Suggest Treatment And Ways To Detox Methadone From The Body
 
                                    
                                    
                                          
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                                           Sat, 28 Mar 2015
                                           
                                        
                                        
                                        
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                                                Sat, 28 Mar 2015
                                                
                                            
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                                                Mon, 20 Apr 2015
                                                
                                                
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                                            Question : I already have a history on this topic idk if you can review for background info. Basically I am desperately trying to get of heroin.. Been using for two years....I do 30 bags a day average, I asked about using methadone in a pyramid down from 60mgs a day to start and  working down by 10mg a day to nothing. I was advised that wouldn't work because of the half life of heroin and to seek suboxone. I reached out all over this week and couldn't get anyone to see me for three weeks and the streets failed as well. I called several detox centers and cant get in. I did discuss the detox technique with a counselor  at one rehab center. what they described was my alternate proposed dosage of methadone. basically starting at 30-40 daily and reducing by 3% daily. My last resort just failed me on suboxone (supposedly I can get them on Monday) but how do I trust a junkie to come through. He was supposed to have them today for sure, missed appointment.
So I am still sitting on 55 10mg tabs of methadone. I do not want to continue to $400 a day on heroin and hope to get the subs on Monday.
So I have to ask again
If I start at with 40mgs on day one should I take 2 and then 2 more in 12 hours or take all 4 at once because of the lasting effect? and because I am going to really dope sick...I know methadone clinics only dose once a day
Then decrease by 3% a day that puts me a 13 days detoxed.....BUT the big question is...After 13 days of methadone am I going to have problems from that? people talk about severe pain coming off methadone... should I shorten my detox to ten days by starting at 30mgs? But will 30mgs be enough of a dose for me? I am 44 years old, 6' 250lbs...have no allergies, taking no other prescriptions or street drugs, I don't drink alcohol. no medical conditions.
I must do this...I tried to get professional help but no one will take or has room for me. I am not suicidal but as much as I use I feel like I am going to OD so I need to stop now...also because of job I must use the weekend for the really bad days.
Please give me your best advice on a hypothetical case like mine as far as dose and what to expect from methadone. I have taken in the past but never steady. I did well detoxing with suboxone but not an option.
                            So I am still sitting on 55 10mg tabs of methadone. I do not want to continue to $400 a day on heroin and hope to get the subs on Monday.
So I have to ask again
If I start at with 40mgs on day one should I take 2 and then 2 more in 12 hours or take all 4 at once because of the lasting effect? and because I am going to really dope sick...I know methadone clinics only dose once a day
Then decrease by 3% a day that puts me a 13 days detoxed.....BUT the big question is...After 13 days of methadone am I going to have problems from that? people talk about severe pain coming off methadone... should I shorten my detox to ten days by starting at 30mgs? But will 30mgs be enough of a dose for me? I am 44 years old, 6' 250lbs...have no allergies, taking no other prescriptions or street drugs, I don't drink alcohol. no medical conditions.
I must do this...I tried to get professional help but no one will take or has room for me. I am not suicidal but as much as I use I feel like I am going to OD so I need to stop now...also because of job I must use the weekend for the really bad days.
Please give me your best advice on a hypothetical case like mine as far as dose and what to expect from methadone. I have taken in the past but never steady. I did well detoxing with suboxone but not an option.
                                    Brief answer....you have to be very slow with methadone 
Detailed answer...
Hello,
Thanks for the query.
I have read your query and understand your concern.
Ideally detox should be done at detox centre with help of professionals.
Other standard way of doing it is to use SUBOXONE but I think you don't want to try it since you have tried it earlier.
I can tell you the other way.
You can start with either 30 or 40 mg and then decrease the dose by 5 mg every 7 days till you reach 10 mg dose.
Once you reach 10 mg dose,you start reducing 2.5 mg every week.
This way withdrawal symptoms would be much less and you can cope with it much better.
I hope it helps however you are most welcome to revert to me for any further query.
Best of luck
Thanks
                                    
                                    
                                    
                                    
                                    
                            Detailed answer...
Hello,
Thanks for the query.
I have read your query and understand your concern.
Ideally detox should be done at detox centre with help of professionals.
Other standard way of doing it is to use SUBOXONE but I think you don't want to try it since you have tried it earlier.
I can tell you the other way.
You can start with either 30 or 40 mg and then decrease the dose by 5 mg every 7 days till you reach 10 mg dose.
Once you reach 10 mg dose,you start reducing 2.5 mg every week.
This way withdrawal symptoms would be much less and you can cope with it much better.
I hope it helps however you are most welcome to revert to me for any further query.
Best of luck
Thanks
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Shanthi.E
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    thank you for a straight answer!
I would have preferred suboxone but cant get anyone to see me for weeks, most doctors aren't accepting new patients. The one that did call me back wants $600 for the first month cash only plus meds, and decided he cant see me this week because he is going on vacation next week, so he says around the 17th. really nice...I am pleading for my life literally and you brush me off. wow!
Anyway, if I start at 40mgs should I take all at once? or split into 12 hour doses?
should this keep me feeling ok? or am I going to feel like hell just not like im going to die if I went cold turkey?
                            I would have preferred suboxone but cant get anyone to see me for weeks, most doctors aren't accepting new patients. The one that did call me back wants $600 for the first month cash only plus meds, and decided he cant see me this week because he is going on vacation next week, so he says around the 17th. really nice...I am pleading for my life literally and you brush me off. wow!
Anyway, if I start at 40mgs should I take all at once? or split into 12 hour doses?
should this keep me feeling ok? or am I going to feel like hell just not like im going to die if I went cold turkey?
                                    Hello,
Just don't worry and relax.
Take methadone 40 mg at one go.
Don't go off cold turkey as it would be a very unpleasant and dreadful experience.
Do as I have advised you.
Hopefully you come out of it this way and without going to any detox clinic.
Best of luck
In case of any further clarification,you can trust me.
Thanks
                                    
                            Just don't worry and relax.
Take methadone 40 mg at one go.
Don't go off cold turkey as it would be a very unpleasant and dreadful experience.
Do as I have advised you.
Hopefully you come out of it this way and without going to any detox clinic.
Best of luck
In case of any further clarification,you can trust me.
Thanks
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Raju A.T
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Thanks doc,
I will do as directed
I have done the cold turkey and yes dreadful and unpleasant is putting it mildly. Even when you see the whole world falling apart around you, you will keep using just to avoid the sickness. most people cant understand how bad it really is. after awhile its has nothing to do with being high, its just not being sick
                            I will do as directed
I have done the cold turkey and yes dreadful and unpleasant is putting it mildly. Even when you see the whole world falling apart around you, you will keep using just to avoid the sickness. most people cant understand how bad it really is. after awhile its has nothing to do with being high, its just not being sick
                                    Hello,
I again wish you good luck and pray to god that you are able to come out of this dreadful drug and lead a happy drug free life.
Thanks
                                    
                            I again wish you good luck and pray to god that you are able to come out of this dreadful drug and lead a happy drug free life.
Thanks
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
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