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I need opinions..coming off Methadone for Suboxone? Help!!!

Discussion in 'Detoxing from Methadone' started by lifeasitcomess, Mar 26, 2015.

  1. lifeasitcomess

    lifeasitcomess New Member

    I'm not really sure how this works.. so I guess I'm just going to write and hope that I get some feedback and am able to know how to see it.

    I'm 21 years old, I've been using since I was 12 years old, it started with my mother giving me pills, as I grew older one pill turned into two, two turned into three, three turned into a handful.

    Eventually I had moved to heroin, I started sniffing it and eventually that wasn't doing anything for me and I moved on to IV.
    This is really just short and sweet but I've been battling with addiction for 9 years, I made one of the biggest decisions ever and came clean to my family (who of course already knew) in December of last year and shortly after that I went to detox. Unfortunately my insurance would not cover me to stay for a 30 day Rehab.

    I was admitted into detox Thursday night and Sunday I returned home, I ended up using that following Thursday. So the beginning of this year I was accepted into the Methadone Maintenance Program, it's been a little over 3 months and I am now on 100 MG's of Methadone.

    Every day I get 'dosed'(that's what they call it when I go to the clinic and get my methadone every morning) and then around 2 in the afternoon is when I start to get hot/cold sweats and my body starts to ache (withdrawal from the methadone) they say that Methadone has a half-life, but 2/3 PM up until the next morning my sickness gradually just gets more intense.

    Now part of why I wanted to stop using and getting on the Methadone program was to avoid the sickness, but with the Methadone I still continue to get sick, every.single.day.! Of course not as bad as when I was using heroin, but its still sooo extremely uncomfortable and makes me want to use just to feel better.

    Lately I have been considering what it would be like for me to get on Suboxone, I've never been on the Suboxone program and I'm not really familiar with how it works but I just would please love some feedback on your opinion on getting off the Methadone Maintenance Program and getting on the Suboxone Program.

    Please please please I'd appreciate it more than you have any idea! I just can't stand to continue feeling like this and I'm so scared eventually it's going to result in me using to make myself feel better.....
    Thank you so much to anyone who gives me feedback... <3
  2. StuckonSubs

    StuckonSubs Well-Known Member

    You know the absolute best way to never have to worry about feeling sick from opiates again? Get clean and don't take them anymore!

    ok, on a serious note - I think Suboxone is without a doubt a better opioid maintenance program. It doesn't have as many negative side effects as methadone and is easier to eventually quit.
    But the key is, not to stay on those huge doses they put people on (24 mg or sometimes more). Suboxone is super strong. The quicker you can get to a lower dose (8mg, or less is better) the better off you will be...

    the he hard part though is switching from methadone to suboxone. I have heard its a total nightmare. I have heard of people waiting 5 days or longer after stopping the methadone (to take their 1st suboxone dose) and still getting the precipitated withdrawals...

    precipitated withdrawal from suboxone happens because suboxone is only a partial agonist opioid, as opposed to a full agonist opioid like methadone. And suboxone is so powerful that it kicks the full agonist opioid off your brain receptors and it plugs itself in and then won't let go.
    So that is why you have to wait until you are in moderately severe withdrawal to switch.

    you have to use the COWS scale (clinical opiate withdrawal scale). You need to score a 26 or higher on this test before you take the first dose of suboxone. If you take it too soon, it will cause immediate SEVERE withdrawal. It is terrible.
    But if you use that COWS scale and wait till you get a score of 26 or higher, you will be ok. The scale uses true physical withdrawal symptoms to measure your score. Not the mental withdrawal stuff... It can be very hard to tell the difference, which is why you really need to use that COWS chart when switching.

    All around suboxone is a far superior maintenance program. You will still have to take drug tests but they usually give you at least 1 week of meds to start. I actually got 1 full months worth on my first appointment.
    I am absolutely scared sh*tless of methadone though. The nightmare withdrawal stories of people in withdrawal for months on end scared me away from methadone.
    Suboxone can also be a nightmare detox, but more so if you go off it at a higher dose. If you taper down under 1mg, it's not nearly as bad...
    i would choose suboxone over methadone in a heart beat. I'd much rather not be on ANY opiate/opioid, but it takes time to get to that point.

    Im not really sure I answered your questions... Let me know if you have any specific questions I did not answer and I will do my best to answer them. I'm no expert or anything, I just spent over 10 years of my life on (and off, but mostly on) suboxone and many more years on other opiates.
  3. peacenik

    peacenik Administrator

    I would agree with stuckonsubs first sentence - the only real way to stop the sickness is to stop the drugs. And yes, easier said than done. But I would also say that while suboxone would seem to have some advantages over methadone for someone who was trying to decide between the two, I don't think it makes much sense at all to switch from one to the other. They are both long acting opiates that, unless you stay on a very low dose, increase your dependence to opiates.

    Once you've gone on methadone best to deal with it and hopefully manage to get off drugs. Having withdrawal while taking methadone everyday might indicate a need to split doses - I imagine you'd probably have the same issue with suboxone. But I'm not really here at ODR to suggest how to take opiates, I'm here to encourage people that you can make it off and yes, have a happy life afterwards. I hope it all works out and that you can get some inspiration from those who have gotten free.

  4. dejiisback

    dejiisback Member

    I know this thread is old, but wanted to comment. Do not switch to sub's. I know countless people that were on methadone long term and switched to sub's. They claimed to have never of felt right, ended up juggling their sub's to use which requires withdrawal on both sides. Eventually all landed back in the clinic on a higher dose and even in a worse life situation because of their sub run.

    100mg? You should be rocked from that, and feeling a little off in the morning. I honestly think the hot / cold is part of just being on methadone. It ruins whatever part of the body that controls temperature control. Aches and pains, we all get that. That is probably your normal pain levels and as the methadone wears off, you start to feel it.

    But yeah, you're going to be in withdrawal cycle daily unless you are taking a large dose every 8 hours or so (which many people do sadly). Try smoking cannibus, or if you live somewhere its legal, you can find what helps you best. It does a lot of good tbings to help.

    Also, go see a real doctor too and get full blood workups and checkups to make sure all your levels are correct.

    In the end we all made our own bed and have to deal with it.
  5. KellyJean

    KellyJean New Member

    Hi, I am new to this site, and I am not quite sure how to work it, but I would suggest to you to NOT start Suboxone for coming off of Methadone. Suboxone is just about as addicting though not as strong as methadone. I have been on Suboxone for almost 4 years now, and I am tired of people stealing it from me and then I have to wait to get a new prescription because my doctor won't give me any more and then I am HORRIBLY sick from not having any Suboxone....
    I have a question for you though, I have been reading about this Kratom stuff for coming off of Suboxone, it looks like a fairly good plan but I am wondering how many days off of Suboxone should I go before starting the Kratom? I have heard that the naltrexone in Suboxone will block the effects of the Kratom. Let me know what you think please...
  6. StuckonSubs

    StuckonSubs Well-Known Member

    To be honest, it's a bad plan. You are switching one opiate for another. It's the same thing you did when you got on the suboxone... You are just changing horses on the opiate merry go round.
    I know a lady who had to go into in patient rehab in order to kick the kratom.

    Why not just taper down on the suboxone and then stop? At one time I had myself absolutely convinced that I could not get off suboxone without switching to a short acting opiate first. I kept telling myself "there's no way I can get off suboxone. The w/d is too long. I can't do it. I'll just switch to lortab's and then tough out a week long cold turkey off them"
    But I did it and really, it was not bad at all. It was all about my mind set. Withdrawal from a low dose of suboxone is not bad at all. If you just set your mind to it and believe you can do it, it's actually very do-able. The suboxone w/d was actually way milder than short acting opiate w/d.

    What at dose are you at now? Getting down to 4mg is easy. Getting down to 2mg is a little bit harder, but still pretty darn easy. Getting from 2 to 0 is where the real work starts, but again it's not that bad. Just take it slow if you have to.
    Get the 2mg strips. They are easy to fold and tear into even doses. I used to fold mine into 8 even pieces so I was only cutting .25mg at a time (once I got under 2mg).

    Tapering suboxone is all mental. It really is. If you believe you can do it, you can do it. The only thing that changed for me was my attitude. I spent too much time online reading all these suboxone horror stories and I had myself convinced that I could not handle the withdrawal. Then I slowly just started changing my mind set. I started to believe more and more that I could do this and it wouldn't be that bad. Guess what, it worked and it wasn't bad at all. The withdrawal off a low dose of suboxone is like a mild version of opiate withdrawal. (the key is to go off a low dose, less than 2mg. Less than 1mg is even better).

    The main thing I would stress to you - there is no easy, pain free way off opiates. Switching to another opiate is only going to mess your brain up even more. That's a fact! The best plan of action without a doubt is to just taper down in suboxone and then quit. If you switch to kratom, then you are just going to run into problems with that and end up trying to switch to some other opiate to get off the kratom. The ONLY way to quit opiates is to Stop Taking Them. You need to work on your mind set. Switching to another opiate is definitely not the answer.
  7. dejiisback

    dejiisback Member

    What do you mean people are stealing them from you? Probably the 1st thing to resolve..

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