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Methadone to Sub advice please
  1. #1
    araucaria is offline New Member
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    Default Methadone to Sub advice please

    Hi Everyone!
    This is my first post.
    I have read the sticky guide Suboxone/subutex therapy by Robert_325
    It seems to make really good sense. However I wanted to get some advice from people with experience.

    I think I made a big mistake starting to take methadone to withdraw from opiate painkillers!
    I have reduced from an initial 40mg dose to my current dose of 2mg over the past two weeks. I have been on this dose for the past 2 days and despite struggling am determined not to increase the dose again.

    I have a really busy life and am trying to run 2 businesses and have a young child.
    I am absolutely determined to get clean and desperately want to try and do it as quickly as possible.

    I really just wanted some advice that was more specific to my current usage. Also whether I should taper the methadone more or just transition as soon as possible.

    Also some advice as to the suggested subutex dose to start the induction.
    Any help or suggestions massively appreciated..
    Thanks
    a

  2. #2
    Ming23 is offline Platinum Member
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    Default

    Hey Aurocaria
    Welcome! I also went from methodone to subs. You're down to 2 mg or is it 20 mg of methodone now?
    In any case, you will have to spend some time not taking the methadone before u take any subs. Can't just switch over or u risk precipitated withdrawals, which suck.
    Download the Cows worksheet to assess how far into wd you are before taking subs. You should wait til u hit a 26. Score honestly. You don't want to go through pwds. I've been through it. It's horrible.
    Reread Robert325s sticky. He discusses waiting til ur in wd and then starting subs at a very low dose like .5mg. That is point five mg or half of one mg.
    when will you begin not taking any more methadone?
    You've made the right choice! Methadone is liquid handcuffs.
    Post when u can...
    araucaria likes this.

  3. #3
    araucaria is offline New Member
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    Default

    Thanks very much for the reply.
    I am actually down to a pretty low dose now 2.0 mg methadone. Well actually now 1.8mg since last night. I have been delaying my dose each day by 3 hours too. Not been waiting to stabilise properly between tapers so most of the time I'm in mild wd and not sleeping much. But I figured the shorter the period of time I've beem on methadone the better.
    Yes I understand that you have to be reach a score of 26 before transitioning. I know he recommends a dose such as 0.5mg - I was wondering if I should try starting at 0.25 mg as I am on such low dose of methadone. I have also already downloaded the Cows worksheet.
    I've read different stuff about transitioning or continuing to taper the methadone - do you still think at 1.8mg I should transition?

    My other problem at the moment is that I'm struggling to get the subutex in low enough doses. The lowest I can get is currently 2mg - problem is I assume its going to be difficult to dose particularly during the induction and at the end of the taper. Maybe I could disolve one in water to make dosing easier?

    Another thing I've heard suggested to make the transitioning easier is that because of the long half life of methadone you will need to be withdrawing for a couple of days before you hit the Cows criteria. Ive read that you can take a hydrocodone or oxycodone just before as its effects peak at 6 and last for 12 hours - this will obviously remove some of the discomfort before transitioning - any thoughts?

    Thanks again for the reply
    best wishes
    a

  4. #4
    Iluv2smile is offline Platinum Member
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    Default

    I think you should continue with the methadone.
    You are at a low low dose .
    You could even do skip days now ..
    Dose
    Skip a day
    Dose skip 2 days
    Dose
    Skip 3 days
    Done..
    Methadone like sub has a long half life
    So the skip days allow the drug to get out of your system..
    I am not a dr so it is of course up to you..

    I was on methadone for years and if I could of gotten down that low I would have just jumped from the methadone..


    I think you will be ok..

    Sub is easier for most people to taper
    Because it is not a full agonist like the other opiates
    So the potential for abuse is less..

    But you are doing great job
    So go for it!
    Take care
    Bette

    It really is not recommended to take comfort Meds during the waiting times
    Because it prevents you from scoring yourself accurately with the
    Cows..
    Last edited by Anonymous; 07-02-2016 at 08:09 AM.
    Catrina, araucaria and Ming23 like this.

  5. #5
    araucaria is offline New Member
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    Default

    Thanks very much for your reply.
    I'm struggling a bit at the moment, the idea of skipping a day is a bit daunting - you make it sound so easy!
    On the dose days would you suggest maintaining the same dose or tapering too?
    Thanks again
    a

  6. #6
    Iluv2smile is offline Platinum Member
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    Don't skip until you are good and stable
    That means little to no withdrawals..

    your dose is low enough
    But you have only been on it a few days right?

    Give the same dose you are at a few days..
    1.8 mg or2 mg

    Pick one stick with it at least 5 days
    Till stable ..
    Then you could do skip days..

    Like sub methadone has a long half life..

    You have to take it at the same time everyday..

    I really feel your dose is low enough..
    You just need to get stable and that takes a few days for your body to adjust..
    What do you think?
    It is up to you..

    But I would be so happy to be at that low dose..
    You are almost there..
    Enjoy your success..

    That is essential for getting your endorphins
    Flowing again..
    Bette
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  7. #7
    Ming23 is offline Platinum Member
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    Araucaria
    I agree 100% with Bette. Just taper the methadone. If it was me, i would do what Bette said and begin skipping days soon. You're doing great!
    Years ago, i jumped from 5 mg methadone and it wasn't bad. You're on 1.8 mg now. Methadone stays in ur system for several days so it won't be too rough.
    Honestly, I wouldn't go on the subs. No real benefit because in the end you have to kick the subs anyway.
    Stabilize and then consider skipping. You can do this! You'll never regret this choice!!
    araucaria and Iluv2smile like this.

  8. #8
    araucaria is offline New Member
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    Default

    Thank you both for your advice, support and encouragement.
    Your advice makes good sense - I will scrap the subs idea.
    Yes I dropped from 3.5mg to 2mg in about 4 days and I have done 2 days at 1.8mg
    Actually today has been quite difficult - I was expecting it to be easier than the day before - maybe because I reduced quite quickly I'm rapidly losing the half life residue from the previous doses.
    Anyway I am determined - it is not an option to remain dependent!
    I fully realise that I'm in a very fortunate position with my current dose compared to others so am even more grateful that you have taken the time to help.
    I'll keep you updated on progress
    Thanks again
    a
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  9. #9
    Ming23 is offline Platinum Member
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    Araucaria
    So, how's it going? Hang in there & drink plenty of water. You're gonna be ok!
    Iluv2smile likes this.

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