The time varies depending on the usage and the specific drug being abused. For you, you were in full-blown withdrawal from heroin after 24 hours. That's a good time to start buprenorphine. For methadone users, full-blown withdrawal days 5-7 days, sometimes longer. If started before you're in full-blown "oh jesus I wish I was dead" withdrawal it will CAUSE withdrawal that's much worse. (Friday Nov 27 | post #15)
Sorry I haven't been on Topix for a while. I've switched from methadone to other long-acting pain medications but I've never cold-turkeyed it, no. Got in a car wreck a while back which nearly doubled my pain. Guy didn't have insurance so I had to pony up the cash to fix the car, and he's being sued. I doubt I'll ever see a dime, though. (Tuesday Nov 24 | post #102)
I pay $6/mo for my methadone pills. Methadone is extremely cheap; the clinics are charging for their cost-of-operating, as in leasing the building, paying the bills, paying the staff... (Nov 2, 2009 | post #3)
It really did help me sleep at the time. THe last time I talked to my pain doctor I asked him if I could come off the Valium and he said "yeah... I shouldn't have started you on those, I feel like a drug pusher..." He's a generally good guy and just wanted to help me sleep, but benzos being benzos... These days I take one every other day, working my way down to half of one every other day, etc. Pain is doing way better ever since I doubled my methadone dose. (Nov 1, 2009 | post #100)
Dundalk Stnks with drug addicts
When I first moved to Baltimore from St. Louis my first apartment choice was in Dundalk. My friends from this area told me not to move there and explained the horrible reputation it has, so I didn't. Now I've been there several times and it looks like a very nice place to live, but instead I'm stuck living just south of Parkville/Hamilton area paying $680/mo for a tiny one bedroom apartment surrounded my drug dealers, loud neighbors, and police chases. I should have lived in Dundalk. (Oct 31, 2009 | post #314)
It's possible. My resting pulse would be around 110-120, and active it'd be 130-145. It was pretty scary. I never even noticed until health professionals noted it on four separate occasions over the period of six months. Eventually I got on 25mg metoprolol extended release and now it's perfectly normal. I was on Valium to help me sleep. I don't really have that problem anymore and I'd like to just be done with them. (Oct 31, 2009 | post #98)
They're kind of alt/pop/rock. They've been around for about 15 years. I have lateral facet hypertrophy (arthritis of the joints of the spine) with foraminal stenosis (narrowing of the holes in the vertebrae of the spine where the nerves exit). Right now, I take 5mg methadone twice a day with oxycodone 5mg for breakthrough. I was also on diazepam (Valium) 5mg twice a day, but I'm slowly coming off of it because I don't like being on two dependence-inducin g drug types (opioids and benzos). I have cyclobenzaprine (Flexeril) 10mg, but rarely take any. I am also taking omeprazole (Prilosec) for gastric problems I developed while on NSAIDs, metoprolol (Toprol XL) for high pulse due to pain, and pravastatin (Pravachol) for high cholesterol. Natalie seems to be pretty caught up in the "Methadone clinic may cause problems" thread. I miss her too. (Oct 30, 2009 | post #96)
Anna Nicole Smith Used Methadone While Pregnant, Had Seizures
Opioids have been shown that, in general, they are safe for use during pregnancy. There are many women on MMT or other opioids for chronic pain that have children. The only result is that the infant is born opioid-dependent, which isn't a big deal since it's fairly easy to wean them off. Babies born to mothers on MMT aren't weaned off using methadone, but likely switched to a short-acting agonist, as this is easier, safer, and takes less time. Any time I rotate from methadone to a different pain medication I stop methadone immediately at whatever dose I happen to be at and switch to an equianalgesic dose of a short-acting medication while being switched to the new long-acting. Any time I rotate opioids there's some uncomfortable feelings for a week or so until the new medication is stabalized. (Oct 30, 2009 | post #3)
Not entirely true. Subutex is just buprenorphine, which is a partial agonist (which means at about 32mg it stops working). The reason buprenorphine sets off withdrawal in those already dependent on opioids isn't because of antagonist actions, but because it has an extremely high affinity for mu opioid receptors, so much that it displaces other opioids in the system. If you have a heavy opioid dependency the buprenorphine dose will not be sufficient to prevent withdrawal when this happens, which indeed causes severe withdrawal. Suboxone has buprenorphine and naloxone (Narcan, an opioid antagonist). The plan for that was that due to the poor oral bioavailability of nalaxone, when taken properly it would be fine, but when injected (thus increasing the bioavailability to 100%) the naloxone would block the buprenorphine. This doesn't work, because of the same reason I mentioned above. Buprenorphine has such a high affinity for the mu receptors it is resistant to full-on high doses of naloxone, let alone the tiny amount in Suboxone. Buprenorphine (alone or with naloxone as Suboxone) is widely abused, especially in Scandinavia, where it is the principal IV opioid of abuse. (Oct 30, 2009 | post #13)
Methadone clinic could cause problems
Nats! Are you ever going to come back to the real threads? (Oct 30, 2009 | post #1170)
Owner of proposed methadone clinic believes it can be good for ...
Not all of us have the spare time to sit on Topix and post every two hours. Some of us work for a living. I've said before I'm done arguing with you. It's not worth my time. As far as I'm concerned Kentucky could disappear and I'd likely not notice. Have a nice life as a fake doctor. (Oct 28, 2009 | post #140)
Owner of proposed methadone clinic believes it can be good for ...
What poison would that be? Facts? Yeah, they're such a bummer to people that love spreading propaganda. (Oct 28, 2009 | post #130)
Owner of proposed methadone clinic believes it can be good for ...
Keep thy religion to thyself. (Oct 28, 2009 | post #128)
Owner of proposed methadone clinic believes it can be good for ...
The entire point of the clinic is that they have to go every day to get their dose. It is in liquid form so they cannot "cheek" the pill and sell it/save them up and get high later. I get a bottle from the pharmacy because mine is prescribed for pain, but when it is prescribed for addiction the patients have to earn the right to a few days of take-home medication. Studies have shown that street methadone is 99% diverted by pain patients, not addicts. How do you propose we closely monitor every drug user? Are you going to pay for it? The entire reason these clinics exist is because some people simply can't be "totally drug free." I guess you just don't get it. Addiction makes you crave a drug. You can't cure that overnight. Being maintained on methadone prevents cravings, thus preventing relapses. Even if one relapses, on high doses of methadone it doesn't work. The entire point of methadone is that you DON'T get high. Stop assuming everyone that defends methadone clinics owns one. I've never even seen one, let alone own one. Also, narcotics are on List I of the Opium Law in the Netherlands. Just because marijuana is widely used doesn't mean all drugs are. In the Netherlands there's a lawful difference between "hard" drugs and "soft" drugs. All opioids are classified as "hard" drugs, and are fully prosecuted. You are nothing but an uninformed ranting maniac trying to spread lies and propaganda. You must either work for or watch Fox News. (Oct 27, 2009 | post #97)
Owner of proposed methadone clinic believes it can be good for ...
No one ever said it was non-narcotic. Methadone is a potent opioid, up to eight times as potent as morphine. (Oct 27, 2009 | post #95)
Headline:
all this pain is an illusion..
Hometown:
Parkville, MD
Neighborhood:
Parkville, MD
Local Favorites:
World Aquarium, Ocean City, Rams Head Live!
I Belong To:
The Pain Relief Network, The XMPP Software Foundation,
Read My Forum Posts Because:
I'm educated in Pharmacology.
I'm Listening To:
a lot of different artists
Read This Book:
Pain, Analgesia, and Addiction: The Pharmacologic Treatment of Pain - Barry Stimmel, M.D.
On My Mind:
Pain. Always pain.
Blog / Website / Homepage:
http://www.ericw.org/
I Believe In:
Better living through chemistry. I lean on pills because god is invisible and that makes him pretty difficult to lean on.