After a 3 year addiction to oxy And hydromorphone, self medicating both my physical and mental pain I didn’t think it could get much worse. Until a supposed friend of mine got me into fentanyl. I watched myself spiral out of control and lose so fucking much of everything because of it. And after 3 months I finally made the change and got on MAT.

Currently I’m on 130 mg of methadone and I get 4 carries/take home so far per week. I’ve been doing so good since I started almost 3 months ago. Been clean… but bored and depressed. Last night I ended up buying a half ball of fent. I had full intention to just say fuck it and smoke it all. I put a very small piece in and right as I’m about to finish taking a toke I just felt disgusted. Started spitting, tried to blow it out fast ect. I still have it I’m worried. In 5 days when I sample that I’m gonna test positive and lose all progress. Can’t just do shit right I’m so fucking stupid

So a 2 weeks ago I started my switch to suboxone slowly increasing my suboxone dose every day from .5mg to 1mg to 2mg to 4mg to 8mg to 12mg to finally 16mg, while continuing my 100mg methadone daily dose, the 2nd day at 16mg I completely stopped my 100mg methadone and I’m on day three of that.. does it get easier?

Honestly I just feel so horrible and the cravings are pretty bad .. I havnt eaten or slept much in the past two days and I’m kinda losing hope here lol the doc said id be through the worst of it when i took my first 16mg suboxone dose but its been pretty consistently bad for the past couple of days .. has anyone here done something similar?

How do takes homes work where you live?

I am in AZ. At first you go daily and on Saturday they give you on take home bottle because they are closed Sunday. Then after 2 months you go 4 times a week. 1 month after that you go 2 times a week. 1 month after that you go weekly. Which is the highest unless you have a job then you’ll be required to go every other week.

This is the clinic I go to. I think the other known clinic in my area does it the same way.

Of course there is special cases.

I have heard in some places where they let you take home a whole month supply?

Do you think the current process is the right way to go about it?

I find myself sweating excessively, often nodding off, and feeling quite unmotivated. Showers have become something I dread, and I frequently wake up during the night, sitting up and nodding a few times then going back to sleep, I crave one type of food it switches every 4 months, I've gained 55 pounds. I'm also female If that helps. I'm on 70 mg, also prescribed clonazepam .5 three times daily, maybe I need to drop my dose or increase? advice, please.. I'm 26 years old 5'3 and 255 pounds. I was 190 pounds when I started methadone in April 2024.

I have my appointment with my doctor tomorrow and I want to taper. I want to taper because I have no desire/cravings for drugs whatsoever. At the end of my addiction I was truly over it but just couldn’t face the WDs. I get them BAD and fent WDs were the absolute worse.

Right now I’m stable on 100mg. I don’t have any problems besides constipation. Sometimes it can get really bad but for the most part I have it somewhat controlled with fiber, hydration, and miralax.

Will tapering help or worsen the constipation? How fast should I go? I don’t want to go super slow but I also don’t want to have sever wds either.

Should I taper and just quit? Or should I taper and transition to sublocade shot?

My wife went from fent to subs using the Bernese method (which I tried but had horrible precipitated wds) then was on subs for a week then took the shot. She did 3 full shots, 3 half shots, then 2 1/4 shots then stopped. She felt nothing for about 45 days then has slight wds (yawning, chills, cold sweat) but very minor and it lasted for about a month. Not every day just here and there and got less and less over time. Her biggest struggle with the route was motivation and depression (PAWS).

I think she has a slow metabolism. I think I have a very high one. My WDs always started before hers, always worse, and quick. Hers took longer to come about, not too bad, but so many days.

Anyway, What’s a good a taper schedule for someone like me? Will constipation get worse or better? Any meds OR recommendations to supplement while tapering (help)? Should I taper and jump or transition to subs?

Thank you thank you thank you thank you!

I have some tramadol and I'm just curious how it will react to me being on methadone. I'm on 115mg. Im just wondering if I'll need to take more than average or whatever. Any insight is appreciated

So a few months ago my appendix ruptured (although I didn't know it at the time but was in a ton of pain) and I went to the VA ER, and after a few hours of running some tests they sent me into emergency surgery. The surgery went great with no issues, and after 2 days in the hospital they sent me home.

Two days of me being home I started feeling immense pain in my abdomen where the surgery was done, so I went back to the VA ER and the nurse who took me to the examining room started asking the normal questions (like medical history and what meds I was on). The minute I told her I was prescribed methadone I noticed she immediately started acting differently, like I was somehow wasting her time and that I was exaggerating my symptoms for some reason. Well after she got my info she left the room. A few minutes later the doctor came in and the first questions he asked me was "how long have you been taking methadone?" followed up by him asking why I was taking it, I answered him and I also let him know that I had stopped taking my methadone since my surgery because being constipated right after having abdominal surgery is no bueno and they had prescribed me some oxys. The doctor then started asking me questions about why I came to the ER and asked where the pain was, I told him I had just had a surgery a few days ago due to my appendix rupturing, he then said he doesn't think that my pain is from the surgery and that I was just having "withdrawals" because I stopped taking my methadone. I just about came unglued when he said my pain was nothing but "withdrawals from methadone". I was pissed because I know what methadone withdrawals feel like, and this wasn't it. So I demanded to see a new doctor. Long story short (actually long story at this point), I had a 8cm abses in my abdomen where they had taken my appendix out. I had to once again have emergency surgery where the had to cut open my stomach to flush everything out (a cut from the middle of my stomach all the way down about 2 to 3 inches past my belly button). I was in the ICU for 3 weeks due to fighting multiple infections caused by my appendix bursting.

I just hate how ER doctors and nurses treat you once they find out your on methadone. It's like we can't have legit reasons as to why we go to the ER, they always think we are trying to score pills or something. I honestly just want to lie about being on methadone so that they will take me seriously.

I am on various medications. I recently updated the "medical information" functionality of my Android phone. In case you're not familiar with it: Among other things, there is a list of medications, that medical professionals/first aid responders can access in case of an accident that ends in unconscious. Anyone can open this screen, no unlocking of the phone is required.

This means my colleagues or family can also access it if I leave my phone somewhere. Most people don't know I relapsed recently after many years clean, and that I'm on methadone now.

I still think first aid responders should be able to know I'm on methadone. I take multiple other depressants. I haven't relapsed on heroin or other opiated since a long time and have never abused my methadone, but I'm old enough to know that no-one is exempt from the risk of relapse.

Among the three other meds I take, is there something I can write on the 4th line to indicate that I'm on methadone, so medical professionals will know but other people won't? Even if they would google that word/phrase?

Like the title, people on levopidon (levomethdone) what’s the differences u make of it? I’ve been on it since aug, 70mg. But Iam intressant on ur guys take on the difference between racemat and pure Levo?

I’m 25F and I have had no sex drive for a few years since I got up to amount 60mg +. No fault of my partner. Is there anything I can do besides tapering? It’s miserable for us both. Any advice is appreciated pls no judgement I’m being very vulnerable here ❤️‍🩹

So I’ve read about this method. It’s a way you can switch mdone to subs. I saw someone say once they got on subs they then got 1 shot a month of sublacade for 2 months. After the first shot they quit the suboxone. I’m assuming the point is to be completely sober with no withdrawals by the end of the sublacade shots. Am I understanding this correctly? Is this basically a way to get off opiates WD free? I’ve been on methadone for 2 weeks after 3 years of active addiction. I have no timeline and I am not in a rush to quit anytime soon. I just am curious for whenever the times comes If this is a bullet proof method to avoid WD?

Hey Everyone,

Quick question, I’m sure someone here has perhaps ran into this situation and could provide some insight…

I just accepted a job offer (IT contract) and it’s going to be in a hospital setting, so I have to pass a drug screen. The recruiter said specifically I cannot test positive for marijuana (prob because i live in Cali he wanted to clarify that maybe?) That’s fine because I don’t smoke or do anything besides what I am prescribed (methadone). I didn’t want to bring this up to him because I don’t know how he would react or if it would affect my chances of being hired. I’m not sure what panel test it is, but if it’s at a hospital I would assume it’s a ten panel. I asked the clinic, and the program director gave me a letter indicating the date I entered methadone maintenance and she signed it, so I was going to give this to the drug testing people and maybe bring an empty take home bottle. Do you think this is sufficient, and will work for excusing a positive test for methadone?

I'm on 110 MG of methadone Florida 4 years. I need to go work out of town and I'm interested in using demerol in place of methadone. Not looking to get high just don't wanna be sick. I wanna feel normal and be able to not be sick. The pills are 100mg. How many MG would I need to not be sick?

I need any and all advice. Been 36 hours since last dose. Idk what I’m feeling. I know they say it’s more mental than anything at this point, but I’ve always called bullshit on that theory (especially when you’ve been on it as long as I have). Exercising, taking magnesium, and D3 already. I know the worst is yet to come (I think). Anyone have similar situation?. Will being at 1mg make a damn difference in the long run of it all? Or, is it the same as someone coming off 20 mg since I’ve been on it so long? Really appreciate it guys. I’m so ready to be done with this life sucking shit. I don’t even know how to handle life without it, but best believe I cannot effing wait to have control of my life again. Just scared. Tired of that too.

Just need to rant. My counselor called me at 6:30 am. I don’t wake up until 8:20 am and when she called it woke me up in a panic because I didn’t know why the clinic would be calling me. I thought it was bad news of some sort. She said she wanted to know what time I was coming in that day. I’m not sure why she asked I come to the clinic the same time every time. I was groggy and she kept saying she couldn’t understand me. I felt like saying well you woke me up out of a dead sleep! Finally the call ended and of course I could t go back to sleep. I was very annoyed.

So I was wondering are there any more clinics in NYC that use the wafers/biscuits? If so who are they?

Heya 👋 This is my first post ever so go easy on me 😅 Im wondering if my morning drink would could break a fast, or if it's too little too worry about.

Im needing to drop 40-ish pounds, and had great success with I.F before ! Thing is, I usually dose at 7am before getting the kids ready for school... But I'm kinda concerned about it breaking my fast ?

Thoughts ? Thanks in advance ☺️

Whenever I would get sober in prison I would be sick all the time. I don't think I ever got sick besides dope sick when I was using. I work in a hospital now for many years and my wife is a school teacher who always has a cold it seems but I barely ever get sick. I think opiates keep the body from the common cold. Lol..

My clinic said they are going to start reusing bottles due to a shortage of plastic. I assumed they would at least have access to caps with seals. But no they are going to give out unsealed bottles. I told them I would rather face dose than be given an unsealed bottle that they won't replace when it spills. how can this be legal? they said there is nothing they can do about it.

Just a casual poll for those of us who split dose officially or unofficially:

What is your dosing interval and split ratio?

I usually do 70% / 30% approximately 12 hours apart. (unofficial split doser)

Idk wtf is going on but I've been getting diarrhea 45 mins to an hour after dosing at least a couple times a week, like explosive diarrhea.

How is it possible to have diarrhea on methadone?

Also, does having diarrhea after taking liquid methadone cause it to not be absorbed as well? I feel like on the days I have diarrhea after dosing, that I never feel my dose kick in and I go into withdrawals sooner or is it placebo? I have heard diarrhea can limit the absorption of some medications because everything is running through you too quickly so does that apply to methadone as well?

Hi! After my last post I really started thinking and questioning if my Ativan was playing a role in how I was feeling. I’m prescribed .5mg to take at bedtime, but for the past 2 years I was taking at least 1mg at night plus as needed during the day. The past 4 months or so I haven’t felt I needed it as much and took the .5 on average once per day or every other day. I was scared to mix it was the Percocet I was doing as well. Some days I could take up to 4mgs but .5mgs a night was the majority.

Last week I went two days between the .5 doses, didn’t think anything of it. Still didn’t feel stable on the methadone as described in my previous post. I went another 2 nights, and last night I slept horribly and woke up completely soaked in sweat even though our bedroom was 50 degrees (my husband likes it COLD lol). Very similar to how I’ve been feeling with the methadone, okay during the day but at night I start feeling shitty. Could I be experiencing benzo withdrawal vs methadone? Should I start taking my .5 every night until I feel stable on my methadone dose then start tapering the Ativan? Currently on 75mgs of methadone, super tired and nod-ish during the day but feeling crappy at night. I think my period to increase just ended and will have to increase via my counselor now. 2 weeks and 1 day today!

Is there anyone who goes to the clinic that also sees a doctor for Prescription Adderall & Xanax. I have been going to the clinic for over a yr now. I was able to complety stop the fetty about 6 months ago . I had a problem with street Adderall to and my doctor said he would prescribe me Adderall and Xanax for anxiety if I gave a clean u.a ,which I can now, even though I've been clean from the amphetamine for several wks now I still don't have much drive or energy, I know I was self medicated myself because of ADHD and I've been prescribed before. I know all clinics are different but does this sound like anyone and what dose Xanax did you get ...thanks I am on 203 mg of methadone and weigh 170lbs , male

so every other week i get really constipated, which i guess is a normal side effect, but eventually the constipation turns into incontinence, similar to diarrhoea. but i still can't go to the bathroom. why is this?

edit: for people confused i think the constipation turns into overflow. im really not sure cuz i cant find answers to why it does this

I'm always seeing people refer to the people who dose them as nurses. I went to a clinic that the nurse dosed but I think she was also a licensed pharmacist. In Nebraska, the person who doses you at a clinic has to be a pharmacist. My clinic pharmacist just quit after 17 years. I've been getting dosed by him since 2010. I was just curious how it is at yall's clinics.

Hey so I've been about 58 or so days clean for the first time ever. My family is so disappointed.I just broke down and had a relapse my mom's so close to kicking me out and my brother never wants to talk to me again. Lo and behold my counselor calls and tells me how proud he is of me that I've been flying so straight after 5 years of being on methadone and still using. I got you your take weekend take homes! Ugh. It's the end of the month, and my pee tests are usually at the begging. What should I do guys? Should I be upfront with my counselor and tell him I've relapsed. Or just say f It and hope that it's out of my system by the time my pee test comes up?

I have been on methadone for 7 years. I stabilized at 140mg and stayed there for many years. I have been working my way down by 2mg every 2 weeks. I typically notice a difference in the first 3 days and then it's better. I got moved to monthly so now I'm only going down 2mg every month - which suits me since I'm hyper sensitive.

I just reached 64mg and a horrible knot appeared in the muscle of my back/right shoulder. it feels like a muscle stretched to maximum and it's excruciating to the point of debilitating. When I take my daily dose, it goes away almost completely for about 12 hours and then it's back with a vengeance. the doctor wrote me some 4mg tizanidine BID and I've also been using 800mg IBU, and Naproxen Q12H. I'm also using these icy/hot like salonpas patches.

Any other suggestions?

also - did I just hit some kind of threshold at 64mg?

my doctor thinks so. thinks I need time for receptors to die off. she said months maybe? please tell me it won't be months!

Thank you.

Ok so this is my story, I was addicted to opioids for 2 years roughly. Only ever snorted and used Percocet & the odd time oxy. I got on methadone 4 years ago, my stable dose was always extremely low. I stabled on 16. I am now down to 9mg. I am dying to get off this. It’s been way too long. Im desperate. I do have two kids and a husband so completely shutting down isn’t an option. How can I do this fast and the easiest way possible. What helps with withdrawals? Can I jump off at 9? Should I gradually come off over the next two weeks? Going down from 9. Any help or advice is appreciated. I have 14 Carrie’s of 9ml right now and would love to just use them to get off it and not ever have to go back.

Hey everyone. Currently at 75mgs. During the 6-8 hours after dosing I’m very tired and tend to nod. But come night time I start feeling crappy- achey joints, stuffy nose, restlessness, can’t stay asleep, I sweat terribly, and the cravings and anxiety are almost too much. In the beginning those symptoms started around 5pm, then 9-10pm, and after my latest increase it’s after midnight that they start and are much milder. I sleep better, joints aren’t as achey, but cravings are still coming in hot.

Today marks 2 weeks in the program. I was previously in a program from 2007-2014 and I definitely think I was on too high of a dose most of the time as I don’t remember truly getting withdrawal symptoms or at least not as bad as this time. Is the up and down I feel now normal for the stabilizing period? I do notice the nodding is worse the worse sleep I get. Or does nodding indicate the dose is too high regardless of anything else?

I feel sort of lost right now. I’m so familiar with methadone yet I feel brand new at the same time. I’m fully committed I just want to know when I’m supposed to start feeling “normal” vs this up and down. Any advice?

Rare thing to do. Weigh ~160lb with moderate to high metabolism, pretty low body fat. Any advice on detox time and things to do to expedite the process?

Any information is dearly appreciated!