some advice on the best way to taper off Methadone. The stimulator (so far) is helping with about 50% of the pain below my waist - about 30-40% of my whole body overall. Whoo Hoo! I am two weeks out from my implant, and will start going to pool therapy at the 8 week point. On Feb 10th, I will have been a chronic pain patient for 15 years. I was on the Fentanyl patch for some 11-12 years - went up to 125 mcg until it was no longer working. The summer of 2010 I tried to steadily decrease the dose on the patch - I was wanting to get off all opiates. I dropped from 125 mcg to 50 mcg over 3 months and had constant withdrawal symptoms. The pain was excruciating! so I elected to go on Methadone for the chronic pain. I have never had any problems with addiction - I was advised that it helps some with nerve pain, and it has. I initially went up to 90 mg/day of Methadone, then last spring I decreased to 70 Mg/day of Methadone and 65 -15mg Oxycodone per month for breakthrough pain. I am on Lyrica - 250mg/day, Flexeril 10 mg three times a day, 1 mg Klonopin and 50 mg Amitryptaline for sleep, with another 25-50 mg of Amitryptaline as needed for pain relief. I also take meds for constipation, migraines, arthritis flares, fluid retention, etc. So, now that you've got all that(!) - my question is: How to best taper off the Methadone so to have the best chance for my brain to start working and making these much needed neurotransmitters once again? It's been 15 years using opiates for pain relief - and I want to be free of them! My doctor pretty much goes along with whatever schedule I want, as long as I am working towards getting off the opiates - that is the main focus! My body has shown me many times that, for me, slower is better. What taper schedule would you all recommend, and when to start it? I'm feeling really good after my implant surgery - just some pretty bad muscle spasms where they cut through muscle. I'd appreciate any and all advice - Thanks to each of you!!!
Oh girl, I am so happy for you. I know it's been a long and tortuous road with many battles over a seeming lifetime, I am so excited for you.
One the other hand, I know nothing about Methadone, so I will let smarter brains prevail. Bless you and much luck and love sent your way every day.
Hippie Chickie Laura
Hi ElizaJane, I just wanted to let you know that I appreciate your posting this. I t will help others who are trying to make that decision like me. I was on 150mg of methadone for chrontic pain untils a year ago for 10 years. They thought the regular opiate were harming my liver. I went on a taper plan of 5 mg a week or more if I could stand it, but at 5 mg a week it took me a long time to do it. You have the blessing now that the pain won't return so it may be easier for you. I had to do it with all my pains to get down to 10mg to make the jump over to the 4 to 6 hour pain meds. It's not as hard as you'd think it is. The only thing I experienced was more pain, but my pain was still there the whole time. You can do it, I know you can so it's just a matter of figuring out yourself what dose you can drop & how long you feel you have to stay there before you drop again. A few times I waited longer than 5 days too because the pain was too much. You can do this I have every confidence in you... Mary
Hi ElizaJane! I'm thrilled with your results! Wow! What a great feeling you must have now. Amazing! How exciting! :D
I remember just a few months ago wondering if you were going to stay here. Now here you are, one of our successful stimulated people! LOL
Thank you for posting here for others to learn from & for much needed encouragement. Anything that's positive nowadays is so welcomed!
ElizaJane, have fun in the pool next month! I'll envy you. :D
All the best to you! Love your friend, Wendy :)
This is fantastic news!! I am so very happy for you!!
I don't know squat about methadone, but Mary most certainly does.
And there are others that can help you through the WD process as well.
Just know that I'm in your corner, and you will be in my prayers getting off methadone, and ongoing success with the stimulator!!
I have been worrying about you, well ok, thinking and praying that all went well. I hadn't heard from you so was hoping all was ok. I am so excited for you and the new pain control. It will continue to get better as you get use to it and don't forget they can adjust the stimulation in many ways, location, pulse strength, pulse frequency, etc. It really is an amazing contraption.
The rule of thumb for methadone is the slower the better, as you said. Methadone is a long acting opiate so I wouldn't reduce your dosage sooner than every two weeks and no more than 5 mgs a reduction.
Write me when you are able and keep me up on your progress. I'm thrilled all is going well.
Dear Lady ElizaJane, such good news. Not only do you have the long wait for it over, it went well and is working and now you are working positively on what to do next. The former member mpvt said that the production of endorphins helps during opiate or opiate replacement to curb withdrawal and stabilize that person quicker. I know you have some physical problems and wouldn't be able to do lots of exercise, but LAUGHING also produces endorphins and tht would be safe for you. I am going to list a few things i find awfully funny and maybe others will list some stuff too. My favorite video on YouTube.com is Ms. Swan at Cusoms, and is a skit from MadTV where the famous Ms. Swan creates havoc in the airport customs. Look for a link to that on youtube, the one i used starts with a 606-Ms Swan at Customs and is about 7 minutes long, several people put it on there, anyway, super funny. Then reading damnyouautocorrect.com is pretty funny too.
My favorite funny movies are Ghostbusters, Galaxyquest, Airplane! So laugh it up and keep getting better. I am so happy for you, your success story here will be my good news for the day thought!!! Patti
- Methadone Information for Consumers
- Methadone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Methadone (detailed)
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