i have been suffering from opiate addiction and have been on and off using oxycontin 80mg and heroin for the passed 2 years. yesterday i was placed on suboxone induction to help with withdrawals and it is working but only to a certain point. i feel like the relief im getting dosent last as long as it should and i dont really want to increase the dosage i am on 12 mgs total daily ( 8 mgs in the morning and 4mgs at night). even at this point i feel like the sub dosent work as well as it should because i still am experiencing moderate withdrawals and i would like to switch from suboxone to methadone. i was wondering how i would go about doing this ? i am not sure if the psychiatrist i went to yesterday can prescribe methadone or i would to go to a clinic who probably wont accept me because of my age. but i would be willing to give methadone a shot because i know people who it has worked wonderfully for. anyhelp would be greatly appreciated
17 Sep 2009
I don't know anything about methadone, but, I am on suboxone and was in group with quite a few people who were on it also. I am not a doctor either, but, it sounds like you may need a dose adjustment. All of the people I went to group with attained lasting relief with it. Can you at least call the Doctor and talk to him/her about it and let them know you feel like you are still in withdrawal. There is a test called the COWS test and my doctor made me stay at his office and keep taking it to make sure I was completely comfortable. COWS stands for Clinical Opoid Withdrawal, something or other and it is somewhere on this site as well. It ranks your symptoms from 0 to 4 and if you reach 26 on the test, you usually need more suboxone. I am hoping your doctor gave you this test, if he/she did, keep retaking it and figure out how fast you are reaching 26 again. That will help them figure out what to do. Best of Luck and hoping you will get some relief somehow. Congrats on Making the best change for life.
17 Sep 2009
Hey chris79... I am one of those people that methadone did work for but I had to want it and make it work. I spent over 6yrs on it from my 10 yr battle with heroin and watched most people at the clinics fail. If I had to give you a peice of advice id tell you honestly to stay as far way from methadone as possible. Im on subutex now which I was able to make the switch from methadone and that works great for me. Id stay on the suboxone and try to get a higher dose. That might work. But I understand we all take different paths. Good luck
18 Sep 2009
hi chris79 how are you? not to good hey. i will agree with the other comments left. i was on suboxone for 12mths up until 3 weeks ago and then was put on a low dose of methadone. that was a very bad choice by my g.p. as i'm back to square one again. what i'm trying to say is talk to your doc and tell him/her what your feeling and they can increase the dose if required. i know you dont want to increase but if you dont do what your body is telling you to do, you may fail. please be very patient with the subs programme. take care and let me know how it all works out for you. bevck41... :)))))
5 Oct 2009
Dear Chris..I see from your post it has been 2 weeks now and I hope and pray the suboxone is working better and your dose is adjusted. Please please stay away from methadone clinics! They are there to keep you comming back. Remember if you do not come back every day and pay you $14 $15 or whatever those people do not have a job. How can you ever have a decent life spending over $400 a month on methadone? With the sub you will wean off one day and the doctors normally have your best interest at heart. I hope the past 2 weeks have given you time to get your dos right & your head a lit'l better honey if not please talk to someone, if you got a little weak and went to the meth clinic please find a better doc for the sob and try again, there is a light at the end of the tunnel with that, only thousands of dollars and years of standing in line hooked w/methadone clinics.
Now dont get me wrong..I would rather see u at a meth clinic than on the street looking for heroine or oxy's but the furture for a real cure I believe is thru the subs & all the help you can get from friends family and if you believe (I DO) GOD. I will pray for all of you. Just DO NOT GIVE UP. DREAM ... YOU ARE SO WORTH A FUTURE!
7 Nov 2009
don,t do it.that is a drug you do not want to mess with.i was on it for 2 years,i got so addicted,when the started giving me take homes 7 days worth it would be gone in 3 days,i even started to shoot it up.i even called the police and said someone stole my methadone.it worked twice.look i know you are young i am 33 ive been an addict since i was 16.i am on suboxone and it does work,tell your dr you are still craving he will up your dose.but please listen to me methadone will make you a slave,i came off it because my mother knew how out of control my use was,so she quit paying for it. it took me 3 months to stop hurting all over,and getting my head right again.sorry my answer is so long,but i just dont want you to suffer like i did..good luck
7 Nov 2009
Hi Man,My name is John and had been on methadone for 10 years until i detoxed off it in May and needless to say i was back on a rig within a week.I just started suboxone 3 days ago after a run on dilaudid,10 8,s a day.If i was in your situation i would get the suboxone incresed until you feel better.Unfortunatley there are no quick fixe,s for addiction so give it some time.Going on methadone you will probaly feel the same way until you get at the right dose which from all i have read and heard would probably be 120mg,s.It,s youre choice but try and get all the info you can so you can make an informed dcecision.Good Luck
7 Nov 2009
I agree with jdogg. I myself have been on a relatively low dosage of pain relievers, tramadol and lortab for about 3 years. So, don't have your long term experience, but, I do know that methadone, I believe depletes dopamine, and having a history of depression myself, this is not something that was ever consideredwhether for pain relief or if needed withdrawal. That's just my experience. And, sorry don't know or have experience on the drug suboxone. I don't know if you are on other drugs, specifically antidepressants, but, I do think, there is always a delicate balance that is individual to each person and your doctor should be able to somehow find a treatment that not only helps with your addiction, but also just coping abilities, mood, and trying to get thru your hard challenge. I am no expert and just giving you my opinion. But, I'm one of those people who really talks to my dr. about exactly the side effects or reasons this drug is prescribed, until I'm satisfied as to what to expect and why the dr. prescribes a medication. I also should say, I have never gotten to the point had to change my pain drugs, because I've tried to always keep the doses low as i could for my pain. May change
someday, but for now, I control using my meds very conservatively. Hope this helps in some way and sorry can't help with the question regarding suboxone.
30 Nov 2009
Suboxone, Methadone, the same...
Suboxone poses a longer withdrawal than any other opiate known. This is because of of the blocking agent than locks in the opiate. Once dissolved, the Buprenorphine) is immediately absorbed and the powerful opiate (almost 3 times stronger than Morphine) attached to your receptors (opiate/endorphin). Then, the Naloxone (blocking agent) 'coats' your receptors, locking in the opiate but blocking any opiate that may come in, hence why you will get very sick if you were to take any other opiate, or too much Suboxone. It is because of this mechanism of action that makes it incredibly difficult to withdrawal from. The withdrawal from Suboxone is reported to be significantly worse than almost any other opiate, except Methadone.
Methadone is another nightmare. The withdrawal may not be as long as Suboxone, but it is much worse in severity. Either way, you're just trading one addiction/dependency for another.
Also, think about drug companies, big pharma. They want you hooked-in essence their just like the tobacco industry. Once they get you, they've got your for life, or at least that's how it seems. Most patient attending a methadone clinic are told that they won't get off it, or now's not the time, or they're scared into believing that they'll 'relapse' if they do come down or off. This is not fair... They want you there for you money, you pay their bills. That's it. I've spoken to so many patients who just want to be free from the 'liquid handcuffs' but are told they can;t do it or won't make it. It's this sort of belittling and undermining that they use to 'counsel' their patients. I'm sure some people are happy to be on Methadone and maybe it did save their life, but there comes a times when the patient has a right to be off of it and not live life tied to a clinic.
So, in conclusion, don't buy into everything your sold and please look into using a doctor's help in treating you symptomatically through the withdrawal. There's a whole world of medications out there that can relieve some of your symptoms with out the risk of cross-addiction. Talk to a primary care physician or a psychiatrist in your area and make sure to be clear that you do not want exchange one addiction for another and that your ready, you just need a little help. Remember, you pay them, don't feel intimidated by them. You are the boss. I wish you the best of luck...
1 Dec 2009
Hi,I have been on Suboxone here in Canada which is new here,mostly methadone which i was on for 10 years and it worked at the proper dose.I went off it and within days i was shooting dilaudid for the next 5 months until i found a clinic that put me on suboxone,they started at a low dose 4mgs and increased it daily until i was comfortable.Im now at 24mgs daily and feeling well again.Just my humble opinion youre dose is to low and from what i have read most people do well between 16mg and 24mg but i know one girl who needed the max dosage they can give which is 32mgs,everyones different.Hope you get to where youre feeling better.Peace,John
4 Dec 2009
hey i think that you really need to go to a methadone clinic. they have concilers their that can help with ANYTHING that you have going on in ur life and meetings there too! you can increase ur dose by 5mg when ever you need to if u feel like the methadone is wearing off during the day, just talk 2 ur conciler. methadone lasts 24-36 hours so you don't have the craveings for oc's. I've been going for 2 years and im on leavel 6. i go once every 2 weeks and get my liquid methadone. i know have a great job as a pharmacy tech and im around meds. all day and have no desire to steel them or take them. i couldn't even hold a job 2 years ago and know i have a full time job wear im respected and trusted around the hard core meds. methadone has changed my life! I don't care what anybody says bad about it, it has gave me a chance to LIVE again. i hope you try it. and they take all ages.
you have to be 18 or older to go by ur self or if ur not 18 i think u have to have a parent with u. not sure. look up (Mcloud methadone clinic) on the internet. THats were i go. good luck
22 Dec 2009
Chris- Both are very highly addictive. Suboxone is relatively new so many of the side effects have not been as widely communicated. It most definitely helps with the withdrawals, but you are switching from one addictive medication to the other. My advice is to check into a rehab that offers Librium treatment. This is used more with alcoholics, but it does help to relieve the withdrawal symptoms. Also, you would be under 24 medical supervision in the event that a medical emergency does arise from the withdrawals. (Yes, I know that only secondary withdrawals from opiates result in death). Best of luck to you, friend. I, too, fought that battle for sometime. My worst day sober is by far much better than my best day high. You are in my prayers.
25 Dec 2009
Just some personal input on my part, for anyone who decides to read this. I was originally on 12 milligrams of suboxone to replace taking six 10 milligrams lortabs daily. I was told this is what I should do by an outpatient clinic. I probably should have just taken a week or two off from work and detoxed, but, I was told this was best. The clinic folded after about 8 months,(I have been on it since april 29, 08) and no one really tried to get me to reduce my amount. I can't explain how I knew to do it on my own, it was just some physical sensations, that let me know that I could reduce my dose. I also went faithfully to my group meetings and still do. I am now only on 2 milligrams and decided to tell that at group. My counselor assured me that that meant my neurotransmitters were healing and that was the only explanation she had. There is hope of getting off of the suboxone and each person is different.
Some are saying that you should get off after only a few days, weeks or months. This is an issue that each person should discuss with their doctor and counselor and no one should scare anyone else about them needing to take it for more than a few days, weeks or months. If you want to get off of it eventually, talk to your doctor and counselor and do everything they tell you to do. For those who are not feeling like they are out of withdrawals on the dose they are on, LET THE DOCTOR KNOW. There are a few other meds they can add to help and the doctor needs to know if you think there is a problem. Don't give up hope.
13 Jan 2010
I am addicted to oxycotin, heroin, I have been taking Suboxone 8-12 mg, and now weening myself down. I want to get off everything but I guess I was doing it to fast.
I tryed Methodone, only if I couldnt get my other drugs, it is addicting.
I know it is hard. When I first came off the Oxy's, heroin for about 1 week it took to feel better. My dr. started me on 2mg which definitley was not enough. I now know that you are not suppose to Feel High, you even have to feel some pain in order to get well. I think that is Plenty of Suboxone. But im not a Dr. so whatever the dose try and stick it out. Remember you are going to go thru withdrawls this will just make it a little more bearable.
Hang in there.
You have to want it.
13 Jan 2010
most phsiciatrist dont prescribe methadone you would either have to go to the clinic or a chronic pain dr..if you are underage all you have to do to get in the clinic is take a parent with you who gives you permission and im sure your parents know your on suboxone so surely they would sighn for you to be on methadone. good luck
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- Methadone Drug Information
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