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10-17-2009, 09:33 PM
| | New Member | | Join Date: Oct 2009
Posts: 5
| |  help for precipitated withdrawal from methadone/suboxone mix
hey guys need some advise quick any would be greatly appreciated, my gf is laying on couch in severe pain from wat i believe is precipitated withdrawal (going by some articles ive read on this site), she is on 70 mg of methadone daily she has been on this level about a month, she has been taking mdone overall bout 6 months, she dosed her 70 mg bout 8:30 am and this afternoon bout 6pm she took approx 2mg of suboxone.... she never has withdrawn this bad we dont know wat to do., should she take more methadone or subs or painers or anything at all to help her out and feel better she wants to take more methadone now thinking it will stop the withdraws but im afraid it might worsten her condition... and will she be able to dose in mornin w/o withdrawin again?.... plz help |
10-17-2009, 09:37 PM
| | Member | | Join Date: Oct 2009 Location: OHIO
Posts: 153
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Quote:
Originally Posted by jamiea88  hey guys need some advise quick any would be greatly appreciated, my gf is laying on couch in severe pain from wat i believe is precipitated withdrawal (going by some articles ive read on this site), she is on 70 mg of methadone daily she has been on this level about a month, she has been taking mdone overall bout 6 months, she dosed her 70 mg bout 8:30 am and this afternoon bout 6pm she took approx 2mg of suboxone.... she never has withdrawn this bad we dont know wat to do., should she take more methadone or subs or painers or anything at all to help her out and feel better she wants to take more methadone now thinking it will stop the withdraws but im afraid it might worsten her condition... and will she be able to dose in mornin w/o withdrawin again?.... plz help | Sounds to me like the 70mgs of methadone was to high to take sub's with, but I really am not sure. Robert will be the one who responds with the most knowledge and can tell you what to do or not do....
Please hang in there, keep telling her she's going to be okay. I really don't know how to help her but I will say a prayer for her....
I'm so sorry this happened, please be strong for her.  |
10-17-2009, 09:43 PM
| | Member | | Join Date: Oct 2009
Posts: 325
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OH BUMMER.ok it is going to get better, tell her that. i know someone who did exactly that thing.
ok it cant get any worse. methadone will not help. subs block the receptors way better than methadone, you have to be on 30 mg or less to go to subs, and you have to be in proper withdrawls first. which is well over the hours you described she waited.
my advice would be put her to bed, ride it out, it will not worsen, this is as bad as it can be.
but it will get better. dont go taking any methadone, it will not work.
please get her to wait, tomorrow, she can be inducted properly, its a horrible position to be in but it IS GOING TO GET BETTER. ONLY TIME WILL FIX IT.
please hang in there. |
10-17-2009, 09:48 PM
| | Member | | Join Date: Oct 2009 Location: OHIO
Posts: 153
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Quote:
Originally Posted by cheekysod OH BUMMER.ok it is going to get better, tell her that. i know someone who did exactly that thing.
ok it cant get any worse. methadone will not help. subs block the receptors way better than methadone, you have to be on 30 mg or less to go to subs, and you have to be in proper withdrawls first. which is well over the hours you described she waited.
my advice would be put her to bed, ride it out, it will not worsen, this is as bad as it can be.
but it will get better. dont go taking any methadone, it will not work.
please get her to wait, tomorrow, she can be inducted properly, its a horrible position to be in but it IS GOING TO GET BETTER. ONLY TIME WILL FIX IT.
please hang in there. | That's what I thought. I know nothing about subs, but seriously jamiea, I really think cheeky is right. I'm on methadone myself, and a very low dose, but i was told if I had actually decided to go the subs route I should have done it at 20-30mgs no higher. Maybe a nice hot bath will help? I've seen some people around here saying that it does help.
Ride it out though, it'll get better. At least it can't get worse. |
10-17-2009, 09:54 PM
| | Diamond Elite | | Join Date: Jul 2007 Location: Pacific Northwest
Posts: 8,847
| |
Quote:
Originally Posted by jamiea88 hey guys need some advise quick any would be greatly appreciated, my gf is laying on couch in severe pain from wat i believe is precipitated withdrawal (going by some articles ive read on this site), she is on 70 mg of methadone daily she has been on this level about a month, she has been taking mdone overall bout 6 months, she dosed her 70 mg bout 8:30 am and this afternoon bout 6pm she took approx 2mg of suboxone.... she never has withdrawn this bad we dont know wat to do., should she take more methadone or subs or painers or anything at all to help her out and feel better she wants to take more methadone now thinking it will stop the withdraws but im afraid it might worsten her condition... and will she be able to dose in mornin w/o withdrawin again?.... plz help |
She is definitely in precipitated w/d.  YOU DON'T want to jump to subs from 70mg of methadone period, but doing it the same day is absolutely insane! She needs to stop taking anything immediately. I'm serious don't let her take anything for now.! 
In the morning she should resume her methadone dose. She needs to taper down as cheekysod said to a maximum dose of 30mg prior to switching to subs. Then I can help you induct her properly over to subs. But this is classic precip w/d and there is absolutely NOTHING you can do to stop it. 
A hot shower/bath might help her feel a little better. Other than that it's off to bed and post to me tomorrow. I always go to church on Sundays and am on the West Coast. So if you catch me before Sunday school I'll look for your post. Otherwise I'l look for you when I come in from church about 12:30 or so. Let's get her get straightened out and then tomorrow I'll be happy to explain this process correctly for you. I've been doing this for years and she could not have have possibly done this any worse than she did it. God bless. 
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I am not a dr. My statements are based on years of experience and related education. Consult with the professional of your choice regarding matters of concern.
Last edited by Robert_325; 10-17-2009 at 09:57 PM.
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10-17-2009, 09:56 PM
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Posts: 5
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ok guys thnx so much she actually improved alot over last few min she took smtn for pain said it helped alot but it jus spooked us a lil bit never seen withdraws hit that fast but belive all will be fine now thnx again i really like this site, one more thing jus wanna be sure u said she can go on to clinic tomorow mornin right? |
10-17-2009, 10:02 PM
| | Diamond Elite | | Join Date: Jul 2007 Location: Pacific Northwest
Posts: 8,847
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Quote:
Originally Posted by cheekysod OH BUMMER.ok it is going to get better, tell her that. i know someone who did exactly that thing.
ok it cant get any worse. methadone will not help. subs block the receptors way better than methadone, you have to be on 30 mg or less to go to subs, and you have to be in proper withdrawls first. which is well over the hours you described she waited.
my advice would be put her to bed, ride it out, it will not worsen, this is as bad as it can be.
but it will get better. dont go taking any methadone, it will not work.
please get her to wait, tomorrow, she can be inducted properly, its a horrible position to be in but it IS GOING TO GET BETTER. ONLY TIME WILL FIX IT.
please hang in there. | cheekysod .... you're usually right on but man I sure wouldn't do an induction tomorrow or you'll have her right back into precipitated w/d again. You were right on the 30mg minimum for a methadone dose but DON'T tell anyone to turn right around and do it again the same way again tomorrow. That is wrong my friend.  She needs to titrate down from the curent dose to 30mg. Don't tell her something that will get her sick again my friend. God bless.
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10-17-2009, 10:02 PM
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Posts: 325
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yeh people who havent done it have no idea how freakin awful and scary and out of control it is to suddenly be that far in withdrawl and no way to fix it.
good luck to both of you, yeh robert says to go back tomorrow to methadone clinic.
just a curious point, was it the clinic who advised the subs, or a mistake.?
if it was the clinic theyre wanting to be bollocked for that.
otherwise, lesson learnt ay. do heaps of reading round here, there is tons of good advice.
hope it all goes well for you |
10-17-2009, 10:04 PM
| | Diamond Elite | | Join Date: Jul 2007 Location: Pacific Northwest
Posts: 8,847
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Don't do this Jamie Quote:
Originally Posted by jamiea88 ok guys thnx so much she actually improved alot over last few min she took smtn for pain said it helped alot but it jus spooked us a lil bit never seen withdraws hit that fast but belive all will be fine now thnx again i really like this site, one more thing jus wanna be sure u said she can go on to clinic tomorow mornin right? | NO, NO, NO, NO !!!
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I am not a dr. My statements are based on years of experience and related education. Consult with the professional of your choice regarding matters of concern. |
10-17-2009, 10:09 PM
| | Diamond Elite | | Join Date: Jul 2007 Location: Pacific Northwest
Posts: 8,847
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Jamie ..... are you wanting to take her to the sub clinic or get her back on methadone? We may have our wires crossed. Tell me what you are understanding that I'm suggesting for you to do. Trying to help you guys buddy! TALK TO ME!!! God bless. 
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Last edited by Robert_325; 10-17-2009 at 10:12 PM.
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10-17-2009, 10:15 PM
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Posts: 5
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Quote:
Originally Posted by cheekysod yeh people who havent done it have no idea how freakin awful and scary and out of control it is to suddenly be that far in withdrawl and no way to fix it.
good luck to both of you, yeh robert says to go back tomorrow to methadone clinic.
just a curious point, was it the clinic who advised the subs, or a mistake.?
if it was the clinic theyre wanting to be bollocked for that.
otherwise, lesson learnt ay. do heaps of reading round here, there is tons of good advice.
hope it all goes well for you | it was jus a mistake live n learn type deal i guess she decided to get clean several months ago so she started taking subs not from a dr jus off street untill she could get everything straighten out to where she coukd start seeing a meth dr, so she is familar with subs she jus hadnt done any since she started at the meth clinic, she jus didnt know they would interact lir they did but needless to say its a lesson she wont soon forget |
10-17-2009, 10:17 PM
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Posts: 5
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she is sticking with the mdone she jus tried the 2mg sub today for a bump she was jus havin bad day n slipped a lil thot they was kinda same thing |
10-17-2009, 10:19 PM
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Posts: 325
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hell no i bet she wont. ive done that when i switched so i know EXACTLY how she feels.
tell her to take her time, get to 20-30 then switch.
wow, yep big lesson learnt. |
10-17-2009, 10:31 PM
| | Diamond Elite | | Join Date: Jul 2007 Location: Pacific Northwest
Posts: 8,847
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Quote:
Originally Posted by jamiea88 she is sticking with the mdone she jus tried the 2mg sub today for a bump she was jus havin bad day n slipped a lil thot they was kinda same thing | Jamie .... I despise methadone clinics but what she needs to do is get back on methadone starting tomorrow. I would try to get to the methaodone clinic tomorrow and start a titration down on a daily basis until you can get her down to 30mg.
She could POSSIBLY get away with titrating down to 40mg but DO NOT induct her again on subs tomorrrow. SHE HAS NO BUSINESS TAKING SUBOXONE AGAIN TOMORROW. NO WAY!!! She needs to slowly reduce her methadone dose over time until she reduces it the right way like I've explained.
When you get her down to 30mg she will need about 72hours completely off anything and then we can induct her on suboxone properly. Here is a link that explains how I've successfully worked with people using subs from the induction all the way through the sub taper process. It will normally take about 8-10 weeks coming off methadone to subs and down to nothing doing it the right way.
This forum is loaded with sub success stories. But it's a losing battle if you don't do it exactly right. Check out the link, then ask me any questions you've got. Pay very close attention to the INDUCTION section of the link. I'll be happy to help you when it's time to do the induction properly. Stay in touch. GOD BLESS. http://www.drugs.com/forum/featured-...apy-50887.html
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10-17-2009, 10:35 PM
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Posts: 8,847
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Quote:
Originally Posted by cheekysod hell no i bet she wont. ive done that when i switched so i know EXACTLY how she feels.
tell her to take her time, get to 20-30 then switch.
wow, yep big lesson learnt. | cheekysod ...... I'm glad to hear you say that she needs to drop first to 20-30mg. I misunderstood what you said.
It caught me off-guard as you always say the right thing and when I thought you were telling Jamie to do the induction again tomorrow it totally freaked me out. Sorry I was so mistaken not reading what you meant properly.
I knew that you had to know the right way to do this. Sorry for the misunderstnading. God bless.
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I am not a dr. My statements are based on years of experience and related education. Consult with the professional of your choice regarding matters of concern. |
10-17-2009, 10:37 PM
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she is sticking with methadone clinic no more subs, she only tried it today tryin to get a bump out of it didnt know about the precip w/drawals but yea jus gnna stick to the methadone plan thnx again guys |
10-17-2009, 10:53 PM
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Posts: 325
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i'll let you off robert, only coz you are in pain
but really no worries and no offence taken, we are on the same team.
hope you are feeling a bit better. still sore? is it going to improve?? | |
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