/r/Methadone

Photograph via snooOG

This a community for any and all questions about methadone and methadone treatment. Our primary purpose is to provide factual, thorough harm-reduction information regarding methadone and methadone treatment. All users of methadone are welcome to post here.

This a community for any and all questions about methadone and methadone treatment. Our primary purpose is to provide factual, thorough harm-reduction information regarding methadone and methadone treatment. All users of methadone are welcome to post here.

GENERAL RULES

  1. No sourcing or buying/selling of any drugs, including asking for doctors/scrips on what to say.

  2. No spam, including not using reddit as your personal blog. 1 post per day per user.

  3. Treat others with respect. Telling someone to kill themselves will be an immediate/permanent ban.

  4. Do not decide what content is and is not welcome here. If you are not sure, report the content.

  5. No posting research studies more than once every 30 days.

  6. No photos of drugs (prescribed or not).

  7. No self-promotion of any kind on the subreddit.

  8. No directly asking for money from other users, NO MATTER the circumstances.

  9. Disrespectful comments towards pregnant women taking methadone will not be tolerated.

  10. No methadone shaming of any kind, including dose shaming, "liquid handcuffs" and other TBD.

Please contact mod mail if you are not sure whether or not your post is in compliance. We would be happy to review your post prior to you posting.

Help Finding a Clinic

Methadone Information Links

Related Subs

Informative Videos

Methadone Advocacy

National Alliance for Medication Assisted Treatment - meets every Thursday at 8:00pm EST via Zoom.

File a Grievance against your clinic

NAATP Ethics Complaint Process

/r/Methadone

40,893 Subscribers

1

Fent methadone to subs

0 Comments
2025/02/01
08:41 UTC

1

Potential Employment Issues

Hi,

I've been out of work for about a year now and in that time i got on Methadone because all other treatment interventions failed miserably.

Have any of you had experience testing positive on an employment drug screen for methadone? I know suboxone doesn't pop positive for opiates on drug panels but not sure about methadone.

Does it? And if it does did it cause a problem with your prospective employer (what job too?)

Thanks fam

0 Comments
2025/01/31
18:30 UTC

1

increased my dose today now I’m insanely itchy

Went up 5mg today to stabilize because I’ve been in mild withdrawal for weeks now and about 5hrs later i got extremely itchy, took a nap and just wokeup 4hrs later still extremely itchy everywhere and under my chin feels really warm. not really red anywhere and nothing looks swollen from what i can see. I’ve never experienced this before and i recently had covid I’m kind of worried there’s been so much shit going on in my life the last thing i needed to worry about is a sudden allergic reaction to my medicine tht keeps me alive and from using tranq fent ! 😭😭😭🤦🏼‍♂️ sn: I’m daily dosing now for a week since I increased so I’ll be telling my clinic tmrw.

6 Comments
2025/02/01
01:13 UTC

2

New sub! r/MATworkers

For those of us working in the field, check out r/MATworkers

0 Comments
2025/02/01
00:32 UTC

2

Need help choosing insurance in California

Hi guys. i recently posted about losing my Medical coverage and owing money.

Update: the 900$ backlog isnt the end of the world, i spoke to the front desk and they are okay with me making small payments. i just need to find current coverage which is honestly giving me a migraine trying to find the cheapest plan that covers Methadone. i learnt that my clinic is in network for blue cross/shield, but they couldnt tell me what the copay would be for my medication and just wanted to sell me the higher tier for secondary reasons despite me saying the methadone being my only concern.

i tried callin covered CA, much the same. had no info on methadone coverage or prices only tried to sell me the silver plan .. im getting desperate i may just pick the cheapest one and hope it covers me otherwise i have to pay that coverage + 300$ a month for methadone and im fked ill just have to do a botched mega taper

1 Comment
2025/01/31
23:43 UTC

1

Tapering

Hello I am a f/47 @178mg. I am being tapered because of long Qt. I am going 1mg a week till off. I am so freaking scared. I've dropped 5 over a month and had to stop till I saw the dr. Dr said yesterday I needed to get off. So I started with a 1mg drop yesterday. Is there really no solution to the long Qtc? Mine was 506. He said 450 is the cut off. My head is just whirlwind thinking. I am not ready. I can't even form a logical post because I am terrified of what's to come. I had wd symptoms after dropping 5 right away. We stopped for 3 weeks. Did one today. Hold for a week then one next Friday. Is this doable if I can get my head in the game? My doctor gave me hydroxazine and colonidine. 25mg and 0.01 but didn't explain how to use them and when. So I'm lost, tripping, and scared. I read most things I could find here but I am not thinking logically right now. Please be kind guys this whole experience has been traumatic for me literally and figuratively.

4 Comments
2025/01/31
22:53 UTC

5

Help!

Ok so right now I'm in a halfway house, been on 195mg for about a year. My counselor at the house came to me today and said there is an issue with my insurance and it's being shut off today. So I called the insurance and everything and worked it out, however, there is a very good chance my insurance will be interrupted until Monday. Tommorow is take home day for Sunday. Will the clinic work with me, or will they just turn me away ? I'm very nervous. Someone please tell me how this works.

19 Comments
2025/01/31
21:00 UTC

0

Coffins Vs Liquid

Is 10mg coffin equal to 10mgs of pink liquid? I’ve heard the coffins are stronger than a liquid and if so, what ratio?

13 Comments
2025/01/31
19:47 UTC

1

Randomly getting the shits?

As we all know, we are all chronically constipated. But does anyone randomly get the runs for a day or two? This happens to me every couple months.

2 Comments
2025/01/31
16:15 UTC

1

Decided to make a subreddit for mat workers,

Title says it all! As some of you know, I’m pulling double duty lol I go to a clinic, but also work at another clinic (WFH, PR/social media). Figured us clinic employees needed a place where we could talk about things related to the field-

Figured if there’s any other people in here that also work at a clinic, feel free to join. It’s R/MATworkers

8 Comments
2025/01/31
15:35 UTC

28

Bummed out… Was coded down…

I was coded up to monthly take homes about 4 months ago. I constantly give clean urine, present doses every time if I get a call back, and have an amazing rapport and relationship with everyone in the clinic.

So this morning the nurse gives me 13 baggies for take homes. And I ask her, when or why was I coded down to bi weekly? She looks at it and she said “Looks like in October they took you back down to two weeks”. I told her that no, that’s when I was coded up to M. She looked at the computer screen again and said “This isn’t an issue I can take care of you’re just going to have to wait and talk to someone about it.”

So I grab my doses and go to the front desk. I’m upset and trembling with a shaky voice and ask the secretary if she can see why or when or how I was coded down and if I could speak to someone. All of the counselors were in the office chatting and they all heard it and literally they all gasped and were like “What!?”— because I have an awesome relationship with everyone at the clinic. So they all are huddled by the computer and are watching it like it’s a football game and they cannot find anything. Nothing. Not a single thing. I make payments every time, clean UA’s, no behavioral issues— nothing. So they grab one of the tenured counselor (she might be the director or at least oversees the clinic) and she tells me that after searching for a while she found that I had tested positive for Fentanyl when I had my last UA a month ago.

I give her the strangest look, like there’s no way. She asked me if there would be any reason why there’d be fentanyl in it and I tell her absolutely not… I take my methadone, miralax, vitamins, and the occasional benadryl or diphenhydramine equivalent for sleep. She said it could be one of those that are popping as a false positive.

At this point I’m pretty upset and I’m trying to avoid crying but it just happens and it all spills out. The counselor asks me what is wrong, this is a small hurdle and we will fix this. I tell her it’s just that all I have is my word and that I have no other way to prove to her I didn’t use, and that she hears lies from people all the time. And that upset me because I know I’m telling the truth.

We talk for a little bit and she deescalates my breakdown. I find out she’s my new counselor now because she hand picks the stable patients that have been on the program for years so that should mean something that I am in her room right now. She told me I just needed to pee again today and come back in two weeks and we’ll talk and they’d have a conference meeting with doc.

Sorry for the long novel, but the barriers and archaic system that punishes clinic patients regardless of false positives or simply punishing to punish sometimes gets to me. I had absolute positive experience my first 9 months with my clinic—no issues. Now the past 4 months since coding up to monthly takehomes I all of a sudden have issue after issue after issue after issue.

TL;DR I was coded down to bi weekly take home dosing for apparently popping for fentanyl in my urine, despite having been clean for 5 years…. has this happened to you? How do you keep your head up when you stay on the straight and narrow path of sobriety and get beat down by the system? This too shall pass, but it still sucks ass!

27 Comments
2025/01/31
15:24 UTC

1

Feeling like I want out

I got carried way and took to much on take homes Now I got to make it 6 days with like 40 to 50 mg each day instead of the 125 .

Fuk my life it's guna be a long hard week I won't mess up again

But can I just go to a detox facility I don't want be in this anymore I want out

0 Comments
2025/01/31
02:33 UTC

11

6mg, now what?

Hey everyone! This is my first post here as I’ve been a long time lurker. I have been on methadone for almost 10 years now and at my highest dose I was at 160mg. Today, I am now at 6mg.

I’ve thought about hopping off at 5mg but I’m feeling nervous. Ive been taking it very slow since I hit 10mg, 1mg decrease at a time. I’m getting tired,impatient and I’m ready for this journey to end.

Can you feel withdrawals from a 1mg decrease(7mg down to 6mg)?

Would you hop off at 5mg, or 2mg/would there even be a difference?

Those are my two questions, and my two options. I’ve been sensitive to withdrawals so that’s what’s made me so scared, I even had to increase at one point in my journey. I want this to end but I do not know what comes after this, and the finality of it is terrifying. I want to make sure if I stop, that I will feel as little effects as possible but the waiting game and the games the clinic is playing is weighing on me otherwise I’d probably go all the way to 1mg.

I just need some of your end stage experiences. Please be kind, I’m scared and struggling.

24 Comments
2025/01/31
13:24 UTC

2

Methadone Split-Dosing: Less NAS, Better Maternal Recovery

Authors’ Conclusions

“Methadone given in multiple divided daily doses, adequate to minimize symptoms of maternal withdrawal, may increase rates of maternal recovery, protect the fetus from intrauterine abstinence, improve neonatal health in methadone-exposed babies, and reduce the severity of NAS.”

8 Comments
2025/01/31
12:46 UTC

35

Hopefully this will calm any others on Medicaid assistance MAT

Went in today expecting anything with all the fear mongering thats hit our community. And we'll...nothing was different. Got my bottles and left no issues. Good luck fellow MAT friends

33 Comments
2025/01/31
10:47 UTC

15

Just finished my taper today

Hey. Hope everyone is well. So after over 11 years on the clinic and 10 years of clean UA’s i am off of methadone. I wasn’t expecting it. I went to pick up my take homes this am, the nurse told me to hand in my empty’s and then smiled and said “you’re done. Congrats”. I was totally caught off guard. I have been tapering 2mg every two weeks blind (meaning idk my dose and i haven’t for years, by choice). Apparently for the past 2 weeks i had been on 1mg.

Bit of history- intake was 11.12.13. Capped at 130mg and stayed for few years. Tapered slowly to 70’s or 80’s and again stayed a few years. Started the most recent taper in June 2023.

I know this is not an exact science by any means but i am nervous right now. I’m not so much afraid of a relapse as it’s been a long time (and yes i am fully aware that it’s possible but atm it’s not my main concern) but I’m afraid of the withdrawal. I have felt fine the entire taper. The only symptoms i have had are crazy heightened anxiety, emotions hard to control and feeling exhausted all of the time.

Does anyone have experience with a similar taper or have come off the clinic slowly? I know everyone is different but I’d really appreciate hearing other peoples experiences and advice. Also you don’t have to sugarcoat or be kind. I feel like i need the truth right now. I think a lot of my anxiety is coming from the fact that i don’t have comfort meds and i don’t feel prepared. Idk if i’d even need them but not having them is making me nervous. Idk if I’ll wake up in 3 days and be in full withdrawal or if I’ll just have some minimal discomfort. I hate the uncertainty.

I’d also like to share the fact that i do feel ready to be off and i have been for a while. My clinic is super strict and as grateful as i am to methadone for saving my life, i do feel the clinic held me back or paused my life in a lot of ways. It’s hard to explain but i never felt like me on the clinic and I’m just hoping someday I’ll feel like me again.

Apologies for the long post and thank you if you actually read it.

18 Comments
2025/01/31
04:43 UTC

3

Methadone and wisdom teeth

My wisdom teeth are coming in i have to call dentist first thing in morning im in so much pain my gum is so tender my whole left side of my jaw is in excruciating pain. im terrified to do this because i dont think they can give us extra painkillers because we’re on methadone already so they’ll just tell me to take ibuprofen. and steroids cause me to have hyperacusis not to mention a lot of antibiotics interact with methadone if i end up getting infection. just so much stress i didn’t need to deal with 🤦🏼‍♂️has anyone had this done while on mdone like am i overreacting? i genuinely don’t know if it will be that bad but i herd it is. my mom says they didn’t even put her under when she did hers. i am going to clinic tomorrow to get my 2 weeks worth I’m going to see doctor about increasing atleast 4-5mg. (btw im not even stable rn) this is fr stressing me hell out not to mention im getting over covid still.

7 Comments
2025/01/31
02:35 UTC

0

Went out of state and messed up.

Started taking morphine againwhen I left the state and now I'm using both my methadone and morphine. They ran a UA when I checked in to my clinic and as far as I can tell the results aren't in and I'm worried because I'm going to test positive. Ive yet again, gotten myself into a mess because the amount of morphine I took on top of dosing at a guest clinic is putting me into withdrawals without the morphine. I really don't want to use anymore, but you know ..it's there and hard to say no. I also got covid when I was away and the ms made my symptoms a little better. What should I do? Call my counselor and tell her what happened, wait for the ball to drop and deal with it? Can I ask for more methadone to stop taking the morphine? Is the methadone not working as I'm still craving my doc (drug of choice)? I have enough morphine to get me through the weekend. Argh! I hate that I've don't this to myself again. I had to leave the state only two weeks into my induction (unavoidable) which hasn't helped. Now I feel like I've let down my clinic, me, my family .....

49 Comments
2025/01/31
01:51 UTC

5

Anyone on here try ducolax?

I’ve been on Methadone for a while now. One of the biggest side effects for me has been the constipation. Far worse than what I had on Suboxone. Mind you, I was also working the drilling rigs while I was on Suboxone. So I was very physically active, everyday.

I’ve read online that the best thing to do is stay away from greasy and processed foods as well as eat a high fibre diet. Also to drink your body weight in fluid ounces of water, and exercise often.

I work in an addiction treatment centre. It’s not a very physically demanding job at all. I go to the gym about 3-4 times a week. Eat a pretty inconsistent diet, and am also super inconsistent with my water intake.

Anyway I have been “backed up” for about two weeks now, which is pretty scary. I’ve been chugging water and taking lots of magnesium. It was causing extreme in comfort to the point I could even shovel my driveway.

My pharmacist recommended ducolax to me. A small orange pill. Said take 2-3 to start and take em daily till something happens. Well that was yesterday. I took 1 yesterday afternoon.

I woke up at 6:00am this morning in agonizing pain in my lower abdomen. More pain than I have ever been in. I went straight to the toilet and I have never been so sick in my life. It’s now 5:00pm and I’m still stuck in the bathroom. I mean it definitely worked but what the fuck. Either I had an allergic reaction or it seriously fucked up my guts. Anyone else had this experience?

26 Comments
2025/01/31
00:16 UTC

9

Is methadone supposed to help stop my opiate cravings?

I haven't used Fetty since August 8th, which I'm super happy about! However, lately I have had very bad cravings to use. I'm currently at 50mg...would going up help stop these or is this just mental at this point?

48 Comments
2025/01/30
22:48 UTC

2

Wean off oxy with methadone

So I bought 30 10mg methadone from a trusted script. I don't think I'll need that much but I need to come off a 400mg oxy a day if not more habit. I was doing so good previously only taking hydrocodone and kratom and then Xmas I met a new source that has expensive oxys for sale and now I'm running out of money and they're scamming me to buy their own stash so I need to quit. I don't want to be on any of this but every time I try to wean off or quit, the withdrawals are so bad I panic and keep buying more to stop the withdraws so this time I got methadone to quit. Should I only take them for three days or seven days because I don't want to get dependent on the methadone. Should I only take one every eight hours if the withdrawals start kicking in or dose myself before I start to get sick?

9 Comments
2025/01/30
22:01 UTC

4

Monthlies and alcohol

I just got my monthly take-homes after about 8 years of clean UA's, aside from alcohol and a few false positives. I always drink the same amount every night, a bottle of wine and 2 vodka shots. Sometimes it shows up in a UA and sometimes it doesn't. I can't figure out why. My counselor did go to bat for me and told the Dr that I'm not an alcoholic and that he's never seen me looking or smelling drunk. And that I'm responsible and work full-time. I'm wondering if my clinic stopped testing for alcohol, as they did with weed, or if the dr is just cutting me some slack.

16 Comments
2025/01/30
19:19 UTC

0

does Methadone can be recreational from 4.5mg medical fent user?

the tittle says it all, i snort about 10-15 Dilaudid 8mg everyday with 2-3mg of medical fent on top of it (everything is RX). I run out of supplies today but i have 3 full 375ml Methadone oral solution (about 300mg a line in the bottle). That is the methadone of my friend who’s prescribed 1000 Dilaudid 4mg a month and some fentanyl. is there any way to be satisfied from dosing on methadone ? I’m really looking forward, what type of effect would it give me for me to be happy?

41 Comments
2025/01/30
18:35 UTC

0

do you people know that Kennady wants to us in camps and make work on farms,

dont say nobody warned you but his plan that Trump said he likes is cold turkey and NA, this guy is insane, look into it

117 Comments
2025/01/30
18:20 UTC

50

Lost my carriers.

After having 30 days of carries for almost 5 years I lost the privilege today. Just need to share it somewhere. Its almost comical how it happened. Ive been sick with a bad cold and i woke up around 430 feel bad, so i took my dose and some motrin and laid back down. Around 730 i get up and get ready for work and grabbed a dose opened it up and as im putting in my mouth it hits me what Ive done. I try to call my counselor but no answer at the clinic.

2 hours later i get a call....call back. 1st one in a very long time. I almost laughed at how unlikely this is. I know that I could seal my bottle back up and highly unlikely they would catch it. But after some reflection, im not lying junkie anymore, so I go in, hand my box and let them know one is open. They tested it to make sure its methadone and it is.

Now i get to go back and dose every morning. I am sad at the situation, im sad that they are judging me and feels like they think im a liar. But i am proud of how i handled myself, and this too will pass. Edit:Sorry for the grammer and spelling

74 Comments
2025/01/30
17:38 UTC

1

Clinic is trying to take my takehomes

Clinic is saying I failed a test!!!

So I've been clean for a little over a year and a half now and I'm up to 3 weeks of take homes. I've passed every urine screen for that entire period of time. So yesterday my counselor calls me and says that on January 10th I failed my test for codeine, morphine and fentanyl. I asked to see a copy of the test because there's just no way that I failed for anything. I am on benzos and the test did show that I also tested positive for the methadone and benzos. So he's saying since it showed positive for those two things that I'm on and positive for the other three things, he thinks that it's not some type of mistake or fake positive and that they're going to take away my take-homes whenever I come in to dose next and I have to start all over at the very beginning back to one day at a Time!! He said there is no recourse or appeal and basically nothing that I can do. However I did go in for an MRI and freaked out so they rescheduled my appointment for 2 weeks later and I came in and they gave me something which I could have swore they said was Ativan to calm me and put me to sleep so that I could stay perfectly. Still in the MRI for 2 hours because I had to have an MRI with and without contrast. Also right around Christmas I was in the hospital because I take wegovy and my Medicaid stopped providing wegovy to everybody on wegovy in my state all at once on the first day of the month. And took my doctor's 30 days arguing on my behalf to get my wegovy reinstated and they just started me back at the regular 2.4 high dose that I was at before rather than starting me back at a lower dose and bringing me up like they did when I started out on it at first. If anybody knows about wegovy you know what I mean. They gave me a shot in the hospital because I was so sick but they said it was a shot of phenergan. But now I'm to the point where I don't know quite what to do. I do have the hospital paperwork from the incident with the phenergan and I do have a letter from my neurologist for work that I was having an MRI that day and I'm half tempted to fraudulently make up some paperwork since I do have paperwork from them with their actual letterhead and everything on it saying that they did administer the codeine and the morphine but I know They will be suspicious if I put fentanyl on there as well because obviously they wouldn't give me all of those drugs. Does anyone have any experience with this and do you think they would just take the paperwork at face value or would they make calls to check it out??

27 Comments
2025/01/30
16:07 UTC

3

Another bottle check question

So yesterday I had to go in for a call back (bottle check). I get monthlies and I’ve been at the same clinic for 9 years (they’ve changed their policy on things so many times without giving bf clients updated paperwork etc) anyways I went in, I honestly had nothing to hide. When I get my bottles every month I like to tighten them because I’ve had them pop and spill in my box before (shifty styrofoam caps on a circle bottle) y’all know the deal. Anyways I gave them all 5 of the bottles I was supposed to have (I go in on this coming Tuesday to dose)

The dosing nurse lined up my bottles and kept picking on one. I don’t know why. But she didn’t like the way it looked, I guess. She tried to open it and since I tighten my bottles she had a hard time. Between the way she kept pushing and pulling on the cap and everything, the pressure I think dislodged the styrofoam lid. GREAT!! She closed the window and went to the back— like 5 mins later she came back up to me at the window and just resealed it and gave them all back. She wrote down my patient number and the day of the dose that had a problem. All on a bottle I didn’t even mess/tamper with, in the first place. lol.

TLDR: Anyone ever had a problem with callbacks and suspected tampering even though you didn’t? Do they give you the bottles back if they suspect something? Do they tell you right then and there that there will be a problem? I hope I don’t get hit with some step level reduction on Tuesday when I come for my take homes. I would’ve rather them tell me then and there.

5 Comments
2025/01/30
15:49 UTC

2

Question

Will a clinic start to taper you and kick you out for dirty ua? I had a slip up and it’s embarrassing I just know I’m not ready to get off yet, I’ve only been on for a little over half a year

9 Comments
2025/01/30
15:24 UTC

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