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Medical Methadone

University Press of Florida

Methadone


Surviving Heroin: Interviews with Women in Methadone Clinics

Array (Hardcover) University Press of Florida 2001-11-30


Price: $59.95

Answers

has anyone done a medical detox off of methadone and what was it like going through the detox?

I am really scared to do a medical detox


My friend was addicted to drugs and was taking morphine capsules daily on reduction, he was in agony. He swapped to subutex and is superb, no cramps, pains or sickness. He is able to cut down on reduction without any discomfort. Make sure you take a good omega 3,6, supplement and multivitamin. Do not be scared. I have nursed many people through detox and now they are happy , clean and enjoying life. congrats on making the decision to be clean!

idle edsel - Methadone Conspiracy


idle edsel breaks the Methadone Conspiracy story on 1-1-11 in Norfolk Virginia. Basic Pharmacology: How Methadone Works? Part I Introduction by ...

subject/medical,How long does methadone stay in a persons system?



No time at all. IF YOU DON'T PUT IT IN YOUR BODY IN THE FIRST PLACE.

Methadone addiction; need medical experts help?

Ive been addicted to methadone for around 2 years taking around 120 milligrams a day see today i missed the clinic and bought Suboxone to take away the withdrawl symptoms but it didnt it seemed to make it worse x 10 so can u tell me what happenend. And also how long it would take me to get off of methadone to where i would have no withdrawl symtoms Please I need medical help!!!!!!


GaryR is partly correct.

Suboxone (buprenorphine/naloxone) is a mix of two drugs- buprenorphine a partial opioid agonist and naloxone an opioid antagonist.

Suboxone can cause opioid withdrawal symptoms if administered to a patient physically dependent to an opioid who is not in withdrawal. Suboxone can only be administered AFTER withdrawal symptoms start to occur. With most opioids (not methadone) it can typically be given 12 hours after the last use of an opioid. However methadone lasts much longer than drugs like Heroin, morphine, oxycodone, or hydromorphone and typically people must wait about 24-48hrs.

Methadone, unlike Suboxone, is a full opioid agonist (as is Heroin, morphine, fentanyl, oxycodone...) so it acts on receptors differently. If Suboxone is administered to a person physically dependent to opioids (especially full opioid agonists) it precipitates withdrawal because the naloxone in the drug BLOCKS opioids and is used in emergency situations of severe opioid toxicity (overdose) because it binds to opioid receptors but unlike drugs like methadone or Heroin that activate opioid receptors, naloxone does nothing but block the ability of opioids to bind to receptors. Even the buprenorphine without the naloxone can cause a person to go into withdrawal. This is why careful induction must be followed when starting Suboxone.

Basically you made a HUGE mistake, buy taking Suboxone, as you said, you did start to withdraw and it is far worse than what normally happens. This is part of the reason Suboxone has become so popular, it blocks the effects of other opioids or causes withdrawal, especially with IV use, which makes it hard to abuse. When Suboxone is given out people actually look for signs of opioid intoxication and do not give the dose if the person is intoxicated to avoid severe withdrawal.

According to The Official Suboxone Product Monograph, "Before beginning Suboxone therapy, the dose of methadone must be reduced to a maximum of 30 mg/day. The first dose of Suboxone must be taken at least 24-48hrs after the patient last used methadone or preferably, when the early signs of withdrawal appear. Suboxone may precipitate symptoms of withdrawal in patients dependent upon methadone."

Suboxone is very complex, in most (if not all) countries doctors must go threw The Suboxone Education Programme to be able to prescribe it.

If you can you need to see your doctor and, depending on what is offered at the methadone clinic, you should talk with someone about getting off the methadone and it truly is important they know what happened.

Also being physically dependent (which results in withdrawal) to methadone is not addiction. Many people think using methadone is "transferring addictions" but that is not the case. The idea of methadone is that it stops physical withdrawal which allows people the ability to work on their addiction without the problems of withdrawal.

It will take you time to get off the methadone, the slower you go will reduce or eliminate the severity of the withdrawal, and at your dose you can't really transfer to Suboxone. Suboxone and a few other opioids have to be used with extreme care in people physically dependent.

You also can't really use opioids for a while after taking Suboxone because it blockades opioid receptors and does not allow other opioids to bind to the receptors thus they have no effect.

Also there is no such thing as "physical addiction". It is technically physical dependence (addiction is technically no longer a medical term). Physical dependence is a state of adaptation that is manifested by a specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist. Physical dependence commonly occurs in people addicted to opioids but also in people using opioids for legitimate medical reasons.

Addiction (technically known as substance dependence) is a primary, chronic, neurobiological disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviours that include the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.

So physical dependence alone has nothing to do with addiction, it just so happens that they can occur together.

where can i buy methadone or have a dr consult online.i have medical records avail.?

i dont want to be screwed over so i dont know where to turn. dont wanna do illegal stuff.maybe a dr online or a place i can order from.


You have more of a chance of getting caught up accidently in something illegal than if you see a physician in person. Make an appt to be seen!

what are the most common uses of ataban(spelling?) in medical treatments? Is it a sedative? Like methadone?

I have a friend who has had a severe stroke. When he is
uncontrollable, they give him ataban(spelling?). He has
frequently become self-injurious, pulling off IV's, ventillators,
and feeding tubes. Is this drug the new thorazine? Is it
like methadone? Is this a brand name? Can you give
me some relevant links?


I believe you are talking about Ativan. It's a mild sedative.Helps him relax, and sleep. It's different from thorazine which is an anti-psychotic drug. Methadone is an opiod, used for pain management.


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  • Making the case for methadone — Irish Medical Times

    , Regarding the role of long-term methadone treatment for heroin addiction. It has been proposed by both academics and politicians that methadone treatment should be time-limited.

    Prof Neil McKeganey, Director of the Centre for Drug Misuse Research at Glasgow University, has been vitriolic in his criticism of methadone and believes that the drug should be used for no longer than two years. He would appear to have the backing of the British government. Prime Minister David Cameron stated recently that he does not endorse methadone as a long-term treatment, claiming “it does not deal with the problem” of drug misuse.

    The idea of ‘stopwatch’ methadone treatment so enraged many specialists working in the field of substance misuse that a group of over 40 international experts wrote a letter in the Scotsman newspaper in April this year, extolling the virtues of methadone maintenance treatment and condemning the idea that methadone treatment programmes should be curtailed, with the focus on abstinence rather than harm reduction.

    ...

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