used with opioids.

If you want more info on this, ask. I'd be glad to help.

[Psych0naut]

^^^^ That would always be of great benefit to many people on this board, so if you don't mind posting the info regarding it, that would be great!

[fiveleggedrat]

METHYLNALTREXONE is one I can definately remember is like what I mentioned.

I don't know much personally, but Wikipedia has shitloads of information on antagonists that don't cross the BBB.

Think loperamide but as an antagonist and not an agonist!

[Psych0naut]

Thanks for sharing, that could always be of benefit! If you come up with any other drugs that work for constipation, please post them here as well. Thank you.

[Methadrone]

Swim finds Meth not to be as bad as other opiates such as DF118 for constipation and swim is fairly regular without much (if any) pain. swim does eat well and finds cereal with oats/raisins may be a contributing factor to swims regular toilet visits.

[fiveleggedrat]

Here's some information for those interested in what I was speaking of earlier but too lazy to go look for it

Methylnaltrexone (MNTX, tradename Relistor) is one of the newer agents of peripherally-acting μ-opioid antagonists that act to reverse some of the side effects of opioid drugs such as constipation without affecting analgesia or precipitating withdrawals. Because it contains a permanently charged tetravalent nitrogen atom, it cannot cross the blood-brain barrier, and so has antagonist effects throughout the body, counteracting effects such as itching and constipation, but without affecting opioid effects in the brain such as analgesia.

On April 1, 2008, Progenics and Wyeth announced that Health Canada has approved methylnaltrexone for the treatment of opioid induced constipation. It was later approved by the US FDA on April 24, 2008.

I came across this all doing research on antagonists for my current project regarding reversing Swim's current permanent opioid tolerance.

[drug-bot]

swim is the OP and would like to update, his bowel movements are still hard but no where near where the were a few months ago, theyve improved steadily over the last few weeks.
also in stead of only shitting once a week he's up to 3x's a week; this may be due to his body addapting to his methone dose, and he's also`walking a half hour a day and drinking lots of water, it could be one or the other or s combinstion if the 2.

swim would like to sincerly thank everyone posting here w/ good suggestions (some of which he tried).