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Opiate addiction Support for coping with Opiate addiction and Opiate addiction treatment.

 
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  #1  
Old 25-04-2009, 05:45
Cruella Cruella is offline
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Liquid Methadone vs. 40mg Discs

SWIM is going to stop being a chicken s**t here real soon and start subutex from a rather high dose of methadone. Does SWIY know if liquid methadone would leave the body faster than 40mg Discs mixed with liquid? Would the wait time for w/drawls be longer with the pill form? Any info is much appreciated.
  #2  
Old 25-04-2009, 06:04
Spucky Spucky is offline
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AW: Liquid Methadone vs. 40mg Discs

How high is the actual Dose of Methadon?

40mg. is still to high, in my Cats Opinion, to change for Subutex,
if swiny is a manifest Methadon-Addicted.

AFAIR. there is no Difference in the Half-life-Periode between Liquid and Tablett like Methaaddict!
  #3  
Old 25-04-2009, 09:31
ex-junkie ex-junkie is offline
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Re: Liquid Methadone vs. 40mg Discs

is swiy looking to detox from the methadone, or to simply switch to subutex for maintenance?

there shouldnt be a drastic difference between the methadone liquid and tablets, if any at all. swims doctor told her that there was no difference between IV methadone, and oral methadone (aside from the administration of it).

theres one for ya eh.
  #4  
Old 26-04-2009, 00:26
Cruella Cruella is offline
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Re: Liquid Methadone vs. 40mg Discs

SWIM is looking to get off the methadone completely by using subutex AND getting off that as soon as possible. SWIM doesn't want another crutch!

The dose of methadone is much higher than 40mg still...even though SWIM knows it is not recommended.
  #5  
Old 26-04-2009, 04:55
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Re: Liquid Methadone vs. 40mg Discs

doing a detox in this fashion successfully, requires a doctor who is willing to let you have take home doses, and preferably an understanding pharmacist who you can speak to everyday when you go to pick up the take home doses. it also requires that your doctor and pharmacist communicate, because the doctor isnt going to see you everyday, and needs to know how you are shaping up when you go to collect your doses.

swim started off on 12MG subutex/day, and had to do 2MG in the chemist supervised. knowing you only have a limited amount per day helps to stretch yourself between doses.

the next day she only needed ~6-8MG, again she had to dose 2MG of that supervised at the pharmacy.

the following day she only needed ~3-4MG, again 2MG was supervised at the pharmacy.

from then on her doctor gave her temgesic, and the doses for the last couple days were 0.8MG, 0.2MG- these doses didnt require supervised dose. swims doctor had prescribed her 2MG of temgesic tablets (0.2MG tablets).

then the next day she went to do a narcan challenge to flush the rest of the bupe out of her system. her doctor had worked it out that it might have been around 10MG, if that. instead she opted for low dose naltrexone, which was given in 2MG doses every couple of hours- this was done in a small regional hospital. she was there for around 24 hours.

shes been clean ever since.

swims doctor was a champion. he gave her his after hours pager number, and requested that she made contact everyday, not only to talk about any withdrawal issues, but to just chat if need be. he would ring her back ASAP. he also did the naltrexone dosing in hospital (got it covered by medicare and all so it didnt cost a thing- after all, its cheaper for the government to help with recovery in the long run), and dosed her up with chlonodine, promethazine and temazepam, just in case it precipitated a withdrawal. however swim slept all day, had no withdrawals, and the next day she took a whole naltrexone tablet, had no withdrawals, went home and has been clean ever since.

depending on how much higher swiys methadone dose is, is dependent, but swim was averaging 100MG of IV methadone when she detoxed, and was fine. that particular detox was the easiest swim ever attempted. maybe it was the frame of mind, and the lovely, supportful doctor, and the pharmacy workers were all lovely too. all very encouraging.

it wasnt the normal pharmacy that swim went to. she wanted to get away from the usual customers, as she had developed quite a dislike for them.

it also helped in the sense that swim approached the pharmacy, and told them of her plans to detox/make a better life, and asked if they would mind dosing her during this time. temporarily. seemed to make them understand, and want to help/want to see swim be successful.

dunno if any of that will help you, cause swims opiate specialist is an absolute champion, and id be surprised if any other doctor came close to doing the right thing/helping/supporting in that fashion.

swim also returned all the unused subutex to the pharmacist every morning, to avoid having a lot about. oh and one more thing, dont inject it. the first day of swims detox she injected it, and then spent the rest of the day feeling like absolute fucking shit.
  #6  
Old 26-04-2009, 11:15
Dickon Dickon is offline
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Re: Liquid Methadone vs. 40mg Discs

In answer to the original question, it will not make a blind bit of difference which type of oral methadone you use. Even if there is some minute difference in absorption rate between the dissolved disks and the liquid, the half-life of methadone being so long means this effect will be negligible on the elimination rate.

Good luck with the switch. Make sure you wait until you are in as bad w.d.s as you can cope with before you switch. Ideally you should reduce the methadone to about 20-30mg/day before you switch, although people have switched from higher doses, although it does seem to be a fairly nasty experience.

Dickon
  #7  
Old 26-04-2009, 11:21
Spucky Spucky is offline
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AW: Re: Liquid Methadone vs. 40mg Discs

Quote:
Originally Posted by Cruella View Post
SWIM is looking to get off the methadone completely by using subutex AND getting off that as soon as possible. SWIM doesn't want another crutch!

The dose of methadone is much higher than 40mg still...even though SWIM knows it is not recommended.
This is one of the most stupid things swiny can do!
There are some real and big Danger`s,
read something about Rapid-Detox, Quick-Withdrawal.

Swiny need strong medical surveillance and should not do this alone!


My Cat done this 2 or 3 Times and she said in her hole History of Opioid-Addiction she never fell so bad like in this Hours.
Most bad thing is it will start so quick after a sublingual Use of Subutex,
after 20min. swiny will be in phase 4, "Danger to Life" !

If your Friend tell us the real dose we can calculate how long she ca.need
and how dangerous it will be!
  #8  
Old 26-04-2009, 11:55
ex-junkie ex-junkie is offline
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Re: Liquid Methadone vs. 40mg Discs

mmm. its worth mentioning that swim went 3 days without methadone before she started her bupe detox. her methadone levels would have come down a bit in that time.
  #9  
Old 26-04-2009, 17:58
Cruella Cruella is offline
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Re: Liquid Methadone vs. 40mg Discs

Quote:
Originally Posted by ex-junkie View Post
mmm. its worth mentioning that swim went 3 days without methadone before she started her bupe detox. her methadone levels would have come down a bit in that time.
Guess I should have mentioned that SWIM is planning on waiting for as long as possible before switching from mdone to subutex. SWIM has a pretty high tolerance for pain so that should not be a problem. SWIM has researched this to DEATH, and thanks to this site has gotten many many many different scenarios.

SWIM has learned that it pretty much depends on the person, the metabolism, the tolerance for the physical w/drawls, how bad one wants to do it, and many other factors.

SWIM is so glad this forum is here, because the doctors and pharmacists where she comes from are NOT as caring or informative as apparently where you come from! Plus who wants advice from someone who has never had a problem like SWIM?

Cruella added 4 Minutes and 8 Seconds later...

Quote:
Originally Posted by Spucky View Post
This is one of the most stupid things swiny can do!
There are some real and big Danger`s,
read something about Rapid-Detox, Quick-Withdrawal.

Swiny need strong medical surveillance and should not do this alone!

My Cat done this 2 or 3 Times and she said in her hole History of Opioid-Addiction she never fell so bad like in this Hours.
Most bad thing is it will start so quick after a sublingual Use of Subutex,
after 20min. swiny will be in phase 4, "Danger to Life" !

If your Friend tell us the real dose we can calculate how long she ca.need
and how dangerous it will be!
Thank you for your concern. SWIM was lucky enough to find out about that the first time she came here to do some asking around. She went to the drug company web-site and didn't get clear or pertinent information from THEM!

SWIM is taking precautions...thanx.

Cruella added 3 Minutes and 32 Seconds later...

Quote:
Originally Posted by Dickon View Post
In answer to the original question, it will not make a blind bit of difference which type of oral methadone you use. Even if there is some minute difference in absorption rate between the dissolved disks and the liquid, the half-life of methadone being so long means this effect will be negligible on the elimination rate.

Good luck with the switch. Make sure you wait until you are in as bad w.d.s as you can cope with before you switch. Ideally you should reduce the methadone to about 20-30mg/day before you switch, although people have switched from higher doses, although it does seem to be a fairly nasty experience.

Dickon
Believe it or not, SWIM got most of her info from reading your posts. SWIM and I appreciate it.

Last edited by Cruella; 26-04-2009 at 17:58. Reason: Automerged Doublepost
  #10  
Old 26-04-2009, 18:05
ex-junkie ex-junkie is offline
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Re: Liquid Methadone vs. 40mg Discs

its such a pity that the doctors and pharmacists are that way. swim was just very lucky to live in the same state as one of the worlds leading opiate pain/addiction specialists. it would be nice if swiys doctor could get advice from him in order to treat swiy properly, however swim is unsure if that could be possible.

swim plans to make contact with him and find out if hes written any articles on the subject.

usually doctors and pharmacists are supportive if you show a genuine willingness to want to quit. their outlook of your situation should become more understanding one, provided swiy has showed effort, and doesnt abuse their priviledges when given. (ie. take home doses, urine tests coming back clean, honesty in appointments).

if theyre not then they are complete and utter cunts, and should be knocked on the head.

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