After a car accident 5 years ago I have been in constant pain. For 3 years I was on methadone (I was taking 75mg a day when I stopped), and I switched to oxycotin after memory loss because a huge issue(I do not remember the 3 years I was on methadone I have nothing). I am now going back to methadone, my ending dose of oxycotin was 40mg X 3 a day with the ability to take up to 2 percocet 10mg pills for breakthrough pain. My doctor told me to switch over straight to the methadone at the same ending dose from before. I have read everywhere that the first week back on methadone needs to be a really small dose because of the half life on methadone. I am so confused and scared. I am feeling weird, headaches, dizzy, muscle spasms, and I feel almost like high but is a weird and icky way. Please help... What should I really be taking? I have done the conversion charts and they are confusing but I think it is telling me 10-15mg a day to start??
Your doctor is WRONG. That's how must people end up over dosing. You need to start out on a small dose and GRADUALLY increase to a comfortable level. Regardless of the last dose of methadone you were on, your system is NOT used to it anymore. Please find a doctor who specializes in methadone treatment.
I wish you good luck and best wishes, chris
23 Feb 2011
Hi, chronicpainpdx! I am a new member to this site but have found so many very helpful and neat members who are willing to help. I am sorry you are so scared, but I do understand. I also took methadone 40mg a day - plus Percocet 40mg - for over 5 years without any problem. That combo controlled my pain really well. Now she has me on Oxycontin 160mg a day. You need to definitely talk with your doctor NOW and tell him how you feel. Tell him that you are worried about the dosage of the methadone. See what he has to say. If you don't like his answers, find another doctor who is willing to work with you with your meds and your need for answers. Everyone should feel okay about asking questions. Is there a pain specialist where you live? I cannot tell you what dosage to take - only a doctor can do that. Please,
go back to your doctor and ask him every single question that has you worried. Don't leave until you are satisfied or until you know that you need another doctor. I do hope and pray that you find help and I do understand. Have a great day and let us know how this works out for you.
23 Feb 2011
I am on it & my doctor started me on .5mg twice a day (every 12 hours to start,) & then increase it every time I would see her or when I'd call & say it wasn't controlling the pain.
2 Apr 2015
10-15mg is fine. Ive been on 30/day for 2 years, my dr is tough. I have replaced shoulder and hip, bursitis in the other hip, neck problems, osteo arthritis that is degenerative, I need knee surgery and back surgery. My L4/L5 have broken pars and C1 strangulates, and of course probably 3 or 4 compressions. 10mg does 85-90% and no breakthrough medicine so I hurt a lot.
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