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  1. #1
    Agent Subby is offline Senior Member
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    Default High Dose Methadone!!

    When I read many posts on this forum I just cannot believe how many peeps are on so high a dose of Methadone. I mean high as in between 150-200mls. I have never known in my 14 year addiction to H/Methadone anybody being prescribed that large dosage in the UK. And I'm talking people with big H habits here. Is this the normal dose you guys get prescibed?
    Anyway some advice please. I went back to 50mls of Methadone in January this year from Subutex because I was still dabbling with H. I have now reduced myself to 27mls daily without any ill effects. I haven't had any H for 7 weeks and I am determined to kick this S..T.
    Would you recommend me going back to Subutex or to continue to reduce my Methadone linctus at a slower rate from now? Your advice would be a God send. I may even ask my SMS keyworker to try and get me in as an inpatient for a 28 day detox on Subutex when she deems it fit so. Thanks and good luck to all.

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  2. #2
    arlenewla is offline Senior Member
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    quote:Originally posted by Agent Subby

    When I read many posts on this forum I just cannot believe how many peeps are on so high a dose of Methadone.

    Is this the normal dose you guys get prescibed?

    Anyway some advice please. I went back to 50mls of Methadone in January

    have now reduced myself to 27mls daily without any ill effects. I haven't had any H for 7 weeks and I am determined to kick this S..T.

    Would you recommend me going back to Subutex or to continue to reduce my Methadone linctus at a slower rate from now?

    Welcome Subby ~ :)

    Well, the doses of Methadone continue to increase...to be obscenely high. The MAT community claims that the average dose is between 80-120. I think not. I think this is an old figure. It's not uncommon to find MMT patients on doses of 200-300mg. Outrageous IMHO.

    For me, I was prescribed 125 for years 1 - 3. For years 3 - 15, I self-prescribed an additional 125mg...total 250mg per day. I'm a lousy doctor...and a great addict. Tolerance and craving. Progressive disease, huh?

    What I think regarding your situation is that you should continue your taper from the 27mg. I think its fantastic. I would not suggest that you switch to Sub. You may feel somewhat more uncomfortable as you get down below 20....not uncommon. You want to get clean...which is terrific....so I wouldn't advise that you go back to Sub. Do it...and do it while you can. Don't trade one for another.

    What are your thoughts?

    Warmly,
    Ar

    Arlene F.
    Exodus From MMT;12-25-02
    <center>"Half measures availed us nothing. The results were nil until we let go absolutely.
    If nothing changes, nothing changes"</center>

  3. #3
    Agent Subby is offline Senior Member
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    Default

    quote:Originally posted by arlenewla

    quote:Originally posted by Agent Subby

    When I read many posts on this forum I just cannot believe how many peeps are on so high a dose of Methadone.

    Is this the normal dose you guys get prescibed?

    Anyway some advice please. I went back to 50mls of Methadone in January

    have now reduced myself to 27mls daily without any ill effects. I haven't had any H for 7 weeks and I am determined to kick this S..T.

    Would you recommend me going back to Subutex or to continue to reduce my Methadone linctus at a slower rate from now?

    Welcome Subby ~ :)

    Well, the doses of Methadone continue to increase...to be obscenely high. The MAT community claims that the average dose is between 80-120. I think not. I think this is an old figure. It's not uncommon to find MMT patients on doses of 200-300mg. Outrageous IMHO.

    For me, I was prescribed 125 for years 1 - 3. For years 3 - 15, I self-prescribed an additional 125mg...total 250mg per day. I'm a lousy doctor...and a great addict. Tolerance and craving. Progressive disease, huh?

    What I think regarding your situation is that you should continue your taper from the 27mg. I think its fantastic. I would not suggest that you switch to Sub. You may feel somewhat more uncomfortable as you get down below 20....not uncommon. You want to get clean...which is terrific....so I wouldn't advise that you go back to Sub. Do it...and do it while you can. Don't trade one for another.

    What are your thoughts?

    Warmly,
    Ar

    Arlene F.
    Exodus From MMT;12-25-02
    <center>"Half measures availed us nothing. The results were nil until we let go absolutely.
    If nothing changes, nothing changes"</center>
    First of all Arlene my initial thought is total shock at the obscene amounts of methadone prescribed in the States. The highest I was ever prescribed was 80 mils and that was considered a pretty high dose by many. And secondly I am so pleased that you advised me to stay on the Methadone reduction programme. At the moment I'm reducing at 2mls a week and at about 10/15 mls will probably change to 1ml a week. I have moved into my parents home and receiving great support. It is in the countryside and 50 miles away from my old heroin aquaintences(sp).
    When I can find an internet cafe near where I live I will post my progress. At the moment I'm on holiday in Spain:)
    Many thanks for the support.

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  4. #4
    arlenewla is offline Senior Member
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    quote:Originally posted by Agent Subby
    And secondly I am so pleased that you advised me to stay on the Methadone reduction programme. At the moment I'm reducing at 2mls a week and at about 10/15 mls will probably change to 1ml a week.
    I think this is a terrific schedule you've set up for yourself. I think its realistic and you've already proven that you can do it.

    The support that you have is an important factor.

    I'm going to post some hints for you for when you get down lower and after you get to -0-. They may help you know that you're not alone is some of the side-effects you may encounter.

    http://www.heroin-detox.com/topic.asp?TOPIC_ID=8039

    http://www.heroin-detox.com/topic.asp?TOPIC_ID=12992

    Have a fantastic time in Spain :) and let us know if you have any questions. Keep posting on this thread....we'll follow your progress.

    Warmly,
    Ar

    Arlene F.
    Exodus From MMT;12-25-02
    <center>"Half measures availed us nothing. The results were nil until we let go absolutely.
    If nothing changes, nothing changes"</center>

  5. #5
    Agent Subby is offline Senior Member
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    Default

    quote:Originally posted by arlenewla

    quote:Originally posted by Agent Subby
    And secondly I am so pleased that you advised me to stay on the Methadone reduction programme. At the moment I'm reducing at 2mls a week and at about 10/15 mls will probably change to 1ml a week.
    I think this is a terrific schedule you've set up for yourself. I think its realistic and you've already proven that you can do it.

    The support that you have is an important factor.

    I'm going to post some hints for you for when you get down lower and after you get to -0-. They may help you know that you're not alone is some of the side-effects you may encounter.

    http://www.heroin-detox.com/topic.asp?TOPIC_ID=8039

    http://www.heroin-detox.com/topic.asp?TOPIC_ID=12992

    Have a fantastic time in Spain :) and let us know if you have any questions. Keep posting on this thread....we'll follow your progress.

    Warmly,
    Ar

    Arlene F.
    Exodus From MMT;12-25-02
    <center>"Half measures availed us nothing. The results were nil until we let go absolutely.
    If nothing changes, nothing changes"</center>
    Many thanks Arlene.
    Took 25 mls this morning and still not noticing and difference. I do know that the hard work is yet to arrive though. At least it's a good start though. BTW I had 5 teeth out last month because of this bloody opiate curse. I'm having a plate fitted and I'm dreading it. 43 with some false teeth already. It has lowered my self esteem somewhat. At least when I quit I should be able to save what I have left[V]
    Take care hun:)

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  6. #6
    arlenewla is offline Senior Member
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    Default

    quote:Originally posted by Agent Subby
    BTW I had 5 teeth out last month because of this bloody opiate curse. I'm having a plate fitted and I'm dreading it. 43 with some false teeth already. It has lowered my self esteem somewhat. At least when I quit I should be able to save what I have left[V]
    Take care hun:)
    I relate, kiddo ~

    I have Metha-dentures myself. Opioids...in particular Methadone...are extremely drying to the mouth. As in no saliva. Causes bacteria and rot. To say nothing of the Methadone impacting on the calcium. Oy!:(

    Love,
    Ar

    Arlene F.
    Exodus From MMT;12-25-02
    <center>"Half measures availed us nothing. The results were nil until we let go absolutely.
    If nothing changes, nothing changes"</center>

  7. #7
    Agent Subby is offline Senior Member
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    Default

    quote:Originally posted by arlenewla

    quote:Originally posted by Agent Subby
    BTW I had 5 teeth out last month because of this bloody opiate curse. I'm having a plate fitted and I'm dreading it. 43 with some false teeth already. It has lowered my self esteem somewhat. At least when I quit I should be able to save what I have left[V]
    Take care hun:)
    I relate, kiddo ~

    I have Metha-dentures myself. Opioids...in particular Methadone...are extremely drying to the mouth. As in no saliva. Causes bacteria and rot. To say nothing of the Methadone impacting on the calcium. Oy!:(

    Love,
    Ar

    Arlene F.
    Exodus From MMT;12-25-02
    <center>"Half measures availed us nothing. The results were nil until we let go absolutely.
    If nothing changes, nothing changes"</center>
    Do you get used to them Arlene? If I don't I'm considering pestering a dentist for bridge work or save up for three implants (the ones at the front). Luckily because I'm on benefits I don't have to pay for my dental treatment. I lost my lower molers some years back but I really want to try and save what I have left at the front. And yes it is the lack of saliva caused by the opiates that causes the decay isn't it? Take care hon. Stephen

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  8. #8
    arlenewla is offline Senior Member
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    quote:Originally posted by Agent Subby

    Do you get used to them Arlene? If I don't I'm considering pestering a dentist for bridge work or save up for three implants (the ones at the front). Luckily because I'm on benefits I don't have to pay for my dental treatment. I lost my lower molers some years back but I really want to try and save what I have left at the front. And yes it is the lack of saliva caused by the opiates that causes the decay isn't it? Take care hon. Stephen

    I did get used to them, Stephen. It was a ***** and a half. I gummed my food for about 3 weeks...mostly liquids too. But I figured....just like with recovery...my options were nil. I didn't have the money for implants....wish I did. Just wasn't a starter for me.

    Entering recovery, I had 3 frigging teeth left...nada mas.

    I had a dentist who works with addicts in recovery. He had lost a son to an OD...highly compassionate man. And he made sure not to do too much work (root canals, extractions, etc) at any one sitting. This way I wasn't faced with the pain dilemna leaving his chair. Handled it all with Advil...lots of it...and ice packs.

    And what's the good news? Today I smile...a hell of a lot.:)

    Love,
    Ar

    Arlene F.
    Exodus From MMT;12-25-02
    <center>"Half measures availed us nothing. The results were nil until we let go absolutely.
    If nothing changes, nothing changes"</center>

  9. #9
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    sudokudee is offline Senior Member
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    Hi Subby,

    It is true that opiates cause decreased saliva. However, I believe that methadone has far more devastating effects on teeth. People on short-acting opiates for years do not suffer the extensive tooth loss that those on methadone do.

    I never had dental problems during the years on other opiates but on methadone, I quickly developed aching joints and aching teeth, both of which quickly resolved off methadone. I will bet that methadone adversely affects the bony structure underlying the teeth. Simple decay should not result in such extensive loss of teeth.

    Methadone affects the hypothalamus, the pituitary and the adrenals, which can cause wide-spread physiologic effects on the body.

    dee

    Dee--off MMT 9-12-06

  10. #10
    Agent Subby is offline Senior Member
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    Default

    Down to 23mls of the green linctus today. So from January after stabilising on 50 ml for two months the reduction is going swell. Maybe I should change my SN to Agent Meth. What dya reckon?
    In all seriousness at what point will the sleepless nights and the "not so easy" taper kick in? I'm thinking maybe 15 mls. Anyway the main point is that I'm away from all temptation in the countryside staying in a lovely holiday static home with my parents. I'm going to hit the gym from Monday, starting off with light weight training and brisk walks in the fresh coastal air.
    Good luck to all in their quest.

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  11. #11
    arlenewla is offline Senior Member
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    quote:Originally posted by Agent Subby

    Down to 23mls of the green linctus today.

    Maybe I should change my SN to Agent Meth. What dya reckon?

    In all seriousness at what point will the sleepless nights and the "not so easy" taper kick in?
    'Morning Stephen in Sunny Spain ~:)

    You're doing beautifully. The walking & light weight training is the perfect adjunct to your taper. Impressive combo.

    Hun'....I would suggest that you don't anticipate as to when you may or may not encounter difficulties. Expectations can lead to fear. Fear is the great undo-er. It will be what it will be.

    Fascinated by your term "green linctus". Never heard of Methadone being dispened in a green syrup. Clear, cherry and orange...just never heard of green. Getting clean....excellent reason not to drink anything green.[:p] Yuk.

    A new ODR screen name? Well, personally I'm a fan of names that don't involve drugs whatsoever. I think that's a part of the process of recovery. Leaving those particular designations behind. Not to say that I don't identify as an addict....but when it comes to my personal screen name....I am who I am.

    Maybe we should have a re-naming contest for you.[:o)] Whatch'a think?

    Love,
    Ar

    Arlene F.
    Exodus From MMT;12-25-02
    <center>"Half measures availed us nothing. The results were nil until we let go absolutely.
    If nothing changes, nothing changes"</center>

  12. #12
    pameather is offline Senior Member
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    Good morning Agent
    I have read a lil bit of your thread here,but not all. Alot of clinics here want you on a huge dose so you stay on it,and keep on giving them your money on a daily basis,some peeps are on more than 200 mgs at my clinic,and thats NOT including buying it off the streets.
    Congradulations on your 23 mgs. way to go. K im off to work have a good day.

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