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  1. #1
    Neuromind Guest

    Default Suboxone to Methadone

    Hello, just wanted to post this. Has anyone used suboxone, then went over to methadone. Im doing ok on suboxone, but find that my cravings are really bad, and last week i did use oxycontin. It blocked all effects, and i dont want this vicious cycle to keep on going.
    I understand the consequences of methadone, but i was on it for 10 days in a rehab , and it worked great. There opening up a clininc in my town soon, and i just wanted to know some information on it, and has anyone switched to methadone from suboxone.
    neurmind

  2. #2
    Rohan is offline Senior Member
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    Hi Neuro,
    I haven't heard of it personally, but I am sure it has been done. It sounds like you know the side effects of methadone. The way I see it is that if you make an informed decision that works for you then GO FOR IT! Methadone is a very strong drug, but this treatment does work and there are some people who go on it for long periods of time (even lifetime treatment).

    If you are unable to maintain on the suboxone and you have had a good experience with methadone in the past them that is something you need to consider. Just keep in mind that methadone is great for either a very quick detox (under 21 days) or for long term maintenance. Of course you can stay on it for a few months and them do a slow taper, but remember if you do stay on it for any legenth of time, it requires a commitment and a slow taper if you are going to get off it without major discomfort.

    Whatever you do do it for yourself. Whatever you choose to do, I am behind you 100%.

  3. #3
    Eddy1072 is offline Junior Member
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    Hello guys, well I've been addicted to Methadone for 4 years using approximately 120mg per day. After a peroid of time the methadone will start taking over and running your life. My advise for what it's worth is to stay with the Suboxone. I know that using meth almost killed me and I've had friends who went through the "so called" clinics and have more of a problem then they did when they started. I went on Subutex for 6 weeks and felt like I had a new lease on life until my doctor decided to stop giving me my meds. I thought that it was to soon but he informed me that the longest that he perscribes Subutex is six weeks. After which many doctors switch you to Suboxone for some time, my doctor wouldn't prescrible it, he told me that I would have to deal with the withdrawls from the Subutex and that they would be nothing. What a lie, I've searched to locate a doctor to prescribe me Suboxone but there aren't any in my area. I've been going through withdrawls bad or atleast five weeks and there about to kill me, but there aren't as intense as Methadone. I hope that this helps you some. If I can be of anymore help let me know.


    Eddy

  4. #4
    Rohan is offline Senior Member
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    Eddy how awful for you! Why do some doc's do this? I will never understand. There is a locator for doc's who do suboxone treatment, it is here in the forum. Have you used it as well to try to locate someone?
    And thank you for the information, it's already too late for me in reguards to the meth, I'm doing a super slow taper. I must say my experience though has been a good one. I don't want to be on it forever thou, you know? Please keep posting on how you are doin, okay?

  5. #5
    enviromail is offline Junior Member
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    I have detoxed with suboxone once succesfully and after 6 months returned to abusing oxycontin... only this time instead of 250 to 300 mg per day, I ramped up to about 500 mg per day (I know - - seems like enough to kill a horse). I just started methadone tratment on Tuesday (5-11) with 30 mg increasing daily 10 mg to a total of 70 mg per day. Today, Friday 5-14 was the first 70 mg dose. I feel better than when I was detoxing on suboxone. I'm not sure where to go from here though. The "clinic" doesn't care if I stay on methadone for life or design my own detox program... as long as they get their $$ every week. My goal is to get clean. By the way, I was on suboxone for a second time, this doc wanted me to "stabilize" for at least six months on suboxone. I was on 12 mg per day. I was 50 minutes late for my monthly appointment and he discontinued treatment. No ramping down. Just no refill. Zero. That's why I'm on methadone now.

  6. #6
    Baltimoregirl is offline Junior Member
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    I have been a herion addict for about 7 years, off and on - mostly on. I have been on methadone four different times, doses varying each time. I just detoxed all the way down to 1mg of methadone after being clean from heroin for 9 months. I thought I was doing good and ready. It took two days until I picked up. Since I had only decreased my doses 1mg a week, I didn't have any withdrawal symptoms. It was purely mental. After a week of using heroin, and knowing that I was going to feel like crap the day after stopping, I saw a doctor about suboxone. I feel fine. No withdrawal at all, I felt better in minutes after first taking a couple tablets. I am glad to be on suboxone as opposed to methadone for many reasons. First of all price, unless you are at a sliding scale clinic (and even they charge a good bit). Suboxone overall is cheaper, after your first initial visit with the doc. Also, I don't have to go every day to a clinic, wait in line, see a counselor, go to group meetings, and piss in a cup with a nurse watching me. Granted, you can earn takehomes, as I did. But it's a *****. I have received more individualized attention from my first visit with my doctor who is prescribing the suboxone than I ever received at any of the methadone clinics I went to. Methadone clinics are all about the money. Bottom line is all they care about. It's hard to find someone really committed to seeing you succeed in a clinic. Almost all of the other people I know on methadone feel the same way. The longer you stay on methadone, the higher your dose, the harder and longer it will be for you to detox from it. If you are going to do the meth, don't keep increasing it to get that "buzz". you'll regret it.
    Although, methadone did save my life. Helped me pick up the peices and start anew. but suboxone can do the same.
    I even tried detoxing methadone by being places asleep, and with a naltrexone implant. (I don't recommend this). Cost $6000 for 7 weeks of being clean, but most of those weeks I felt like ****. Not to mention the severe withdrawal you feel after you wake up from those "8 hours of detox". It's supposed to speed up the process of detoxing - bull****. As soon as my implant had fully been released (7 weeks in the body) I used as soon as I could.
    Which brings me back to suboxone. Stay with it. Good luck.

  7. #7
    OldSoul is offline Member
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    Hi Neuro- I've been on both meth and bup maintenance (currently on bup). I'm very much alone on this board in my thinking, as the principal belief people here have is that less suboxone is more effective. That has not been my experience. Before you switch (I hope), can I ask what dose of sub. are you on? My experience was that when I got up to 32mg, the cravings were greatly reduced. Not completely eliminated, but reduced to the point that I was able to get clean; although it did take a couple of months before I totally gave up the H.

    I feel much better- healthier, more alert, etc. on bup than I ever did on meth. If you haven't gone up to a higher dose of suboxone, you might want to consider it.

    OldSoul

  8. #8
    mallomar is offline Senior Member
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    Neuro,

    I think methadone is a good idea if you give the Sub an adequate chance and it still doesn't do it. If you're having excessive cravings, by all means go up to a higher dose of Sub. I had to do that in the beginning, and I was able to taper downwards once I felt comfortable and more confident in the drug.

    I too thought about methadone early on in my Sub treatment because I expected more out of what everyone called a 'wonder drug'. But the truth was I just wasn't taking enough and at a higher dose it took care of my cravings- not entirely- but enough that I was satisfied with it. I mean methadone isn't going to wipe out your cravings totally either, you know- rehab is kinda a different scenario than life outside and you have the triggers at home that you don't have in rehab.

    I expect to have *some* cravings forever. Now I'm happy I stuck with the Sub, took more to get myself comfortable with it, and then tapered downwards when I was ready. There is nothing wrong with that. The 'less is more' stuff is only if you're ready to do that, it takes some time to stabilize at a lower dose and if you give that a chance, it actually controls cravings better than high dose (my personal experience).

    Hey OldSoul, I replied to the 'is less more?' thread and explained my experience a bit more.

    Also someone asked for the bupe locator- it is http://buprenorphine.samhsa.gov and just go to 'physician locator'.

    But as a side note, once you get a dose of Sub that works for you, you've got to do something to keep busy- I found myself making excuses to push me towards relapsing or methadone. Once I got the doses right, and everyone is different so that takes time, some stuff that helped me was reading and posting in the forum, a small web design job I got, going to meetings (though really what was better was hanging out with the people from meetings, not so much the meetings themselves), exercising (you gotta do some exercise even if you don't feel like it, this isn't just BS, it really does make you feel better and it starts the first day- you can feel it after your workout), drawing, writing, etc. Also making a list of goals helped- like even just for that day if I had stuff to do. Remember if you aim at nothing, you will hit nothing, so you've got to have some sort of goals too.

    Good luck.

    mallomar

  9. #9
    commodore is offline Junior Member
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    Hi Neuro -

    i recently detoxed from methadone with suboxone. I had one night of withdrawls because the suboxone was administered a little too early. Years ago, I kicked heroin cold turkey in rehab for 12 days. I would take the 12 day heroin kick over one night of methadone kick any day. I would advise against methadone but you'll have to be the judge of that. It's wierd that you're having cravings while on suboxone, I'm still tapering on suboxone and haven't had any cravings. I guess everyone reacts a little different though. good luck in whatever you decide.

  10. #10
    ShannoniM is offline Member
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    "But as a side note, once you get a dose of Sub that works for you, you've got to do something to keep busy- I found myself making excuses to push me towards relapsing or methadone. Once I got the doses right, and everyone is different so that takes time, some stuff that helped me was reading and posting in the forum, a small web design job I got, going to meetings (though really what was better was hanging out with the people from meetings, not so much the meetings themselves), exercising (you gotta do some exercise even if you don't feel like it, this isn't just BS, it really does make you feel better and it starts the first day- you can feel it after your workout), drawing, writing, etc. Also making a list of goals helped- like even just for that day if I had stuff to do. Remember if you aim at nothing, you will hit nothing, so you've got to have some sort of goals too."

    thank You SOoo much for this piece of advice mallomar. it reallY would seem like commom sense.. but i'm trYing to have everYthing readY, as close to perfect as poSsible, and everYthing counts in the procesS of getting there. definatelY an encouraging post.
    thanks. :O)

    shannoN.

    Ps- i deinatelY think that this is one thing that is alwaYs overlooked in recoverY. time. and what to do with it. it can be Your worst enamY. alone. with Just Your mind and Your cravings. even in this site.. there isn't much discusSion about it. and that is one of mY major triggers? should i call it? ..time. and being bY mYself as the minutes tick bY. ok well i guesS i'm finished for now. thanks again.

  11. #11
    happytrails is offline Member
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    Good point Shannon...how we spend our time is a big issue, and one that's seldom discussed. Really, getting off drugs is the 'easiest' part of the deal, no matter which method is used. It's staying off them that's toughest.

  12. #12
    OldSoul is offline Member
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    Hey Commodore- Would you let me know how you tapered the bup to detox off meth? Also, are you completely off the bup now? Thanks.

    OldSoul

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