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detoxing off methadone using subutex
  1. #1
    johnlee123 is offline New Member
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    Default detoxing off methadone using subutex

    Hello, I am in my mid 30's, male, been on methadone for at least 10 years from H. Been as high as 50 mgs, now on 5mgs. I was going to go down to 1mg but the clinic I go to is 5mg to 2mg then 0. I tried to go down to 2 but that is more than half your dose and I might as well kick. It takes about 48hrs before I start to feel W/D. I have about 24mgs of subs, but in pill form, 8mg. I think I can induct using Robert's plan on 1mg-0.5mg since I am at a low dose. I figure I will have to wait at least 4 days after last methadone dose since I have been on it for so long. My plan is to weigh it total, then crush it, then weigh out 0.5mg. I am going to start taking vitamins and eating bananas now. I dont want to take the subs for longer than 14 days. 21 at the most, but I would run out anyways. I hope that is long enough for the methadone to work itself out. I am trying to take off work for about 3 weeks to do this. I hope that is enough. Any advice would be helpful.

    I feel that it has been a monkey I needed to shed. I relapsed a lot with H. Been opiate free for at least 4 years except methadone. I believe that I will never go down that road again. Only time will tell.

  2. #2
    Anonymous Guest

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    i used subs to come off a very long methadone habit. (oh 25plus years of all sorts of drug abuse actually)

    the only time i took off work was the initial induction. otherwise i worked right thru. you shouldnt need to take 3 weeks off if you use the plan like you say you are.

    good on ya for gettin down to 5mg, that in itself is awesome.

    you should also not need 1mg of subs. definately when you do induct, do it in .25mg at a time, and i think you will find you stabilize on a very low dose. and realize subs feel different. you dont feel the same as on methadone. you actually feel ''normal''. but without any wd symptoms. thats the easiest way to explain how ya feel.

    good luck.

  3. #3
    johnlee123 is offline New Member
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    thanks for responding. I plan on stopping my last methadone dose on a Thursday. Work Friday and then go thru the worst of it on the weekend when I'm off. I might take the Monday off depending on if I start subs on Sunday or Monday. I was thinking about just kicking c/t from 5mg.

    Its been a long road to recovery I can say. I hope to feel normal by the New year. 10+ years is a long time to be numb.

    Since I will induct at such a low dose, when should I stop? Should I take them for at least 14 days or stop early if I feel ok? I know the whole point is to work the methadone out of your system then get off subs before that takes hold. I read it takes 14 days? to get it out of your body.

  4. #4
    iloerose is offline Platinum Member
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    Cheeky will be back to help you with your question and really knows what she's talking about, but you need to read the following post as this will give you an idea of what to expect. Everybody's a bit different. Good for you getting off the methadone!

    Go to featured drugs: http://www.drugs.com/forum/featured-...apy-50887.html and read Robert's taper instructions. You also want to go online and find the COWS sheet to measure your withdrawal, you need to be at a 26 minimum score.

    Peace,

    Iloerose

  5. #5
    Anonymous Guest

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    it depends on the start dose of subs as to how long you are on them. but with tapering every 4 days or so by 25% you cant tell till you know your starting dose.

    but this stuff works mate. i was 'numb' on methadone for decades too and its great to get off. just remember when you switch, MAKE SURE YOU ARE AT A 26... THATS IMPORTANT.

    then, hopefully you start on a low dose like 1mg or less if possible. you shouldnt need more than 2mg tho. i dont think anyways. but if you do to get stable, you do. it is sooo individual.

    and just remember, on subs. you feel 'normal', not high or zoned like on methadone. but that 'normal' feels great after we hit a 26 on the chart, from there you will be able to count off a lot easier.

    in my opinion (ive counted down off methadone and subs) it is easier to use subs to come off... the symptoms are less severe and less intense. and they are manageable.

    google cows sheet like rose says, and read the link carefully. this will set you up to succeed and get off the damn liquid handcuffs. been there done that. they suck.

    all the best mate.

  6. #6
    johnlee123 is offline New Member
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    I saw the COWS sheet and will follow it until I hit 26. I accidentally took some subs mistaken for xanax and it was bad. I threw up for 2 days straight. I thought I was going to die. I laugh now actually. It took another 2 days at least to finally feel the methadone. I still dosed everyday thinking it would somehow work.

    I am hoping that I can induct on 1mg or less also. Using Robert's plan I would be on it for about a month. It depends if I taper every 3 or 4 days.

    I never felt high or zoned on methadone. Maybe for the first week. Thanks for all your help. I think I might start next Thursday.

  7. #7
    iloerose is offline Platinum Member
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    Keep posting here! Let us know how you get on. Yeah, you definitely want to be in good w/d mode (26 min.) before you start subs or you will be in precipitated w/d which as you found out is not fun at all. Watch out with the xanax. That stuff will numb you as well as the methadone. Extremely addicting. Keep on going and hang tough.

    Peace,

    Iloerose

  8. #8
    johnlee123 is offline New Member
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    Thanks. I think I might just skip tomorrow and start it now. whats a week. The xanax is only used to sleep. I dont like it anymore. I dont have access to any more. just a couple of mgs for the worst nights. Wish me luck.

  9. #9
    iloerose is offline Platinum Member
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    Wish you lots of luck and post how you are doing with your induction, especially if you get confused or you need help with anything. Anyways, you can post here for support.
    Hang tough and you'll get through.

    Peace,

    Iloerose

  10. #10
    big50 is offline New Member
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    Gosh you guys I'm losing it here, my husband is in his own world walled up, im trying to detox from 40mg for only 3 mo and after 8 days had 1 day of withdrawal, thats it. And I'm going crazy because am I going be somewhere and it hits? I'm getting super depressed, and have subutex here. What do I do? I don't feel normal, no energy but otherwise I'm just really depressed.
    Please help!!!!

  11. #11
    Iwantoff2013 is offline Platinum Member
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    Quote Originally Posted by big50 View Post
    Gosh you guys I'm losing it here, my husband is in his own world walled up, im trying to detox from 40mg for only 3 mo and after 8 days had 1 day of withdrawal, thats it. And I'm going crazy because am I going be somewhere and it hits? I'm getting super depressed, and have subutex here. What do I do? I don't feel normal, no energy but otherwise I'm just really depressed.
    Please help!!!!
    Hi there, welcome. Were you planning to switch to Subutex or hoping to just cold turkey the Methadone? Trying to quit Methadone from 40mg is definitely not recommended as the WD period will be substantial. We can absolutely help you induct onto Sub properly if that's your intention. We have a fantastic induction & taper plan here.

    The depression is completely normal when getting off any opiate. It's only temporary.

    I'm going to ask Randy to reply to you. He switched from Methadone to Sub, then successfully tapered off using the taper plan I mentioned. He knows much more about Methadone than I do (I switched from painkillers to Sub). Also, you should start your own thread so we can reply to you directly.

    Hang in there...
    Kat
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  12. #12
    Randy35 is offline Advanced Member
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    Quote Originally Posted by big50 View Post
    Gosh you guys I'm losing it here, my husband is in his own world walled up, im trying to detox from 40mg for only 3 mo and after 8 days had 1 day of withdrawal, thats it. And I'm going crazy because am I going be somewhere and it hits? I'm getting super depressed, and have subutex here. What do I do? I don't feel normal, no energy but otherwise I'm just really depressed.
    Please help!!!!
    Hey big50 - Kat asked me to respond to you concerning your methadone jump. I would first ask you to please begin your own thread in this same section if you like. Go back to the main suboxone page and on the left side theres a spot that says something like "begin new thread". Click on that, title your thread, and give us all the info you can so we can help you best.

    If you jumped from 40mgs of methadone the symptoms could last a month or longer I'm afraid. It has a long half life like subs do and symptoms might not begin for several days. Not understanding why you've "only" had 1 day of withdrawals? Are you talking about severe symptoms?

    I see you have some subutex. That would definitely help you to feel better, but only if you take it when it's safe to keep you our of precipitated withdrawals. That would be MUCH worse than anything you're feeling now. Use the COWS to safely induct on the subs if that's what you intend on doing. Here's the link to the COWS below -

    http://www.naabt.org/documents/cows_...flow_sheet.pdf

    Don't take ANYTHING that would make you feel better. Once you're in moderate to severe withdrawals, AND you score a 26 or higher on the Cows is it safe to induct to the subs. Please don't rush it and induct too soon like I did, twice. Those PW's suk big time! Use the Cows, get to a score of 26 depending on what symptoms you have, then begin taking SMALL doses of the sub. Seeing as you're coming from methadone, maybe 1mg to begin and 1mg doses afterwards, giving it an hour or longer between doses to give the sub plenty of time to work to it's full potential. If you do as suggested you'll have a painless induction, and a safe induction from PWD's.

    Start that new thread and continue posting. Share all the info you can so we know what we're dealing with exactly. We'll help all that we can I promise.

    -Randy
    Last edited by Randy35; 01-06-2015 at 12:47 PM.
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