I've been on MAT for like five years, dose is 126mg. My dose was holding fine for the most part, but a month ago I started a third shift job. I start at 10PM and I was noticing that every single night I would start sweating REALLY BAD (like, soaking through a couple of work shirts) around 10:45. It usually eases up around 1AM. I dose around 8AM.

I was thinking that working third was causing the sweating so I finally got approved for splits today. This morning I dosed 76mg at 8AM and took 50mg at 6:30PM.

I'M STILL FUCKING SWEATING AT WORK.

Can anyone give me any direction on whether this is withdrawal related or a hyperhidrosis issue? I'm so fucking lost on what to do right now.

Hey all - this may seem like a dumb question but after seeing some specific warnings about taking tramadol with methadone I wanted to clarify something.

I’ve been taking 200-300mgs of tramadol for 12 days and am going to detox at some point in the next couple days. I’m out of tramadol but I have a little bit of methadone. I’m fine to start taking that 16 hours after my last tramadol right? It’s taking tramadol while on methadone that’s problematic correct? It’s kinda like the suboxone problem where you can’t take bupe after anything but taking it before wont hurt you?

I couldn’t imagine a problem but I wanted to make sure. I’m on about 3mg of Xanax so I know I have to be careful not to take too much but I’ve typically tolerated 25mg quite well without Xanax and without a nod. I guess the move would be to cut my Xanax as low as possible and take like 10mg of methadone to start? I just want to stay well until I go and be safe.

Please advise if there is something Im overlooking with the interactions and if you’d recommend a different approach.

Thanks everyone.

I’m not looking to get high. I’ve heard that some people nod out from their doses. I’m curious if that’s a regular occurrence. Or like they will dose you to whatever dose you want? I’m trying to understand. I don’t think I want to get on methadone though. So what’s the deal? I don’t get why it has such a negative stigma.

I have been on methadone for just over 1 year. I titrated up to 150mg at the start of treatment. The opioids that I was using were prescribed by pain management, I was on oxycodone, tried norspan patches which made me feel like I was dead inside with no personality, went back to oxycodone and then when I felt like they weren’t working as well anymore and I had to take more and more I wanted to stop, well as we all know it’s not that easy. My pain Dr at the time wasn’t that helpful with stopping so I took myself to the methadone clinic (I’m in Sydney Australia) and started on methadone. I’ve been tapering slowly and I am down to 115. I started my taper and had to stop at 130 due to going through a breakup and not feeling psychologically strong. I started the taper again but I truly cannot keep living like this, the methadone takes away any pleasure in my life. I feel no excitement, no pleasure, just nothing. I don’t look forward to things like I used to or get enjoyment out of the things I used to. I have read that this is Anhedonia and that opioids can cause this, but I guess my question is 1. Why didn’t this happen when I was on Oxy, only started on methadone & 2. Has anyone else had this experience and can tell me anything that can help with it.

It is really soul crushing type of depression. Nothing makes it better. I have an appointment with a pain management/addiction specialist next month and in the meantime my GP has given me a script for a new antidepressant to start called Agomelatine. I don’t know if it’s worth trying?

Any help or insight would be appreciated even from those who are now off methadone.

TIA

with a high tolerance im worried about these beginning dosages not holding me for hardly anytime and since they are starting me off with a low dosage of methadone that has to build up over time would it make more sense to have alot of bupe in my system to make the transition more comfortable? i didnt take much suboxone the last 2 days as i am starting tomorrow morning but now im wondering if i should do the opposite?

TH: Take-Homes

Don't even ask me how many times I've fucked up because I haven't been counting. It's been that much. Here to make everyone else feel better about their journey because surely everyone is doing better than me. 😂

Please give some advice on how to stay 100% abstinent and get TH again. Any advice welcome.I had 2 WEEKS TH when I first started the program then I relapsed, and since then it's been a cycle of maybe having a few months clean and then relapse. and that one relapse causes me to be dirty for about 2-3 weeks of weekly urine samples, so I basically get one or two weeks of clean urines to show for potentially months of clean.

My clinic allows cannabis so the first time around I was using alot of cannabis, lived with my parents etc. that's how I was able to get the TH, living in a supportive environment and I even had a job and everything.

Now my situation is quite different and I can't seem to stop relapsing.

Anybody else who has been through similar and could offer advice would be amazing

I went up to 100mg when first starting, and over the years I've tapered off and on. I've been on lower doses for years now, on 18mg currently and I actually feel way better. I feel more stable. Depression is better. I sleep better. I think more clearly. I feel healthier. I think it's normal for the addict in us to think more is better. And we psyche ourselves into thinking we need more than we do. Just wanted to see how many others feel better on a lower dose.

If this isn’t allowed feel free to delete but was just curious about how long fent usually stays in urine? I did like 6 blues Monday, didn’t do any for about 40 hours and did 4 more today. Besides this I haven’t used fent in months.

So I am at 150 mgs now and she put in for 160 but in a week I'm able to ask for a raise which I know I'll need. What kind of things should I tell the doctor to get it raised higher? I'm so irritable and hurt all over.

I am mid thirties, f , normal bmi if any of that matters. I have been tapering. I went from 120mg to 60mg in 10% increments. I only have maybe 2 days of back pain and that was only some drops not all, Except towards 60, which I took a year to stabilize again. I then started 1mg every 3 weeks. It's so painfully slow, that's 17 mgs a year. I think, It was auto and I didn't stop. I started at 59mgs, 1 year after, only at 41. The jump from 42 to 41 has been hell. Or maybe it's just pain I'm not able to mask. Idk. Instead of maybe waking up at 3 am with back pain for 2 days the first week I've felt awful the entire 2 weeks. I wake up at 3am no matter when I go to bed. I'm waking up with this annoying pinching in my shoulders or it's mid back pain. Kind of goes away if I'm up but not totally until I dose. I just can't understand this tiny jump giving me so many issues. I'm exhausted, bc now by mid day I'm falling asleep sitting up. I split dose anyway, dosing full in the morninh makes it come on sooner. Any advice,similar experiences?

I’m a client myself at ANOTHER clinic, so I can absolutely relate to the patients.

But if your clinic had SM, what would YOU like to see covered? Rules of said clinic? Regulations that the state requires of said clinic? A “who’s who” of the clinic? (IE: “Meet Our Team” showcasing the nursing, counselors, directors, etc) New info/research/guidelines about MAT clinics?

Also- for those IN the industry: what pages/associations should I be following/on the email subscription lists? I’m already following a few HR (harm reduction orgs) & NAADAC (association for addiction professionals) already. But want to be following all related pages I should be to keep up with new info! I’m in Maryland, if that helps! As my director does want me to get a “calendar of events/seminars” I could attend other behalf. So any suggestions would be appreciated!

Does CARF have a Fb page, my chance? I couldn’t find one, and couldn’t find an email subscriber listing, either.

Previously I posted I think yesterday that I went from 90mg to 95mg. I’ve been at this clinic for about 3-4 weeks. I was tired of disrupted sleep so the nurses agreed to increase me 5mg, although they offered 10mg. I like going slow (5mg) because it gives me room to grow.

I’m happy. Although I never got that “glow” people talk about this time. I’ve gotten before past times in the beginning, but I’m almost glad I didn’t get the glow because I have nothing to grieve once it were to wear off.

How do I know I’m at a good dose? I just started it and on 55mg and still having cravings. I feel like I’m annoying my dr already. I want to eventually get off but the methadone is working for me for now. Would it be trouble if I asked to be bumped up to 60mg? I don’t want to make the dr mad. I have a lot of anxiety.

I just wanted to express how much this sub means to me, mostly everyone is so supportive and does their best to answer questions and to support everyone that posts here in need of help.

It’s just an amazing little community we have here, I lost a lot of friends due to addiction and we all kind of separated after we got clean; it’s sad when you realize the only thing you had in common was doing drugs. What I mean here is that I don’t have friends that know what I’m going through and can relate, I have lots of support in my life but it’s nice to have the support of people in the same situation and know what addiction and recovery is like.

I love you all and you guys and girls should be proud of the community you’ve helped create. It’s amazing having a place to go to get advice or just to vent some times.

You’re all amazing.

So I've been in the clinic since January 2018...I've been receiving takehomes for years. Long story short, I'm in between jobs. I start a new much better job next week. I'm excited. But my money has been super tight. I just had to pay my son's senior dues (which was insane). Needless to say, my car is running on fumes atm. I called my counselor yesterday and talked to her about it. I heard sometimes they can help with certain dilemmas. But she basically said that if I don't make it, there's a good possibility I'll lose my takehomes for a period of time. Due to "lack of stability "...I cannot afford to lose them. It would cause major conflict with my new job. Basically I'm curious. Does anyone have experience with this? I'm an absolute wreck right now...I cannot lose my takehomes. I even asked my counselor if they had bus passes available. But they do not arm. What do I do? Please help me navigate this. Is there something I could call and say to help my situation?

I just turned 66 you all,I went from 120 to 115 yesterday,just to give her a try. This drug is good and bad at the same time,I know you all know,I just want to ask any of you men over 60 on this stuff,Id love to hear a little of your gripes and rants and even love stories,whatever you feel like sharing to another old man,id really appreciate it,and Thank You All,I miss my Sabby Girl,but its ok now,its been 4 years,

I’ve asked a question about getting started on Methadone about a month ago here. Haven’t convinced myself yet until the other day when I realized how much money I’m spending on Oxys. My problem is that I work full time and spend my time off with my child. I’ve heard you have to go to meetings 3 days out of the week and all this other stuff. Do clinics help people with schedules like mine? I understand you have to go in everyday and dose and drug test. It’s the other stuff that comes with it that I’m questioning.

so i im starting methadone on Thursday and im terrified of the beginning stages as i am a business owner and have alot of people who depend on me. im worried about the initial dosage being to low and the amount of time to stabilize. any advice as i cant really even get my doc anymore which was 1000/1200 mg a day of pharma oxy, am i going to just be withdrawling for weeks until my dose stable? ive been trying to induce on suboxone the past couple weeks and its not working so im switching, so im also worried about it blocking its effect.

I’ve lately been messing up and taking Xanax. I know I have a drug test coming up and I can’t fail for these Xanax or that will just cause even more problems for me. I have to have methadone in my system (which I do, just with Xanax also). So basically I am asking if anyone knows how to go about taking this test and getting away with the Xanax not showing up.

so my best friend she/and i are trying to get her into treatment (she needs to be out of her hotel by tomorrow so she’s going no matter what) but she couldn’t dose this morning bc she has her own breathalyzer (she’s an alcoholic bad rn) and she gets daily breathalyzed so she had skip dosing today due to dcf finding out if she fails one. i have an emergency stash but no idea what mg i have in the bottle. i got a 5ml sryinge (not needle, it says not for oral use but i have the universal male to female blue luer lock cap to make it one.. and it straight up is plastic and looks exactly like an oral one) MY problem…. it’s a 5ml when i should have asked for a mg one since i need to dose her 20mg from my bottle using it. i SUCK at math. i used a conversion site but i dont know the density of cherry liquid methadone. can someone help me figure this math out please 🙏🏻. i did the conversion site using “corn syrup” as the density bc it was the closest to cherry cough syrup/aka methadone consistency… it came out as 20mg of “corn syrup” aka methadone would = .02ml. does this mean i just do the first two little lines (there is 5 lines in between each ml) in my brain this means i should dose her just the first two little lines so it’s less than half one ml and that should equal 20mg of methadone ??? am i all wrong ? 🙏🏻🙏🏻🙏🏻 please need a math 🧠 brain ⛈️

My son and my daughter just lost their dad last night. We’ve always coped and he was the one that always bought the expensive clothes or shoes. He was very active in their lives with the camping, riding motorcycles, boating, fishing, everything. I’m 10 months in With the MAT treatment and people keep telling me not to go backwards and start using again. I don’t feel like I want to at all at this point. I just need some advice on how to help my children through this. my daughter is 20 and my son is 15. Any advice would be greatly appreciated. Thank you.

Welp- they knocked me back to daily’s. I had lost my SSRI bottle, (I keep them in a daily take pill container) I had figured last months bottle would be ok, as the rule book didn’t really specify it wouldn’t, as it’s exactly the same amount, Mg, etc. my count was accurate. So now I’m going daily until my dr apr… in 2 days. However that SSRI is always delayed until the next day at 11, exactly at my pharmacy. When my clinic closes at 11. So realistically- I won’t be back on my take homes till next Monday. All cuz the bottle isn’t this months- but the pills were. It’s an anti-depressant. The Xanax was accurate + extra..

I’m switching clinics, one that’ll have a counselor. I now gotta delay starting my new job at my local MAT clinic cuz of this. Idc if this comes off entitled. I’m just frustrated- I’m doing everything else I should be. Getting, well trying, to start this new job, looking into college, the counts were correct- even had extra for the Xanax. But because the SSRI was IN last months bottle, I gotta come in daily until my next apt, on Thursday. I’m just frustrated.

They wouldn’t do this for a diabetic or any other type of health issue? Why is punishment in healthcare acceptable just for addiction? Gotta love how that stigma still permeates even in the industry workers supposed to make you better - sorry, just frustrated & venting. Now gotta find a job new clinic that’s close to me, that has Counselors, I guess.

Not sure if i can post this here but I'm in the Triangle area and looking to change clinics. What clinic do my fellow residents use and what's the take-home policy?

Last night I dreamed I relapsed and I just knew I was going to fail my UA and lose my take homes. It felt so real too. I woke up relieved it was just a dream. It’s been a while since I’ve had a relapse dream. I’m not even sure what triggered it to be honest. I’ve been off drugs since 2019.

Just wondering how often everybody else goes down if you're trying to taper? I've been trying to cut my dose down/ taper off and have been doing 5 mg every week since my peak of 130. I normally go down on Tuesdays so I can get a full dose on Monday as I stash some of my take homes on Friday, Saturday, and Sunday jic I miss a day or w/e. Haven't really noticed the decreases much at all and just went down from 75 to 70 today! So just wondering how often yall that are tapering go down, and by how much?

Is methadone really that bad for your teeth since I have been on I've had dry mouth and more cavities and other issues.