Methadone
Methadone Maintenance Treatment and other Opioid Replacement Therapies
Array (Paperback) Taylor & Francis 1997-12-01
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Answers
does your body react the same way to methadone as it does to heroin? thanks.
Methadone does not give a heroin addict the same high. My boyfriend was a heroin addict and attempted the whole methadone clinic deal and he said that methadone is a lot harder to kick than heroin. it's rougher and takes more time. We found a doctor that gave him suboxone and i think it's the best thing that we came across. it has an opiate blocker in it so if an addict uses while on it he doesn't get the high. it helped relieve all the symptoms of kicking and it's not as addictive as methadone!!! He has now been clean for almost 9 months!!!!!! YAYYYYY
Methadone is a synthetic heroin and used as a maintenance drug for heroin addicts in treatment. I'm here to tell you that does not work and ...
i was just wondering if anyone would like to share there experience,with it. good or bad. amount of dose, side effects, time using it ETC. thanks!
Yes, it does the job, the cravings are gone and my life is normal again.
I know someone who is getting off of Methadone as a opiate replacement theorpy. I was wondering what are the side effects of coming off of Methadone? Will the attitude change from happy to grumpy or bitchy? Complete personality change? What should I expect from this person? How can she correct any side effects. Thank you in advance
It depends entirely on how they are getting off methadone- properly, with a slow weaning process; administratively, as in a punitive action where they reduce the dose 10mg a day until down to zero, or cold turkey- having walked off or been kicked off the program,and therefor,not completing the process properly.
I'm going to post a commentary I wrote from a website I run on MMT advocacy regarding the recommended process for coming off methadone~ it mainly details the pharmacological process though. In terms of how they will be emotionally~ the best thing you can do is encourage them to do this properly, with guidance from her MMT clinic- and to be supportive by educating yourself on the process. Knowing what to expect, and being supportive is the best thing you can do.
Typically, the best chance at success when detoxing from MMT is to start out with a weekly decrease of no more than 5mg & no less than 2mg, once every week, depending at the stabilized dose you have been at. 80-100 mg is considered an average dose, and the typical start wean/decrease for that range is a 2-3mg decrease once a week. You should try not going lower than those 2-3 m, and if you're having a hard time with that, consider taking your weaning schedule to every other week~ one thing we tend to overlook as addicts is that methadone, unlike heroin and other opiates, is a time released medication. It works for exactly that reason, but it also makes for a longer acute withdrawal period. Where as with a heroin detox, you can expect a typical 5-7 days for to get through the worst of it worst of it, methadone takes closer to 3-4 weeks before the full brunt of the acute withdrawal abates. This is because that slow acting, time releases aspect has also allowed a residual to build up in your system~ the same applies for getting stabilized: remember when you started at 20 or 30mg, and were having a hell of a time feeling normal, but they insisted you wait 7 days minimum before getting an increase? That’s because the medication needs time to build up in your system; the same way it needs time to leave your system.
If this is just your first take down in mg, this might not be as applicable, but if you’re being weaned a few mg every week for a month or longer, you might just be starting to feel the long term effects of those first initial dose decreases.
It will vary for every client~ someone at a higher dose, say 150mg+ ~ may be able to handle coming down at 5mg a week, b/c their residual will be slightly larger. It can also vary with body type- people who are heavier may retain more medication in their system. There is also supported evidence that clients can be “fast” or “slow” metabolizers- one person may be able to go up to 72 hours before feeling the onset of withdrawal (“slow” metabolizers); others feel it in 12 hours- (these are fast metabolizers, and often the solution is split dosing- taking half in the morning, the other half 12 hours later). While this is another issue altogether, it should be noted many clinics do not support this process, since the bulk of their clients require supervised dosing. I will discuss that issue in another note in the near future, but for the time being, if you’ve got take homes, you may want to try doing a split dose for a few days- even if you weren’t a fast metabolizer in the past, as you come down in dosage, you may find this pattern- smaller, more frequent dosing- helps you get through it.
Once your dose gets smaller- in the under 40mg per day range- it is common to decrease the # of mg you cut each week. So, for example, if you’re at 100 mg, and you start to wean yourself down at 5mg each week, you may feel fine until you reach a daily dose of 45mg, then suddenly find yourself feeling horrible. It’s normal in that scenario to switch your weaning schedule from decreasing your dose 5mg each week, to 2mg every OTHER week~ because not only are you feeling the effects of your weekly decrease, but that of the residual build up leaving your system, on top of the discomfort from forcing your body to adjust to a lower dosage.
Those who successfully stay sober continually demonstrate following this type of pattern~ taking their time, allowing for the need to possibly decrease their original cut back. As you move into the 30mg range, you should be considering detox. Detox is tricky- no detox facility is permitted to detox a MMT patient without correlating with the MMT clinic, in most states, by law. This is meant to deter MMT clients who break the rules & are given administrative detoxes from thinking they can get away with it, since a detox will fix it. An emergency room will treat you, if they feel your life is in danger, but as we all know, detox from opiates & opioid agonists like methadone, won’t kill you (unless you have a pre-existing condition that is exacerbated by the withdrawal). It might feel like it- and yes, MMT withdrawal is overall a longer, harder detox-but it won’t kill you. So an ER doctor is at liberty to pick and choose if they will treat withdrawal symptoms before sending you on your way, and the stigma of the disease of addiction makes our plight somewhat unsympathetic, so odds are slim. They cannot, however, send you to a detox in the event they take up your cause, that is out of their hands (unless, again, your life is in danger, or the patient is pregnant, since the withdrawal can bring about miscarriage).
The exception to the case being, a proper weaning through your clinic. A client who decides to take the big step and begin their extradition from MMT has options: and at about 0-30mg, detox is indeed one of them, and a wise one.
Your clinic should have some familial relationship with a couple detox facilities who are equipped and educated to handle such a withdrawal~ and it will often be the difference between success and failure. I know many clients who went through 2-3 years of being weaned 5mg a week, who never felt uncomfortable~ but who, at 10mg, were switched from being weaned 5mg to only 2mg a week- who came back the next day begging for their 2mg back. It all relates to the individual, and to the long term decrease of residual and dose.
You should have a plan arranged at the onset of your weaning: your counselor and your MMT clinic physician should explain the process to you in detail, and all of you should agree on what steps you will take~ including hypothetical ones. You may not need the detox, you may find 5mg a week never really bothers you; you may find 1mg does- so be prepared for those obstacles, BEFORE you reach them~ because if there’s one thing we can all agree on, it’s that we don’t make well-planed decisions when we’re dope sick.
There are also medications your MMT clinic physician can prescribe to help with some of the discomfort through out your withdrawal; though you shouldn’t rely on them until you’ve reached a considerably low dose. Starting to rely on them too soon will leave you ill-prepared for the long haul. Common meds used in detox apply here- vistaril, trazadone, ultram~ but will vary by clinic & physician. Also be sure to account for any changes in your own life: weight loss/gain; a new medication (OTC or Rx- even the simple ones can make a change in the way you metabolize your dose). Stress, grief, job loss, and other emotional issues can also be factors.
It should also be mentioned that while there is no specific, tried and true formula, the vast majority of MMT clients who succeed in weaning themselves completely off have been on MMT for a minimum of 2 years. And I mean 2 years of MMT without any other chemical abuse; 2 years attending every group, counseling session and other appt- even when you don’t want to; 2 years of having a stable home life, a job you enjoy (or at minimum, one that doesn’t make you suicidal, lol), 2 years free of unresolved court cases, warrants, probation, parole, etc. Two years of having the life you had- or wanted- BEFORE you got hooked on the junk. We’ve already got the odds stacked against us: opiate addiction is hands down, statistically, the hardest addiction to beat, and has the lowest success rate. It doesn’t need any help to make us fail; you need a life you consider worth fighting for.
Remember to take it slow, and not rush yourself- MMT has the highest success rate of any opiate addiction treatment, but it doesn’t happen overnight- allow your body the time it needs to adjust to each take down. Your clinic should be very much in agreement with this. Unless you’re going through an administrative detox (typically administrative detox means going down 10mg a day until you’re at zero mg; and administrative detox IS NOT intended to keep you sober- it’s a punitive action taken when a client is not paying their bill, coming up dirty repeatedly on tox screens, gets arrested, or is missing groups)- if you’re going through a planned withdrawal, your clinic should be very supportive in spacing out your weaning- if you’re feeling pressured about going faster, and you’re NOT being admin. detoxed, then you have rights, and you can invoke them. If you’re having issues with this, email me; I will help you find the right channels to deal with it; and don’t be afraid to reach out to the other folks on this site. We have nurses, counselors, MMT clients, & folks who’ve completed MMT & are now clean, and no one knows more about how to fight for their right to sobriety.
Don’t be afraid to take a step back, either- if you were stable at 100mg for several years, and you’re at 80mg now, and having a hard time, there’s no fault in going to 85mg- you’re still progressing.
Planning to try Methadone for replacement therapy for my hydrocodone addiction. Any one know anything that might help me?
www.drugs.com/methadone
Rehab program after rehab program after NA after discipline doesn't work. Trying to think outside the box here. Rejected for medicine replacement/methadone since don't have drug of choice. Looking into holistic treatment/naturopathy and acupuncture and alternative psychological therapy? Psychoanalysis? Rapid Eye trauma treatment, etc? Any ideas?
See if you can find an ibogaine treatment center in Canada. Usage of ibogaine is illegal in the states since it a scheduled hallucinogen, however it is currently being used and has been found very effective for treatment of serious addiction.
Methadone
Package of methadone, as a medicine is in syrup and tablets, too as liquids in capsules. The concentration of the pure substance in medicine 1mg/1ml, 12mg/5ml syrup. Each tablet contains 5 mg of methadone. In the methadone ampoules out there as 1%, 3.5% and 5% solution.
The usual therapeutic oral dose of 5 – 10 mg tablets or solution. Minimum single lethal dose – 40 mg in folks with the development of tolerance to the drug, it increased to 200 mg or more. The action of methadone: In therapeutic doses of methadone has analgesic and sedative effect. It acts on the central nervous system, cardiovascular system and smooth muscle. The first effects begin to be felt after 20-30 minutes after oral administration and comparable to the euphoria and also the duration of the action of other drugs in opioid group. side effects of methadone are expressed in dizziness, nausea and vomiting, also as sweating. Tolerance to methadone develops slowly. Harm and dependence on methadone. Methadone, like heroin, causes long-term use strong dependence. However, compared with heroin methadone is simpler to produce, costs less and doesn’t require the injection route of administration. Overdose is manifested in respiratory depression, feasible pulmonary edema and acute renal failure. Death of numerous western stars associated with consumption of methadone. Among them – the leader of the rock group Nirvana, Kurt Cobain and a well-liked Playboy model Anna Nicole Smith. Diagnosis and treatment. External signs of methadone are similar to symptoms of use of other opiates. Typically, a sharp contraction of the pupils, decreased heart rate and insensitivity to physical pain. At the stage of withdrawal symptoms runny nose, chills, nausea, abdominal pain. There are also vomiting, diarrhea and twitching of muscles. Symptoms of chronic methadone dependence: respiratory depression, hyperglycemia, high temperature and pressure, constipation, cramping, bile ducts and stuff.
...News
Drug addicts turned away from methadone programsGeelong Advertiser - Jan 16, 2011
More than 1045 patients were treated for opioid replacement through the Barwon Health Alcohol and Drug program during 2010. The number increased by 16 perGlobal Voices Online (blog) - Jan 17, 2011
While waiting in line at the Methadone site, I fell down with a stroke. Eventually after this there was some progress in solving the issue of continuity of
openPR (press release) - Dec 30, 2010
Methadone Maintenance Treatment is a popular form of opiate replacement therapy and is known to be effective in eliminating the use of illicit opiates.Irish Medical Times - Jan 07, 2011
Addicts who are out of methadone treatment are approximately three times more likely to die as those who are in stable treatment, states the review,
Malaysia Star - Jan 09, 2011
In Malaysia, programmes to reduce HIV transmission such as needle exchange and methadone replacement therapy for drug users, free and anonymous HIV testing and more »
Bangor Daily News - Jan 04, 2011
The state also has supported the expansion of replacement-drug treatment services, including methadone clinics and the use of Suboxone, another opiate and more »JoinTogether.org - Jan 11, 2011
over-prescription, and promotes the adoption of alternative pain management approaches, including methadone and the opiate replacement drug Suboxone.