Been on the meth program for eight months never dosed above 30 mgs. I start a five day suboxone detox but have read alot aginst it. Cant afford to miss work so sleeping pills all day for a week after is out. Any suggestions?
What the best way to detox from methadone?
- 23 Jul 2011 by jeni2718
- 24 July 2011
- suboxone, opiate withdrawal, methadone, detox
Added 23 Jul 2011:
I dropped ver fast from 28 to 25 the next day 18 the next day then 10 the next. In my 2nd day with nothing and only have muscle cramps. Start suboxone monday(day after tomro)
Methadone is a long acting opiate. You will not feel the worst of the withdrawals until 3 to 5 days after your last dose. It is best to wait 72 hours after your last dose of methadone and be at 30mgs or less before starting Suboxone. I believe you said that it has been 2 days and you will be starting the Suboxone on Monday? Since that is longer than 3 days you should be fine to start on Monday then.
You say that you are only going to use the Suboxone for 5 days? That is not really long enough for this medication to "heal" the receptor sites in the brain. Honestly, since methadone is a long acting opiate you are running the risk of having further methadone withdrawals if you stop the Suboxone in only 5 days. My doctor recommends being on Suboxone at least 3 to 6 months. Of course, once you are ready to be off the Suboxone, you will need to taper from it to avoid withdrawals.
I have to agree with Laurie, 5 days on Sub isn't long enough for it to do hardly anything. About 6 or 7 years ago some docs used to do a 3 week rapid detox with Sub. But I don't know if they used to do that with people on Mdone. I don't think it worked out too well, because I never hear of any docs who are still using that method. The idea was to not let you stay on Sub long enough to become dependant on it. Even though 3 weeks isn't long enough by today's thinking, it's 3 times better than 5 days. I'd say consider doing Sub at least 3 weeks. Whatever you do with all this, you should get the 3 main meds commonly used when detoxing someone. Those are Clonidine, Trazodone, and a muscle relaxer, either Baclofen or Methocarbamol. One of these muscle relaxers should help with the leg cramps, and that vibration feeling one gets when doing a detox.
If you really are going to do a rapid Sub detox, then it would be a good if you could taper down even further on the Methadone. The lower the better.
Let us know what happens.
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