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  1. #1
    Trimmer is offline Junior Member
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    Default Methadone detox with Xanax prescription

    Hello everyone,
    I have an appointment/date Jan. 30Th to enter a 10-day (free) detox clinic and need to see if anyone can help me with a few questions here. I'm seriously thinking of backing out, I'm not looking to quit Xanax, the one thing that helps me the most.
    They use Buprenorphine is all, so they told me over the phone, "no nerve med.'s". I was taking Xanax (occasionaly/ since '93) up until my doctor prescribed 2mg/day, five yr.'s ago in '02. I average taking around 11mg/week....3-4 days a week I take 2mg and the other days I take 1mg. I usually have #10-14 tabs left over after 30 days prescription of #60 1mg tabs.
    [Note; David A. AKA. "Dr. Dave" (http://www.dpeg.org/treatment/methadone_withdrawal.htm) in Arizona advised me to deal w/the Methadone detox first....he said he uses Buprenorphine to detox people & if they're using benzos he kept them on them, for how long I don't remember.]
    I have Hep. C, chronic Prostatitis, high BP and an ulcer. I'm okay with trying Methadone detox but not the benzo. I talked to a psychiatrist 2 weeks ago and he told me to keep taking Xanax, this was after a 45 min. session, and said I needed to have my Dr. 'up' the dose to 3mg/day. I don't plan on changing the amount though.
    If anyone can help, please.
    Thanks for reading,
    BTW, I been taking the same amount of Methadone/day, 20mg.

    -Dale

  2. #2
    arlenewla is offline Senior Member
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    Hi Dale ~

    My name is Arlene. Welcome to the site!

    Well, Arneson is a terrific. His information on River Source is, I believe, dead on.

    Given that you have Hep C, high BP and an ulcer, I think going inpatient is important so that you can be medically monitored.

    However, I don't know that you'll find an inpatient detox that will take you off of the Methadone and leave you on benzo's. It would be rather unusual in my experience. The norm is to detox you from everything. It's possible that there's a facility like that...just not familiar with any.

    Additionally, it would seem to me since you're on a relatively low dose of 20mg and going in for 10 days, you might do better detoxing from Methadone with Methadone instead of coming off with Bupe. I'm not sure about the reasons for the introduction of another opioid into the mix.

    Coming off of 20mg in 10 days, while not a walk in the park, is very do-able. It's what's going to come after that you'll have to be prepared for...regardless of a Methadone detox or Bupe detox.

    Love to see you post under the Methadone forum, Dale. Look forward to seeing you there. Warmly, Ar



    Arlene F.
    EXODUS FROM MMT;12-25-02
    "There is no easier, softer way - if nothing changes, nothing changes"

  3. #3
    glassbottom's Avatar
    glassbottom is offline Senior Member
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    dale, it seems like you've got a pretty complicated medical situation and like arl said, it's of the utmost importance that you do any detox under medical supervision. One thing that I didn't hear you mention was your mental state. Are the drugs causing residual depression, anxiety etc. Detoxing off of methadone is not easy, it has a long half life and I agree with arl that substituting bupe seems likes a bad play. Deal with getting off the methadone first and go through the withdrawls with that first. Detoxing off of benzos is can actually be life-threatening and should be dealt with separately. I often wonder why doctors continue to prescribe xanax, since it is much more potent,dangerous and addicting than other benzos like klonopin or ativan. BTW benzos cannot cure anxiety, they can only alleviate it. Usually some form of anti depressant is used for that. It sounds like you use the xanax responsibly but even based on the amount you take now, you are definitely dependent on it physically. Deal with the methadone first and then you can consider ridding yourself of the xanax issue. It doesn't sound, and I may be wrong here, that you are really committed to getting off this stuff and if thats the case then you probably won't be able to do it.

    What surprises me is that of all the serious medical conditions that you have, none of those meds are first or even second line approaches. Perhaps getting another opinion would lead to some possible alternatives. I wish you luck, whatever happens.-glass

  4. #4
    Trimmer is offline Junior Member
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    Thanks for the quick replies, Arlene and Glass. Please read very bottom about Buprenorphine I have.
    If I decide to enter this place (CenterPoint Clinic) I have to call at 8AM tomorrow morning Jan. 29Th and confirm, then call the next day (Tuesday, the date I enter) and reconfirm. So, I'm short on time. I have an appointment with my (PC MD) Doctor at 1:30PM tomorrow (Mon. 29Th), I need to talk to him about this but he's not much help. I never been treated like I have in the past 7 yr.'s, since I started taking Met. I'm honest, so I naturally told every Dr. and health professional I'm taking Methadone = WRONG...I shouldn't have! I'm condemned everywhere I go....and that's not right.
    Anyway, about detox; I'm absolutely not committed to it. The only reason I'm having to even think about it is because I'm sick and can't work. I have terrible pain in my upper-right abdomen, throwing up every morning w/sever anxiety/depression. I believe this loss of appetite w/throwing up is from the Hepatitis C and the anxiety is from thinking of this 'detox' deal. I've had panic disorder w/obsessive compulsive disorder since I was 11, I think I need the Xanax, obviously. Sorry if I'm coming off 'negative', I was just wondering why they don't want me taking Xanax while in detox.....no, I'm 47 y/o & talked to enough detox clinic's & shoulda' know better than to ask.

    I told my Dr. last time he told me my Liver enzymes were bad - "I can't buy Insurance, I've tried. About the Interferon; I know I can't afford it so why can't someone write a prescription for Methadone (30mg/day), that way my life will be a lot more comfortable". He just walked out of the room. I honestly believe he's 'simple-minded'.
    I got another reply from "Dr. Dave", about the benzos, here it is - Quote;
    "Well if they want to take the risk of you going into seizures from abrupt Benzo withdrawal...you should ask them what they intend on doing for you if this happens in the middle of detox...if they tell you there is no problems with this scenario than I would not let them treat you because they are idiots...dr dave.

    I have #8 tabs an 'ER' Dr. gave me in Detroit; they're pink, a little bigger than a 'TUMS'. On the bottle it says 'Buprenorphine15mg/Piroxicam10mg'. Piroxicam is Feldine, anti-inflammatory I'm pretty sure...I'll make sure.
    Here's a silly story; I let #2 of these melt under my tongue back in Nov. '04, and I had been taking 40mg Met/day. I went in total WD...seizures and all....went to the 'ER'. I know, I took too much...how stupid. That's the 1 & only time I ever took any medicine w/o knowing exactly what it was. Anyone have any idea what amount of this med. would be appropriate if I were to go into withdrawal? Thanks for your time, I really appreciate it.
    -Dale

    -Dale

  5. #5
    RaiderChick is offline Senior Member
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    Hey Dale:) Arl and Glass have both made some really excellent points. In patient detox seems best for you, given your situation. I do encourage you to visit both the Meth and the Benzo board. Benzo's are very dangerous and coming off them and not doing so properly, can kill, and I do not mean to scare you, but they are different animals all together. The aftermaths of Benzos can be frightening. Plus normally they are only prescribed for short term use, such as 5 days or less, and usually not given to persons with drug abuse histories. I am shocked how Md's just blindly dish them out. They do loose their effectiveness too if taken for a lengthy time.

    Just worry about one issue at a time. It will not be easy, but it can be accomplished;)

    hugz,
    RaiderChick - 05-22-06

  6. #6
    Trimmer is offline Junior Member
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    Thanks, RaiderChick, for the input. But the Xanax stay. 3 different Dr.'d told me I needed to stay on them. I have severe anixiety (panic disorder) and several other 'mental' health issues. Dr.'s gave me 5mg Valium (periodically) up until the early '90s, then they put me on Xanax. I think Xanax are stronger than Valium, they help me a lot more anyway. About the Xanax; My Dr. just don't "dish them out"....in fact, he's reluctant to prescribe them. In my case he said - "You need them". Heh, he's 'GOD-SQUAD' all the way....a church-goer that is. Me, I'm an Atheist, but that's a different issue.
    I've been taking 5-10mg Met./day...doing okay. I'm going to stick with it too. All Dr.'s I've seen (past 8 months) said I need to try Interferon and I'm in early stages of cirrhosis. I can't buy insurance, so I ask them "Why can't I get a prescription for Methadone 10mg...I'd take 30mg/day and it would make life MUCH easier for me"? They recommend a pain clinic. It's like this; I'm not doing any good (Liver wise) w/o medication for Hep. C, and can't afford to treat it, so I'm going to stick with what I can afford. I got a family member that gets plenty of Met. (10mg tabs) & they're helping me out. Thanks for the reply.

  7. #7
    steffaroni is offline Senior Member
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    Dear Dale... HI!!!! I just wanted to let you know a couple things. I can get you tons of info on free meds interferon and others many many others. If you wanna privately message me here. My husband is waiting for a liver transplant when his hep c was discovered and a biopsy ordered it was too late for any treatment. But have lotsa info and can help u if you'd like... I'll be in the liver clinic next week with my husband also so can ask his transplant doctors.K???? Just went to a ucla liver transplant seminar with all the drug co's there. saw many many free programs will look in the bag full of info I picked up from there.Don't EVEN ask me how I feel about drug co.'s being part of a medical seminar but guess in the scheme of things transplant drugs such as immunosuppressants are needed to survive. so this is a bit different in my mind. (((HUGS))) Steff

    "“How far you go in life depends on your being tender with the young, compassionate with the aged, sympathetic with the striving and tolerant of the weak and strong. Because someday in life you will have been all of these. “
    George Washington Carver

  8. #8
    steffaroni is offline Senior Member
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    Hey dale heres a few to research. I gave you 3 seperate websites with a million co to search from. I will however suggest when you do find one that will work for you do THIS for your doctor. Get any and all paperwork done and ready for them to sign.Be organized. Your doctor or a clinic doctor for that matter can sign the papers and you can have the co's send the docs the meds and they give em to you. Usually in a 3 month suppy. usually every 3-6 months you'll have to fill out the forms again so when you print the first ones out print out about 10 xtras for later and organize it in a folder for the doctor. ya see the docs don't mind doing this as long as the pateint makes it easy for em. It is a bit xtra for them but if you make it so easy for em to do it for you VOILA free meds...so heres these links read carefully each pharmaceutical co's guidelines K??? HUGS and good luck please keep in contact so I can help have lotsa resources here. K??? ((HUGS)) Steff

    http://www.freemedicineprogram.org/available_medicine/i

    http://www.scheringplough.com/scheri...tment_care.jsp

    http://www.needymeds.com/program_list.taf


    "“How far you go in life depends on your being tender with the young, compassionate with the aged, sympathetic with the striving and tolerant of the weak and strong. Because someday in life you will have been all of these. “
    George Washington Carver

  9. #9
    Trimmer is offline Junior Member
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    Thanks, Steffaroni, I'll sure check the links out. I'm going on 3Rd day w/o Methadone and I have 20mg put up. Just having it is making it easier I think. I have had to take a few (2 avg.) 7.5 pain pills/day plus I have my full #60 bottle of Xanax. I haven't took over 3mg/day of them. I took 3mg today, the past 4 days I took 2mg/day. I'll check the links...thanks!
    -Dale

  10. #10
    Syd's Avatar
    Syd
    Syd is offline Senior Member
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    Hi Trimmer,

    My name is Syd. You can usually find me over at the methadone detox site.

    My bf had to take Peg-Intron & Ribavarin for hep c, 2 yrs. ago. He had insruance, but they told us they didn't cover those meds. We got in touch with Schering, the ppl who make the drug. They DO give the meds free, to anyone who does NOT have insurance. BTW, they contacted bf's insrurance co, to verify that it wasn't covered. Turns out it was & they lied to us. So they had to pay for it.

    As for methadone & the liver. Methadone is stored in the liver. In fact it is stored all over the body. But MOSTLY in the liver. So you are not doing your liver any good by using it.

    Sincerely,
    Syd

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