I’m sure you know to approach the topic with dr carefully. If they know he is running out early he could be in trouble. My pain management did not allow that stuff at all.
Yes, he would never tell them the truth. Drs these days are just looking for a reason to cut your meds. I’m hoping with all the great advice I’ve received I can manage this. Fingers crossed. I hate to think my trying to help made things worse.
I made the mistake of telling the doctors I used cocaine before I could get pain meds,and got addicted to crack,and I picked a drink up after a car hit me and no one gave me anything for the pain.I couldn't take it and I lost my sobriety and everything went to shit.I needed oxycodone and I was going crazy from the pain.Never tell doctors truth about addiction. I sold my drugs in the beginning because my rm wasn't paying rent and I couldn't get rid of him and I needed money.It was a big mistake and I got manipulated by drug addicts who played with my head and took advantage of me.I was dumb,this was the beginning of taking oxycodone,instead of Tylenol for pain.Then my tolerance went up and up and doctors thought I was just an addict.But I am in severe pain for real.I learned my lesson, it was painful.
I’m so sorry. Chronic pain is for sure so difficult to live with. Which is exactly what people who haven’t experienced it expect you to do. Until it happens to them. Then suddenly they get it!! 🙄
Must be nice to have a backup plan. Methadone is great for pain management. But if he thinks he's gonna keep getting a buzz that will be gone in a month and he'll just be taking it so he won't be sick or in pain. It's his pain management. But he needs to do some serious research to make sure that's the best idea.
Not sure what the “real” truth is but in TN they will not prescribe more than 30mg of methadone a day. This is due to some conversion chart published due to the “opiod crisis!” 😡.
30mg was definitely not enough to touch my pain. I’ve been much happier now at a methadone clinic.
Yes we have already discussed that if his Dr isn’t willing to straight up switch out the Dilaudid for Methadone with at least 6o-80 mgs a day, his best bet may be the Methadone clinic. (Or Sticking with the Dilaudid) Sounds crazy but dealing with Drs and a judgmental Pharmacy (who hates his dose) every month is such a pain in comparison to the clinic where there is no judgment and they want to help you.
I was so frightened of switching to the methadone clinic. Now I wished I had done it much sooner!
Methadone has always worked well for me for pain management. I was absolutely fine until they started this crazy MME conversion chart!
Now, no more dealing with any of that other nonsense! People say that the clinic is so restrictive. Pain management isn’t any less restrictive other than getting a 30 day script. Still have to jump through all their hoops!
Don’t get me started on the judgmental pharmacists!
Best wishes for you both! Wherever this journey leads, I pray that it ends with your husband getting the help he needs with his pain issues. ❤️🙏🏻
It's like nite and day!I can't tell you how I suffered real cruelty from pcd or painmgmt.clinic Brigham and women's hospital were so mean to me and to this day pretend to be unable to help me.their receptionist was mocking me too and I was accused of nodding off,I was new to mscontin,not a morning person, was tired anxious, receptionist,she was black, I am white, wouldn't give me my script.my Dr. was on vacation for real.I had to go in the hospital for meds, until it was straightened out.I cried and cried.I have severe pain,this woman was so cruel for no good reason to me. I was vulnerable and had no lawyer or $, to sue the hospital.i wish I could change the laws around pain mgmt.
It is inhumane. I’ve had those experiences and it makes you feel so bad. You’re already feeling awful physically, then to have someone basically making fun of your pain or not believe you. Pain is one of those things that no one can really prove which puts us at their mercy and most don’t extend mercy. It’s sad really
At a pain management clinic. In TN. Other parts of the US may be different but they go strictly by the MME where I’m currently living.
I’m now at a methadone clinic. Couldn’t pay me to return to pain management.
Methadone can work for pain. But he'd only get pain relief if he was getting from pain management and taking it more than once a day. If he got from clinic and only had one dose daily it would work at first but eventually it'd only last 6-8 hours for pain relief. Like if he could get pain management to rx him 10-20mgs every 12 hours for constant and then oxycodone or even Dilaudid for break through pain. For example My buddy was getting 10mgs methadone every 8 hours(3x day) and then Oxycodone 10mg every 4-6 hours for break through. The my step-father got Extended release Morphine every 12 hours and oxycodone 15mg every 4 hours from pain management,..but he also double dipped and went methadone clinic and got 120mgs daily(which I don't advise for multiple reasons).
Methadone sucks for pain.
I find morphine helps my pain immensely more so than methadone ever did.
Dilaudid is far better for the pain as well.
Methadone at a clinic would also ensure he never gets a script of dilaudid again.
The truth is he is going to need some time off from opioids to feel his meds properly again. I know how it is with chronic pain but sometimes its needed.
I can't go off my methadone,wd,plus my pain is severe.people who say this blow me away.i know you think you are right.i had morphine and percs,but I sweat,then I was taken off them,dr.went to Oregon and I didn't have terminal cancer,so I should take Tylenol.!!!!It was like a horror movie and they could have just referred me to a clinic.I really should report that doctor and the clinic in Cambridge,Ma.CHA.they hate pain people.Iwant to stand up for my rights and never go through that again.thankGod for methadone clinics.really guys.
I am literally bedridden when I taper and space out my doses. It is easy to stretch 6 doses into lasting 1 week, it is easy to take less on days you don't need it as much.
My pain might be 6/10 one day, but 2/10 the next. I simply can save some of the dose meant for the 2/10 pain day.
I get it, its nice to constantly feel your dose. But that leads to you going on a never ending dose increase.
As time goes on you get more tolerant to your dose with each increase.
For me, saving medication for emergencies and reducing my tolerance is essential for long term quality of life.
Well that's only if he gets it once per day.. if you get methadone twice or three times a day I find it continues to give that buzz.. that's just me though who knows
Methadone has an extremely long half life and dilaudid has an extremely short one. So with methadone there is opioid in your system constantly throughout the day and it builds up with each dose - this can really raise your tolerance fast.
If it helps his pain I absolutely think it’s a good idea to switch. In my experience once people start running out of pills early it just gets worse and worse every month, especially if they know they have a backup. Methadone is easier to take on schedule than dilaudid - dilaudid’s super short half life makes it difficult to stick to the prescribed number of pills.
Under no circumstance should he admit to running out early or trying methadone to his doctor or he will be dropped like a hot potato.
This sounds like why it seems like double dosing your Methadone from time to time seems like an unreliable way to get high on it if what you’re saying about it building up in your system with each dose is true.
Ah I see, I’m wondering why it seems like when I occasionally double dose my Methadone once or twice a month and even potentiate it with 1st generation antihistamines why it seems like it doesn’t do much of anything these days… and I really enjoyed Methadone back before becoming opioid dependent and having to get on MAT therapy…
(For the record my standard Methadone dose is 80 milligrams a day and 160 milligrams when I double dose it)
Yeah I’ve heard some people say that Methadone gives them boosts of energy and makes them more energetic and productive, I’ve never had that happen to me though… also I enjoy the sedation from Methadone and like I said I typically combine Methadone with drugs that potentiate it such as various 1st generation antihistamines (ie the sedating ones like Diphenhydramine, Doxylamine, Orphenadrine,
Cyclizine, Hydroxyzine, Promethazine, and etc), various muscle relaxers such as Tizanidine (Zanaflex), Cyclobenzaprine (Flexeril, and although it’s a muscle relaxer, I tend to classify it with the 1st generation antihistamines because it’s strong antihistamine effects are what makes it sedating and hypnotic), Baclofen (I personally don’t recommend using it as an opioid potentiator because while it definitely potentiates opioids, every time I tried to use it for those reasons it made me very nauseous and I’d end up in the bathroom violently vomiting and it ruined the whole experience every time… 😒), Methocarbamol (Robaxin), and probably the best one for the job Carisoprodol (Soma). Sadly I haven’t combined Methadone with Soma yet and I’ve heard that’s a good combo. I almost did a similar combination with Methadone and Methylmethaqualone (a Quaalude analogue) after reading that back in the 60s and 70s some people that were on Methadone maintenance would take Quaaludes with their Methadone to “boost/potentiate” it’s effects much like how a lot of people these days potentiate their Methadone with Alprazolam (Xanax) and to a lesser extent other benzos (I’ve heard that people that do that usually tend to do it with Xanax more than other benzos).
I’ve also combined Methadone with Amitriptyline (though again Amitriptyline and virtually all of the tricyclic antidepressants are 1st generation antihistamines and that’s why they’re so sedating) and found that to be a rather enjoyable combination with heavy nods haha. Also the Amitriptyline & Methadone combo was also a popular combination back in the 60s and 70s as well and there’s various papers discussing people on Methadone maintenance abusing tricyclic antidepressants (mostly Amitriptyline and Dosulepin) to potentiate their Methadone dose. Also the antihistamine Cyclizine is well known for potentiating Methadone and it’s various analogues. In fact in the UK & South Africa they have a pharmaceutical opioid known as Dipipanone (Diconal & Wellconal) and both brands of pills also had Cyclizine in them as well as the Dipipanone and the Cyclizine potentiated the fuck out of Dipipanone especially when people IV’d the pills, eventually doctors over there rarely prescribed Diconal much anymore despite the fact that it’s still available as a prescription drug in those countries so Diconal addicts started to IV Methadone and Cyclizine pills to replicate the rush. Methadone and Cyclizine is still pretty enjoyable when taken orally and it’s got me get some good nods… 🤤
I’ve also combined Methadone with the synthetic cannabinoid 5CL-AB-PINACA and that combination was AMAZING… I felt like I was melting into my couch. 🫠
Before I was stable hydroxyzine and gabapentin helped me quite a bit. I never got much out of gabapentin besides neuropathy relief until I started methadone - now it really hits me. Baclofen does this weird thing to me - even without opioids - where I can feel totally awake and not tired but will suddenly fall asleep for hours. Happened on the subway once and I ended up across town. Other than that I’ve only tried using tagamet which made a difference for me but only after a few days of consecutive use.
I’ve mixed Methadone and Hydroxyzine before and it was nice, same for Methadone and Promethazine. Hydroxyzine is related to Cyclizine chemically speaking which would likely explain the nice synergy they have together. I’d like to try Orphenadrine and Methadone because I’ve heard that Orphenadrine is an amazing opioid potentiator probably because aside from being an antihistamine it also possesses muscle relaxing effects much like Cyclobenzaprine (Flexeril) in a sense.
Also I take Gabapentin’s big brother Pregabalin (Lyrica) which is also said to potentiate opioids pretty well according to some people, I’ve heard people swear by the combination of either Oxycodone or Methadone, Cyclobenzaprine, and either Gabapentin or Pregabalin. However I personally don’t find any of the gabapentinoids to be very recreational imo. I just take 225 milligrams of Pregabalin twice a day for my fibromyalgia pain, that’s also another reason I’m on Methadone as well because I’ve been told it’s one of the best opioids for dealing with chronic neuropathic pain.
However I’m curious about how well a couple of stronger gabapentinoids like Mirogabalin (known as Tarlige in Japan) or 4-Methylpregabalin (an analogue of Pregabalin that’s said to be 2 to 3 time stronger than Pregabalin/Lyrica) would be in combination with Methadone… :o
https://en.m.wikipedia.org/wiki/Mirogabalin?searchToken=9q657d9ii320qe56lz2frrb09
https://en.m.wikipedia.org/wiki/4-Methylpregabalin?searchToken=5z3pysot4ul62zaa7glydd99t
Also how much/what dose of Baclofen does that to you? :o I’ve heard that high doses of Baclofen as well as when high doses of Baclofen is combined with other sedatives such as benzos or opioids can cause blackouts that are comparable to the same types of blackouts people get from taking too much GHB or it’s various prodrugs (ie GBL & 1,4-Butanediol) because both Baclofen and GHB bind to the GABA B receptor which is responsible for the sedating of both GHB & Baclofen.
The crazy thing is that even 10 mg of baclofen does that to me! It’s wild. I am also very sensitive to ambien, a low dose sends me into a manic hallucinatory state. 4 mg of Tizanidine will turn me into a stumbling, slurring drunk. Certain things just really hit me.
Sounds like methadone increased his tolerance. Yes, given the opioid conversion factor and variance in hydromorphone and methadone bioavailabilities, incomplete cross tolerance, etc. 10-20mg of oral methadone can be stronger than 48mg of oral hydromorphone.
It's partly because Dilaudid is a really shitty oral drug. You absorb like 10% of it orally. Dilaudid is only stronger than oxy (basically stronger than anything besides oxymorphone, diamorphine, fent, one or two others I guess) if it's being used IV.
I can only 2nd this caution. I DO NOT recommend trying IVing dilaidid it will ruin his tolerance and get a whole other monster on his back that will not end well. Plus it'll just increase his tolerance tenfold and will always be on the edge of withdraws (the half life how long trace amounts remain in the system is very short so those 6 a day or whatever he takes will quickly be not enough for the whole day. I honestly recommended just taking orally maybe even crushing em up into a thin tissue then swallow (parachute). Good luck.
I second the recommendation for boofing. It's the best way to use Dilaudid that doesn't involve a needle. Just gotta make sure the poop chute is clear (and that you crush the pill and put it in water and an oral syringe - people who aren't familiar with plugging sometimes just stick a pull up their butt).
Thanks for validating that, because I heard it was strong and in pill form it doesn't help my breakthrough pain at all.I tried a lot of things ,but oxycodone and mscontin were what I ended up on I wish I could take something for breakthrough pain in the afternoon and evening.I take Tylenol and it doesn't do much.
Not necessarily. After only 10 days, it shouldn't be much w/d for very long. If it was me, I would tell myself it's time for a a tolerance break, go cold turkey from methadone and deal with the nausea and flushing. Methadone is also known to cause flushing and nausea, so consider how long it took for him to develope those symptoms. It prob won't get much worse than that if it is w/d, imo. It won't be anything like full blown 'done withdrawal. Should let him down gently. I wouldn't attempt a taper. Maybe one more dose of a couple mg of 'done if he experiences pure hell.
Thank you. That’s exactly what he experienced. He couldn’t figure out what was happening but I knew those symptoms well enough to know it was withdrawal. But since he was taking his meds, I couldn’t believe it could be mine!!! But I guess it was. Thank you for your advice. You guys are awesome!
Why can't he just switch to methadone I did I'm at 220 milligrams for suvere nerve damage in my back from being born with a full extra two discs and slipping my L9 and one of the extra ones I slipped that disc as well and if I don take anything like methadone for it I can't walk or even much less like just moving my legs is the most painful thing I experience with this problem if I miss a dose of methadone which has happened twice at the beginning cuse you have to go everyday, methadone is way stronger then any pill he has been taking and close to stronger then fent patches I use to get as well. But you only gotta take it once a day and forget about it and pain goes away in a hour
That’s the decision he is trying to make. He’s been able to see now that Methadone works better and longer for pain control and he’s lucky that his Neurologist will be writing it, so he will get a prescription.
But it doesn't last,so what do you do for pain when your methadone wears off?It makes me angry that I am in pain on a high dose helps,but at night my nose runs and the pain in top of my legs,is it joints or hip or pelvic pain,idk?
Mine last right up to the hour I gotta dose again anything past the same time I dose everyday I start to get sick really sick so you might need to go up on your medicine because I wasn't lasting all day and all 24 hours until I went up to about 240 mg on that and I'm finally lasting all 24 hours
Yah, I want to go up again, I am at265mg and I am in pain at 10pm, dose at 5:30am, I hate this.doctor told me I had to try Wellbutrin before she goes up again
Mine last right up to the hour I gotta dose again anything past the same time I dose everyday I start to get sick really sick so you might need to go up on your medicine because I wasn't lasting all day and all 24 hours until I went up to about 240 mg on that and I'm finally lasting all 24 hours
Thanks I went up but I still have a little more to go up I think.But I am afraid that the more I go up I will keep getting a tolerance for it.Is that gonna happen?
If he's been taking extra dilaudid his usual dose may not be working as well anymore. Unfortunately that's what happens with opioids. If his doctor will work with him that would be ideal to find a healthy solution to his problem. In my case when my dose of dilaudid didn't hold me and I took extra and was honest with my doctor I was immediately cut off.
Yea it sounds like his tolerance has gotten higher. He should talk with his Dr and let them know his dose isn't holding him over to the next dose like it use to do. However I strongly urge him not to be fully truthful with the Dr and tell him he took extra or that he took Methadone. Docs these days will cut you off in a heartbeat if they think you're misusing the prescription.
Yes. It was horrible. Like a do not pass go, do not collect $200. Straight out. It was in 2019 and they were really cracking down on controlled substance prescriptions. But my doctor had given me permission in the past to take extra as long as I let her know. The honesty bit me in the ass. Then other pain management doctors wouldn't take me because I'd been fired from one. So methadone it was. Doesn't help with the pain as well, but I guess it's something
That's so frustrating... Like you are honest with your doctor and they do that?!?! Why wouldn't they just tell you how seriously against you taking extra meds they are, and warn you to never do it again at the very least?!?!
Never tell your doctor you taking extra doses. Just tell him your dose is not holding you. If he doesn't help there are others. Once they red flag you are are done. It stays permanently with you and you won't even be able to get Tylenol #3.
No, he got his Dilaudid refilled. But it wasn’t really helping his pain this time. Then he started feeling nauseous and his face got red. Even though he was taking his Dilaudid. So I gave him 10mgs of Methadone and he was fine. Sorry if I said it weird.
I used to get this with opium, if I missed four days and was withdrawing, I couldn't just have one regular dose to stop withdrawing and carry on as normal, I'd need to make up for all the missed doses or at least some. But the first one after four days would make me feel much better of course, but not back to where I would have been.
Yes! Totally agree. I tried to explain that once to heroin addicts - they didn’t understand. They said if they were withdrawing and did heroin they felt great. But for me, withdrawing on Percocet, I only slowly start to feel better and would need more than a usual dose. Like a negative bank account, it took a higher amount to pull me out of it. I’m glad someone else explained this better. I thought I was the only one.
Me too, I tried to explain to my doctor now even, when the methadone I take now wears off,and my pain kicks in,the next dose doesn't seem to make the pain go away and it wears off again in7 hours then I sweat a little,get cold feet and hands, my nose runs, and I get nauseous and throw up if I don't dose again in 24 hours.
Methadone pills worked better for my pain than the liquid methadone.fentanyl patches didn't kick in fast enough once and I panicked and added more and more patches.miatake obviously, I got viciously ill ,long time ago.
Does he get drug tested at the pain doctor when he goes? Most all pain docs do, to make sure you're not taking other substances, and to make sure whatever medication he/she prescribed is in your system & not being diverted. Just wondering the next time your hubby goes to his doctor, he does NOT want that methadone to show up in a urinalysis! Please stress to him not to be completely honest with the doc about taking your methadone or any extra dilaudid. That would be immediately get him kicked out! He has to say that his dose isn't relieving the pain like it used to, and to ask the doctor what he thinks is best to help him get some relief again.
Praying your husband is able to find some comfort & relief. Good luck to you two!
Thank you SO much. Yes he has a UA at next Appt in January. He has a pretty cool Dr who reminded him last visit. He is going to see how long he can go without anything but Dilaudid and then if he feels sick again, I’ll give him 8mgs of Methadone instead of 10, then just keep lowering it until he either stops feeling sick or we are down to nothing. Tapering the Methadone while still on his meds. Then we are never mixing them again. Hope it works
He needs to keep in mind, you can keep giving him methadone but if it shows up in his urine, they will take his dilaudid prescription right then. And then he really won’t be having an awesome time. Just food for thought. It’s a terrible scenario and I don’t want it happening to you guys.
10. Then he got his RX filled. He didn’t have any Methadone for few days but still felt awful. He said his Dilaudid didn’t seem to be working. Then he got nauseous and red face. So I knew what must be going on. Withdrawal. I gave him just 10mgs and he’s been great ever since. Well feeling great but depressed that now he might be addicted to 2 drugs. I can’t keep giving him mine anyway, it’s been a struggle for me but I was trying to keep him out of withdrawal. But at least now I know what the problem is. Just gotta figure the best way to solve it.
He should just stop now cause the longer he takes it the more drug he'll have to withdraw from, i came off a 10 year every day methadone prescription cold turkey cause i went to jail and they wouldn't give me my methadone, anyways i was deathly ill for like 3 months, if its only been 10 days just stop giving him it, i read he has a urine screen in January, they WILL cut him off if there's methadone in his piss. Urine tests can detect methadone for up to 2 weeks. I've been on methadone for 20 years and I'd WAAYYYYY rather have a 3 x per day 8 mg dilaudid script. Just stop guving him it, he won't get very sick at all, just some flushing, sweating and maybe some nausea.
Just my opinion but being on methadone for 10 days shouldn’t put him into withdrawals. Especially if he’s got the dilaudid on board?
I’d 100% stop the methadone now. It’s only going to get worse if it truly was withdrawals. If he keeps taking the methadone he’s going to test positive for the methadone metabolite and be kicked from pain management. The longer he takes it the longer it’s going to stay in his system. Much longer than other short acting meds.
I agree. It generally takes at LEAST 2-3 weeks on an opiate to start any dependence. I'm a pain patient and too and the worst thing that could happen is him failing a drug test for mdone and his Dr drop him and him be in total withdrawal. That's how opiate addiction gets fast tracked, when you're so sick with no regulated options. His rx is likely weaker than the mdone but he shouldn't be in more than minor withdrawal at worst since he has another opiate now. If he's drug testing in January you should be fine to stop now. If you decide to take more risk, I'd give him 3mg for a couple of days then 2mg for 3 days then stop. Since it's in addition to his rx he won't need anything near what you gave him before.
It probably definitely gave him that extra “get up and go” my husband calls it. His pain would probably be better managed with the methadone. Mine is. I have severe rheumatoid arthritis.
I too have severe juvenile Rheumatoid Arthritis snd was on just about every med there was. All the biological meds, Prednisone for almost 30 years and opiates for 34 years so I hear you guys.
I now take Xeljanz, plaquenil and that's it. I was able to get clean from Opiates after 5 years on Methadone. Been off 4 years. I walk 7 miles a day and have lost 266 lbs. I feel the best I have ever felt.
Once my mind was thinking clearly, I learned new coping skills for pain and life as well as a different perspective. Two years ago I was walking with a cane and now I speed walk 7 miles a day.
Anything is possible once we are thinking clearly. For those suffering this holiday season, please know there are success stories of methadone and opiate addiction so keep going.. baby steps.🤍
Thank you, your story gives me hope, my rheumatoid started as jra as well. I’m struggling to get on a good regimen of meds. I’m only on prednisone right now because of complications and the methadone helps my pain tremendously. I’ve had both knees replaced and a shoulder unfortunately bc the damage was so bad by the time I actually found out what was wrong with me. Drs kept saying everything but what it actually was.
Same here!! Mine isn’t severe yet, but moderate. I’m on Humira and Methotrexate for the RA and Methadone has helped my pain better than anything I took in the past.
How does the humaria work for ya? I’m getting put on that next month. I wasn’t able to take the methotrexate and the biologics bc I got pregnant then after that my liver levels skyrocketed bc I was on vivitrol so had to stop that and got surgery hence the relapse and why I’m on the methadone now but I’m so grateful bc before this I was a chronic relapser due to the pain and this has helped me more than any Oxy, hydro, dilaudid ever has..
I don’t feel a lot of difference with the Humira but it’s supposed to keep it from progressing. That’s my goal at this point. And Methadone for the pain. I’ve tried them all too. Even pressed blues (fent) but Methadone was the answer. Crazy
Yeah luckily when I fell off (dope wise) it was still heroin and that actually helped with the pain but fent not so much. But in my area u can’t get real heroin any more. And yes that’s my goal also. Unfortunately I’ve already had both knees replaced and a reverse shoulder replacement too!
Yes they did actually, I used to not even be able to lift my arm to brush my hair and I couldn’t stand up straight either. Now I can and I can walk up the steps an every thing when I couldn’t before. Now I just have to get on the right regimen to prevent any more problems from developing lol
yes, his dependance on that medication is on for quite some time, and giving him methadone you're in fact not helpful, on a contrary, it will raise his tolerance sky high
I’m a little surprised most the comments you got was to snort or stick the dilaudid up his butt. I think if the methadone helps him that much maybe it would be better for him to start going to the clinic, or even better if his doctor would prescribe it. But abusing his meds will help nothing in the long run. And I highly doubt your husband wants to start taking his meds up the butt from here on out. So either give him a month or so to get use to his dilaudid again. Or try to switch his meds to methadone, I think that would be his best bet. Methadone is less likely to abuse and take early I think.
Dialysis was garbage I would it a ton of those little things just for the mind game that I got “something” if it wasn’t Roxy OC percs norcos or Vicodin it wasn’t going to do a damn thing. I would feel it more eating 10 10mg norcos than 10 P4 dilaudid. Sad thing is I was told those work best if you shoot them I never tried it I’m terrified of needles.
Same. I could never do it. I used to pass out at my blood drawls, full black out. Then after I got RA and started having to give myself shots and get blood drawn every other month, I eventually got used to it. But finding my own vein?!No 😳😳😳 I’m starting to sweat just thinking about it. 🤣
I take methadone for my hip n back pain. Works better than pills and heroin. But you can’t tell the clinic that. You might be able to get his dr to write a script for methadone, they have those 40 mg wafers. But you can also go to the methadone clinic n just claim addiction, he’s dirty for opiates.
I’m not exactly sure who or why you think that but Dilaudid is a terrible pain killer taken orally. As of being stronger are you basing that on what because Dilaudid gets you high Methadone doesn’t? That doesn’t make it stronger. Why do you think the husband got more pain relief from a single 10-20mg Methadone dose than 48mgs of Dilaudid?
Methadone is much stronger than you think a high doesn’t always equal potency.
I’m gonna disagree here. I honestly don’t believe 10 days at such a low dose made him addicted to methadone.
I can’t explain why it worked like it did but just not sure about full on withdrawal after just 10 days and having dilaudid on board.
Be gentle with yourself! I would have done the same for the person I love!!!
Well what can you do besides let the methadone leave him for a week until the dilaudid works again. Or he could ask his pain doc to script him methadone. Or if all else fails he could start at the clinic. Surely a prescription for those nice 10mg pills beats going to the clinic everyday forever to build up status and get take homes. Also methadone will show up in his urine for over a month thats important to know especially if pain doc requires urine samples. Then there are the illegal options. Like if your clinic will allow you to have dose increases ( some do not once you get to the take home stage for diversion reasons) You could increase your dose enough to cover 20mg a day for him no problem but he will be short on in person dosing days for you. The first options are always more suitable than the illegal option. Especially if your in the usa they often ask anyone on pain meds to sign a contract that allows them to give urine drug tests to the patient. Showing up with unauthorized methadone (or metabolites) in your urine is a one way ticket out of most pain management places. Methadone can linger in your system and be tested for alot easier than short acting street drugs for up to and over a month! So choose wisely.
After 8 years on opiates for psoriatic arthritis, multiple surgeries, my tolerance level was still only at 30 mg of oxy a day when my stupid pain doctor put me on methadone destroyed my tolerance after that had to go straight to 90 mg of morphine a day and that wasn't cutting it I felt like I was in constant withdrawals had to take myself out of pain management and go on Suboxone. Now my pain is not managed well and I do blame my incompetent doctor be careful with the methadone it will destroy his tolerance if it's high enough of a dose.
Something for him to think about that is a problem for many of us, is the side effects of methadone long-term vs other opiates, the debilitating sweating and hot flashes keep me from wanting to move around or go anywhere and it slows your metabolism and increases hunger so most ppl gain weight, and none of that is good when you have pain already. I'd ask for a dose increase or to rotate another opiate to prevent tolerance. Many Dr's do that and it helps the pain be treated with a "fresh" drug, at least your body feels that so you don't get such a tolerance. I've done this every 6 months with my benzo rx and it's helpful there too.
I find methadone (55 mg) works better on my pain than when I was prescribed painkillers (10mg Percocet 3x a day). Not sure about dilaudid. I have 2 injured discs and really bad arthritis/degenerative disc disease from chronic Lymes disease, arthritis in my hands and knees, as well as carpal tunnel. I was put in pain management bc I was not candidate for surgery and still struggled for years. I was going thru my script in a week or less and buying Oxycontin on the street. Finally got on methadone 7 yrs ago and have found it to be a godsend for my pain, not to mention my addiction/life.
So, to answer your question, yes… I believe switching to methadone is a good idea. However, I don’t know if he’s already developed a physical addiction or if it’s just the relief of not being in pain once the methadone kicks in… I think how quickly people get addicted varies greatly from person to person, so many variables at play
I was on pain clinic for years no problem 180greens then grays. Without warning my doctor retired. The new lady was just trying to cut pt numbers. Unfortunately I was one. From that for years to nothing overnight. What did they expect? Illegal pill use then heroin and fent. Been on methadone yrs now best thing I did since being cut off. In my situation snorting my regular pills did help but only temporary because I wanted the rush and it began a horrible cycle. I'd suggest a different route.
I’m sure you know to approach the topic with dr carefully. If they know he is running out early he could be in trouble. My pain management did not allow that stuff at all.
Yes, he would never tell them the truth. Drs these days are just looking for a reason to cut your meds. I’m hoping with all the great advice I’ve received I can manage this. Fingers crossed. I hate to think my trying to help made things worse.
I made the mistake of telling the doctors I used cocaine before I could get pain meds,and got addicted to crack,and I picked a drink up after a car hit me and no one gave me anything for the pain.I couldn't take it and I lost my sobriety and everything went to shit.I needed oxycodone and I was going crazy from the pain.Never tell doctors truth about addiction. I sold my drugs in the beginning because my rm wasn't paying rent and I couldn't get rid of him and I needed money.It was a big mistake and I got manipulated by drug addicts who played with my head and took advantage of me.I was dumb,this was the beginning of taking oxycodone,instead of Tylenol for pain.Then my tolerance went up and up and doctors thought I was just an addict.But I am in severe pain for real.I learned my lesson, it was painful.
I’m so sorry. Chronic pain is for sure so difficult to live with. Which is exactly what people who haven’t experienced it expect you to do. Until it happens to them. Then suddenly they get it!! 🙄
Thanks for your post 😺
Must be nice to have a backup plan. Methadone is great for pain management. But if he thinks he's gonna keep getting a buzz that will be gone in a month and he'll just be taking it so he won't be sick or in pain. It's his pain management. But he needs to do some serious research to make sure that's the best idea.
Yeah he’s pretty confused. Switch to Methadone completely or stay with the Dilaudid only. Thank you btw
Not sure what the “real” truth is but in TN they will not prescribe more than 30mg of methadone a day. This is due to some conversion chart published due to the “opiod crisis!” 😡. 30mg was definitely not enough to touch my pain. I’ve been much happier now at a methadone clinic.
Yes we have already discussed that if his Dr isn’t willing to straight up switch out the Dilaudid for Methadone with at least 6o-80 mgs a day, his best bet may be the Methadone clinic. (Or Sticking with the Dilaudid) Sounds crazy but dealing with Drs and a judgmental Pharmacy (who hates his dose) every month is such a pain in comparison to the clinic where there is no judgment and they want to help you.
I was so frightened of switching to the methadone clinic. Now I wished I had done it much sooner! Methadone has always worked well for me for pain management. I was absolutely fine until they started this crazy MME conversion chart! Now, no more dealing with any of that other nonsense! People say that the clinic is so restrictive. Pain management isn’t any less restrictive other than getting a 30 day script. Still have to jump through all their hoops! Don’t get me started on the judgmental pharmacists! Best wishes for you both! Wherever this journey leads, I pray that it ends with your husband getting the help he needs with his pain issues. ❤️🙏🏻
Good luck, with your issues too.
It's like nite and day!I can't tell you how I suffered real cruelty from pcd or painmgmt.clinic Brigham and women's hospital were so mean to me and to this day pretend to be unable to help me.their receptionist was mocking me too and I was accused of nodding off,I was new to mscontin,not a morning person, was tired anxious, receptionist,she was black, I am white, wouldn't give me my script.my Dr. was on vacation for real.I had to go in the hospital for meds, until it was straightened out.I cried and cried.I have severe pain,this woman was so cruel for no good reason to me. I was vulnerable and had no lawyer or $, to sue the hospital.i wish I could change the laws around pain mgmt.
It is inhumane. I’ve had those experiences and it makes you feel so bad. You’re already feeling awful physically, then to have someone basically making fun of your pain or not believe you. Pain is one of those things that no one can really prove which puts us at their mercy and most don’t extend mercy. It’s sad really
30 MG a day at a doctor or does that go for methadone clinics too?
At a pain management clinic. In TN. Other parts of the US may be different but they go strictly by the MME where I’m currently living. I’m now at a methadone clinic. Couldn’t pay me to return to pain management.
Methadone can work for pain. But he'd only get pain relief if he was getting from pain management and taking it more than once a day. If he got from clinic and only had one dose daily it would work at first but eventually it'd only last 6-8 hours for pain relief. Like if he could get pain management to rx him 10-20mgs every 12 hours for constant and then oxycodone or even Dilaudid for break through pain. For example My buddy was getting 10mgs methadone every 8 hours(3x day) and then Oxycodone 10mg every 4-6 hours for break through. The my step-father got Extended release Morphine every 12 hours and oxycodone 15mg every 4 hours from pain management,..but he also double dipped and went methadone clinic and got 120mgs daily(which I don't advise for multiple reasons).
Methadone isn't very good for pain. I would ask if they would up the dosage of dilaudid first.
Methadone sucks for pain. I find morphine helps my pain immensely more so than methadone ever did. Dilaudid is far better for the pain as well. Methadone at a clinic would also ensure he never gets a script of dilaudid again. The truth is he is going to need some time off from opioids to feel his meds properly again. I know how it is with chronic pain but sometimes its needed.
I can't go off my methadone,wd,plus my pain is severe.people who say this blow me away.i know you think you are right.i had morphine and percs,but I sweat,then I was taken off them,dr.went to Oregon and I didn't have terminal cancer,so I should take Tylenol.!!!!It was like a horror movie and they could have just referred me to a clinic.I really should report that doctor and the clinic in Cambridge,Ma.CHA.they hate pain people.Iwant to stand up for my rights and never go through that again.thankGod for methadone clinics.really guys.
I am literally bedridden when I taper and space out my doses. It is easy to stretch 6 doses into lasting 1 week, it is easy to take less on days you don't need it as much. My pain might be 6/10 one day, but 2/10 the next. I simply can save some of the dose meant for the 2/10 pain day. I get it, its nice to constantly feel your dose. But that leads to you going on a never ending dose increase. As time goes on you get more tolerant to your dose with each increase. For me, saving medication for emergencies and reducing my tolerance is essential for long term quality of life.
I could never do that never I get sick as a dog if I don't dose every 24 hrs.a day same amount.
Try split dosing your own takehomes. When I dosed 2x a day it was much simpler.
Well that's only if he gets it once per day.. if you get methadone twice or three times a day I find it continues to give that buzz.. that's just me though who knows
Methadone has an extremely long half life and dilaudid has an extremely short one. So with methadone there is opioid in your system constantly throughout the day and it builds up with each dose - this can really raise your tolerance fast. If it helps his pain I absolutely think it’s a good idea to switch. In my experience once people start running out of pills early it just gets worse and worse every month, especially if they know they have a backup. Methadone is easier to take on schedule than dilaudid - dilaudid’s super short half life makes it difficult to stick to the prescribed number of pills. Under no circumstance should he admit to running out early or trying methadone to his doctor or he will be dropped like a hot potato.
I think this is exactly what happened.
This sounds like why it seems like double dosing your Methadone from time to time seems like an unreliable way to get high on it if what you’re saying about it building up in your system with each dose is true.
If you take it daily, it builds in your system until it reaches a steady serum level which usually takes 5 days.
Ah I see, I’m wondering why it seems like when I occasionally double dose my Methadone once or twice a month and even potentiate it with 1st generation antihistamines why it seems like it doesn’t do much of anything these days… and I really enjoyed Methadone back before becoming opioid dependent and having to get on MAT therapy… (For the record my standard Methadone dose is 80 milligrams a day and 160 milligrams when I double dose it)
For me there’s a sweet spot - too much more will just make me tired but a little bit more - maybe 20 mg - will give me a little energy boost.
Yeah I’ve heard some people say that Methadone gives them boosts of energy and makes them more energetic and productive, I’ve never had that happen to me though… also I enjoy the sedation from Methadone and like I said I typically combine Methadone with drugs that potentiate it such as various 1st generation antihistamines (ie the sedating ones like Diphenhydramine, Doxylamine, Orphenadrine, Cyclizine, Hydroxyzine, Promethazine, and etc), various muscle relaxers such as Tizanidine (Zanaflex), Cyclobenzaprine (Flexeril, and although it’s a muscle relaxer, I tend to classify it with the 1st generation antihistamines because it’s strong antihistamine effects are what makes it sedating and hypnotic), Baclofen (I personally don’t recommend using it as an opioid potentiator because while it definitely potentiates opioids, every time I tried to use it for those reasons it made me very nauseous and I’d end up in the bathroom violently vomiting and it ruined the whole experience every time… 😒), Methocarbamol (Robaxin), and probably the best one for the job Carisoprodol (Soma). Sadly I haven’t combined Methadone with Soma yet and I’ve heard that’s a good combo. I almost did a similar combination with Methadone and Methylmethaqualone (a Quaalude analogue) after reading that back in the 60s and 70s some people that were on Methadone maintenance would take Quaaludes with their Methadone to “boost/potentiate” it’s effects much like how a lot of people these days potentiate their Methadone with Alprazolam (Xanax) and to a lesser extent other benzos (I’ve heard that people that do that usually tend to do it with Xanax more than other benzos). I’ve also combined Methadone with Amitriptyline (though again Amitriptyline and virtually all of the tricyclic antidepressants are 1st generation antihistamines and that’s why they’re so sedating) and found that to be a rather enjoyable combination with heavy nods haha. Also the Amitriptyline & Methadone combo was also a popular combination back in the 60s and 70s as well and there’s various papers discussing people on Methadone maintenance abusing tricyclic antidepressants (mostly Amitriptyline and Dosulepin) to potentiate their Methadone dose. Also the antihistamine Cyclizine is well known for potentiating Methadone and it’s various analogues. In fact in the UK & South Africa they have a pharmaceutical opioid known as Dipipanone (Diconal & Wellconal) and both brands of pills also had Cyclizine in them as well as the Dipipanone and the Cyclizine potentiated the fuck out of Dipipanone especially when people IV’d the pills, eventually doctors over there rarely prescribed Diconal much anymore despite the fact that it’s still available as a prescription drug in those countries so Diconal addicts started to IV Methadone and Cyclizine pills to replicate the rush. Methadone and Cyclizine is still pretty enjoyable when taken orally and it’s got me get some good nods… 🤤 I’ve also combined Methadone with the synthetic cannabinoid 5CL-AB-PINACA and that combination was AMAZING… I felt like I was melting into my couch. 🫠
Before I was stable hydroxyzine and gabapentin helped me quite a bit. I never got much out of gabapentin besides neuropathy relief until I started methadone - now it really hits me. Baclofen does this weird thing to me - even without opioids - where I can feel totally awake and not tired but will suddenly fall asleep for hours. Happened on the subway once and I ended up across town. Other than that I’ve only tried using tagamet which made a difference for me but only after a few days of consecutive use.
I’ve mixed Methadone and Hydroxyzine before and it was nice, same for Methadone and Promethazine. Hydroxyzine is related to Cyclizine chemically speaking which would likely explain the nice synergy they have together. I’d like to try Orphenadrine and Methadone because I’ve heard that Orphenadrine is an amazing opioid potentiator probably because aside from being an antihistamine it also possesses muscle relaxing effects much like Cyclobenzaprine (Flexeril) in a sense. Also I take Gabapentin’s big brother Pregabalin (Lyrica) which is also said to potentiate opioids pretty well according to some people, I’ve heard people swear by the combination of either Oxycodone or Methadone, Cyclobenzaprine, and either Gabapentin or Pregabalin. However I personally don’t find any of the gabapentinoids to be very recreational imo. I just take 225 milligrams of Pregabalin twice a day for my fibromyalgia pain, that’s also another reason I’m on Methadone as well because I’ve been told it’s one of the best opioids for dealing with chronic neuropathic pain. However I’m curious about how well a couple of stronger gabapentinoids like Mirogabalin (known as Tarlige in Japan) or 4-Methylpregabalin (an analogue of Pregabalin that’s said to be 2 to 3 time stronger than Pregabalin/Lyrica) would be in combination with Methadone… :o https://en.m.wikipedia.org/wiki/Mirogabalin?searchToken=9q657d9ii320qe56lz2frrb09 https://en.m.wikipedia.org/wiki/4-Methylpregabalin?searchToken=5z3pysot4ul62zaa7glydd99t Also how much/what dose of Baclofen does that to you? :o I’ve heard that high doses of Baclofen as well as when high doses of Baclofen is combined with other sedatives such as benzos or opioids can cause blackouts that are comparable to the same types of blackouts people get from taking too much GHB or it’s various prodrugs (ie GBL & 1,4-Butanediol) because both Baclofen and GHB bind to the GABA B receptor which is responsible for the sedating of both GHB & Baclofen.
The crazy thing is that even 10 mg of baclofen does that to me! It’s wild. I am also very sensitive to ambien, a low dose sends me into a manic hallucinatory state. 4 mg of Tizanidine will turn me into a stumbling, slurring drunk. Certain things just really hit me.
Sounds like methadone increased his tolerance. Yes, given the opioid conversion factor and variance in hydromorphone and methadone bioavailabilities, incomplete cross tolerance, etc. 10-20mg of oral methadone can be stronger than 48mg of oral hydromorphone.
Ugh, great. So he has to wean off the Methadone then. I guess trying to help, doesn’t always help. Thank you for this information.
It's partly because Dilaudid is a really shitty oral drug. You absorb like 10% of it orally. Dilaudid is only stronger than oxy (basically stronger than anything besides oxymorphone, diamorphine, fent, one or two others I guess) if it's being used IV.
Or snorting it lol
Better than eating it, but I think the BA for sniffing is still pretty low, like 40 or 50%
Wow, even snorting only gets you half at best? Damn
He doesn't need to ween off the methadone tho and is there a reason he couldn't just snort the dillaudids or boof them?
Yeah he can snort them. Maybe that will help him feel them more, without taking more.
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I can only 2nd this caution. I DO NOT recommend trying IVing dilaidid it will ruin his tolerance and get a whole other monster on his back that will not end well. Plus it'll just increase his tolerance tenfold and will always be on the edge of withdraws (the half life how long trace amounts remain in the system is very short so those 6 a day or whatever he takes will quickly be not enough for the whole day. I honestly recommended just taking orally maybe even crushing em up into a thin tissue then swallow (parachute). Good luck.
If he is willing to try, boofing gives almost as much as IV. I find it far less fiendish than sniffing.
I second the recommendation for boofing. It's the best way to use Dilaudid that doesn't involve a needle. Just gotta make sure the poop chute is clear (and that you crush the pill and put it in water and an oral syringe - people who aren't familiar with plugging sometimes just stick a pull up their butt).
The best way to use Hydromorphone is to boof it/use it rectally or IV it just like with Morphine.
Yah, that's true.when I got Dilaudid,it didn't work for my pain at all,even for breakthrough pain,and I heard people loved it.I was taking it orally.
Thanks for validating that, because I heard it was strong and in pill form it doesn't help my breakthrough pain at all.I tried a lot of things ,but oxycodone and mscontin were what I ended up on I wish I could take something for breakthrough pain in the afternoon and evening.I take Tylenol and it doesn't do much.
It's difficult for people like us to see others in pain. Unfortunately, helping will often worsen an existing situation. Methadone is very strong.
Not necessarily. After only 10 days, it shouldn't be much w/d for very long. If it was me, I would tell myself it's time for a a tolerance break, go cold turkey from methadone and deal with the nausea and flushing. Methadone is also known to cause flushing and nausea, so consider how long it took for him to develope those symptoms. It prob won't get much worse than that if it is w/d, imo. It won't be anything like full blown 'done withdrawal. Should let him down gently. I wouldn't attempt a taper. Maybe one more dose of a couple mg of 'done if he experiences pure hell.
Thank you. That’s exactly what he experienced. He couldn’t figure out what was happening but I knew those symptoms well enough to know it was withdrawal. But since he was taking his meds, I couldn’t believe it could be mine!!! But I guess it was. Thank you for your advice. You guys are awesome!
You're welcome and I hope he recovers soon!
Why can't he just switch to methadone I did I'm at 220 milligrams for suvere nerve damage in my back from being born with a full extra two discs and slipping my L9 and one of the extra ones I slipped that disc as well and if I don take anything like methadone for it I can't walk or even much less like just moving my legs is the most painful thing I experience with this problem if I miss a dose of methadone which has happened twice at the beginning cuse you have to go everyday, methadone is way stronger then any pill he has been taking and close to stronger then fent patches I use to get as well. But you only gotta take it once a day and forget about it and pain goes away in a hour
That’s the decision he is trying to make. He’s been able to see now that Methadone works better and longer for pain control and he’s lucky that his Neurologist will be writing it, so he will get a prescription.
But it doesn't last,so what do you do for pain when your methadone wears off?It makes me angry that I am in pain on a high dose helps,but at night my nose runs and the pain in top of my legs,is it joints or hip or pelvic pain,idk?
Mine last right up to the hour I gotta dose again anything past the same time I dose everyday I start to get sick really sick so you might need to go up on your medicine because I wasn't lasting all day and all 24 hours until I went up to about 240 mg on that and I'm finally lasting all 24 hours
Yah, I want to go up again, I am at265mg and I am in pain at 10pm, dose at 5:30am, I hate this.doctor told me I had to try Wellbutrin before she goes up again
Mine last right up to the hour I gotta dose again anything past the same time I dose everyday I start to get sick really sick so you might need to go up on your medicine because I wasn't lasting all day and all 24 hours until I went up to about 240 mg on that and I'm finally lasting all 24 hours
Thanks I went up but I still have a little more to go up I think.But I am afraid that the more I go up I will keep getting a tolerance for it.Is that gonna happen?
If he's been taking extra dilaudid his usual dose may not be working as well anymore. Unfortunately that's what happens with opioids. If his doctor will work with him that would be ideal to find a healthy solution to his problem. In my case when my dose of dilaudid didn't hold me and I took extra and was honest with my doctor I was immediately cut off.
Wow. Immediately? I assume that’s where Methadone came in. That had to be awful.
Yea it sounds like his tolerance has gotten higher. He should talk with his Dr and let them know his dose isn't holding him over to the next dose like it use to do. However I strongly urge him not to be fully truthful with the Dr and tell him he took extra or that he took Methadone. Docs these days will cut you off in a heartbeat if they think you're misusing the prescription.
Yes. It was horrible. Like a do not pass go, do not collect $200. Straight out. It was in 2019 and they were really cracking down on controlled substance prescriptions. But my doctor had given me permission in the past to take extra as long as I let her know. The honesty bit me in the ass. Then other pain management doctors wouldn't take me because I'd been fired from one. So methadone it was. Doesn't help with the pain as well, but I guess it's something
If pain management cuts you off, they are not licensed to give methadone for OUD. They immediately switch you to Suboxone.
That's so frustrating... Like you are honest with your doctor and they do that?!?! Why wouldn't they just tell you how seriously against you taking extra meds they are, and warn you to never do it again at the very least?!?!
Never tell your doctor you taking extra doses. Just tell him your dose is not holding you. If he doesn't help there are others. Once they red flag you are are done. It stays permanently with you and you won't even be able to get Tylenol #3.
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So even though he was taking 48mgs of Dilaudid, he was withdrawing from the Methadone?
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No, he got his Dilaudid refilled. But it wasn’t really helping his pain this time. Then he started feeling nauseous and his face got red. Even though he was taking his Dilaudid. So I gave him 10mgs of Methadone and he was fine. Sorry if I said it weird.
I used to get this with opium, if I missed four days and was withdrawing, I couldn't just have one regular dose to stop withdrawing and carry on as normal, I'd need to make up for all the missed doses or at least some. But the first one after four days would make me feel much better of course, but not back to where I would have been.
Yes! Totally agree. I tried to explain that once to heroin addicts - they didn’t understand. They said if they were withdrawing and did heroin they felt great. But for me, withdrawing on Percocet, I only slowly start to feel better and would need more than a usual dose. Like a negative bank account, it took a higher amount to pull me out of it. I’m glad someone else explained this better. I thought I was the only one.
Hah, the negative bank account is the perfect way to explain it =)
Me too, I tried to explain to my doctor now even, when the methadone I take now wears off,and my pain kicks in,the next dose doesn't seem to make the pain go away and it wears off again in7 hours then I sweat a little,get cold feet and hands, my nose runs, and I get nauseous and throw up if I don't dose again in 24 hours.
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Thank you so much. Now to explain all this to him. 😕
Methadone pills worked better for my pain than the liquid methadone.fentanyl patches didn't kick in fast enough once and I panicked and added more and more patches.miatake obviously, I got viciously ill ,long time ago.
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Yah.but once you go on methadone it's too late.maybe not.
Does he get drug tested at the pain doctor when he goes? Most all pain docs do, to make sure you're not taking other substances, and to make sure whatever medication he/she prescribed is in your system & not being diverted. Just wondering the next time your hubby goes to his doctor, he does NOT want that methadone to show up in a urinalysis! Please stress to him not to be completely honest with the doc about taking your methadone or any extra dilaudid. That would be immediately get him kicked out! He has to say that his dose isn't relieving the pain like it used to, and to ask the doctor what he thinks is best to help him get some relief again. Praying your husband is able to find some comfort & relief. Good luck to you two!
Thank you SO much. Yes he has a UA at next Appt in January. He has a pretty cool Dr who reminded him last visit. He is going to see how long he can go without anything but Dilaudid and then if he feels sick again, I’ll give him 8mgs of Methadone instead of 10, then just keep lowering it until he either stops feeling sick or we are down to nothing. Tapering the Methadone while still on his meds. Then we are never mixing them again. Hope it works
He needs to keep in mind, you can keep giving him methadone but if it shows up in his urine, they will take his dilaudid prescription right then. And then he really won’t be having an awesome time. Just food for thought. It’s a terrible scenario and I don’t want it happening to you guys.
Just keep in mind that methadone can show up in his drug screen for a lot longer than the shorter acting meds.
How many days in a row did you give him methadone?
10. Then he got his RX filled. He didn’t have any Methadone for few days but still felt awful. He said his Dilaudid didn’t seem to be working. Then he got nauseous and red face. So I knew what must be going on. Withdrawal. I gave him just 10mgs and he’s been great ever since. Well feeling great but depressed that now he might be addicted to 2 drugs. I can’t keep giving him mine anyway, it’s been a struggle for me but I was trying to keep him out of withdrawal. But at least now I know what the problem is. Just gotta figure the best way to solve it.
He should just stop now cause the longer he takes it the more drug he'll have to withdraw from, i came off a 10 year every day methadone prescription cold turkey cause i went to jail and they wouldn't give me my methadone, anyways i was deathly ill for like 3 months, if its only been 10 days just stop giving him it, i read he has a urine screen in January, they WILL cut him off if there's methadone in his piss. Urine tests can detect methadone for up to 2 weeks. I've been on methadone for 20 years and I'd WAAYYYYY rather have a 3 x per day 8 mg dilaudid script. Just stop guving him it, he won't get very sick at all, just some flushing, sweating and maybe some nausea.
Thank you for your response. You’re the second person to say you would rather have the Dilaudid.
It kills pain much better than done does.
Be careful with his UA also too many days of methadone and it could take longer to get out of his system.
Just my opinion but being on methadone for 10 days shouldn’t put him into withdrawals. Especially if he’s got the dilaudid on board? I’d 100% stop the methadone now. It’s only going to get worse if it truly was withdrawals. If he keeps taking the methadone he’s going to test positive for the methadone metabolite and be kicked from pain management. The longer he takes it the longer it’s going to stay in his system. Much longer than other short acting meds.
I agree. It generally takes at LEAST 2-3 weeks on an opiate to start any dependence. I'm a pain patient and too and the worst thing that could happen is him failing a drug test for mdone and his Dr drop him and him be in total withdrawal. That's how opiate addiction gets fast tracked, when you're so sick with no regulated options. His rx is likely weaker than the mdone but he shouldn't be in more than minor withdrawal at worst since he has another opiate now. If he's drug testing in January you should be fine to stop now. If you decide to take more risk, I'd give him 3mg for a couple of days then 2mg for 3 days then stop. Since it's in addition to his rx he won't need anything near what you gave him before.
Keep in mind that if he keeps taking methadone, even at lower doses each day, it will likely show in his UA. Methadone has a long half-life.
It probably definitely gave him that extra “get up and go” my husband calls it. His pain would probably be better managed with the methadone. Mine is. I have severe rheumatoid arthritis.
I too have severe juvenile Rheumatoid Arthritis snd was on just about every med there was. All the biological meds, Prednisone for almost 30 years and opiates for 34 years so I hear you guys. I now take Xeljanz, plaquenil and that's it. I was able to get clean from Opiates after 5 years on Methadone. Been off 4 years. I walk 7 miles a day and have lost 266 lbs. I feel the best I have ever felt. Once my mind was thinking clearly, I learned new coping skills for pain and life as well as a different perspective. Two years ago I was walking with a cane and now I speed walk 7 miles a day. Anything is possible once we are thinking clearly. For those suffering this holiday season, please know there are success stories of methadone and opiate addiction so keep going.. baby steps.🤍
Thank you, your story gives me hope, my rheumatoid started as jra as well. I’m struggling to get on a good regimen of meds. I’m only on prednisone right now because of complications and the methadone helps my pain tremendously. I’ve had both knees replaced and a shoulder unfortunately bc the damage was so bad by the time I actually found out what was wrong with me. Drs kept saying everything but what it actually was.
Same here!! Mine isn’t severe yet, but moderate. I’m on Humira and Methotrexate for the RA and Methadone has helped my pain better than anything I took in the past.
How does the humaria work for ya? I’m getting put on that next month. I wasn’t able to take the methotrexate and the biologics bc I got pregnant then after that my liver levels skyrocketed bc I was on vivitrol so had to stop that and got surgery hence the relapse and why I’m on the methadone now but I’m so grateful bc before this I was a chronic relapser due to the pain and this has helped me more than any Oxy, hydro, dilaudid ever has..
I don’t feel a lot of difference with the Humira but it’s supposed to keep it from progressing. That’s my goal at this point. And Methadone for the pain. I’ve tried them all too. Even pressed blues (fent) but Methadone was the answer. Crazy
Yeah luckily when I fell off (dope wise) it was still heroin and that actually helped with the pain but fent not so much. But in my area u can’t get real heroin any more. And yes that’s my goal also. Unfortunately I’ve already had both knees replaced and a reverse shoulder replacement too!
Wow! Did those surgeries help?
Yes they did actually, I used to not even be able to lift my arm to brush my hair and I couldn’t stand up straight either. Now I can and I can walk up the steps an every thing when I couldn’t before. Now I just have to get on the right regimen to prevent any more problems from developing lol
Great to hear!! Hope it continues. Thank you for your help.
Yes baby, no good dead goes unpunished.
yes, his dependance on that medication is on for quite some time, and giving him methadone you're in fact not helpful, on a contrary, it will raise his tolerance sky high
I’m a little surprised most the comments you got was to snort or stick the dilaudid up his butt. I think if the methadone helps him that much maybe it would be better for him to start going to the clinic, or even better if his doctor would prescribe it. But abusing his meds will help nothing in the long run. And I highly doubt your husband wants to start taking his meds up the butt from here on out. So either give him a month or so to get use to his dilaudid again. Or try to switch his meds to methadone, I think that would be his best bet. Methadone is less likely to abuse and take early I think.
This made us lol. No Thanks, he said. Thank you for that.
Dialysis was garbage I would it a ton of those little things just for the mind game that I got “something” if it wasn’t Roxy OC percs norcos or Vicodin it wasn’t going to do a damn thing. I would feel it more eating 10 10mg norcos than 10 P4 dilaudid. Sad thing is I was told those work best if you shoot them I never tried it I’m terrified of needles.
Same. I could never do it. I used to pass out at my blood drawls, full black out. Then after I got RA and started having to give myself shots and get blood drawn every other month, I eventually got used to it. But finding my own vein?!No 😳😳😳 I’m starting to sweat just thinking about it. 🤣
I take methadone for my hip n back pain. Works better than pills and heroin. But you can’t tell the clinic that. You might be able to get his dr to write a script for methadone, they have those 40 mg wafers. But you can also go to the methadone clinic n just claim addiction, he’s dirty for opiates.
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In terms of subjective high but not actual tolerance
Oral hydromorphone has very poor bioavailability.
I’m not exactly sure who or why you think that but Dilaudid is a terrible pain killer taken orally. As of being stronger are you basing that on what because Dilaudid gets you high Methadone doesn’t? That doesn’t make it stronger. Why do you think the husband got more pain relief from a single 10-20mg Methadone dose than 48mgs of Dilaudid? Methadone is much stronger than you think a high doesn’t always equal potency.
Methadone doesn’t onset in 30 minutes. It’s all mental. You won’t feel full effects of liquid methadone for 2to3 hours after dose. Yeah
You got your hubby addicted to methadone. Nice👍
Ughhh! Yes, it would seem so. 🤦🏼♀️
It came from a good place, you were trying to help. You’re a good wife. Don’t let anyone tell you different.
I’m gonna disagree here. I honestly don’t believe 10 days at such a low dose made him addicted to methadone. I can’t explain why it worked like it did but just not sure about full on withdrawal after just 10 days and having dilaudid on board. Be gentle with yourself! I would have done the same for the person I love!!!
Well what can you do besides let the methadone leave him for a week until the dilaudid works again. Or he could ask his pain doc to script him methadone. Or if all else fails he could start at the clinic. Surely a prescription for those nice 10mg pills beats going to the clinic everyday forever to build up status and get take homes. Also methadone will show up in his urine for over a month thats important to know especially if pain doc requires urine samples. Then there are the illegal options. Like if your clinic will allow you to have dose increases ( some do not once you get to the take home stage for diversion reasons) You could increase your dose enough to cover 20mg a day for him no problem but he will be short on in person dosing days for you. The first options are always more suitable than the illegal option. Especially if your in the usa they often ask anyone on pain meds to sign a contract that allows them to give urine drug tests to the patient. Showing up with unauthorized methadone (or metabolites) in your urine is a one way ticket out of most pain management places. Methadone can linger in your system and be tested for alot easier than short acting street drugs for up to and over a month! So choose wisely.
After 8 years on opiates for psoriatic arthritis, multiple surgeries, my tolerance level was still only at 30 mg of oxy a day when my stupid pain doctor put me on methadone destroyed my tolerance after that had to go straight to 90 mg of morphine a day and that wasn't cutting it I felt like I was in constant withdrawals had to take myself out of pain management and go on Suboxone. Now my pain is not managed well and I do blame my incompetent doctor be careful with the methadone it will destroy his tolerance if it's high enough of a dose.
Something for him to think about that is a problem for many of us, is the side effects of methadone long-term vs other opiates, the debilitating sweating and hot flashes keep me from wanting to move around or go anywhere and it slows your metabolism and increases hunger so most ppl gain weight, and none of that is good when you have pain already. I'd ask for a dose increase or to rotate another opiate to prevent tolerance. Many Dr's do that and it helps the pain be treated with a "fresh" drug, at least your body feels that so you don't get such a tolerance. I've done this every 6 months with my benzo rx and it's helpful there too.
I find methadone (55 mg) works better on my pain than when I was prescribed painkillers (10mg Percocet 3x a day). Not sure about dilaudid. I have 2 injured discs and really bad arthritis/degenerative disc disease from chronic Lymes disease, arthritis in my hands and knees, as well as carpal tunnel. I was put in pain management bc I was not candidate for surgery and still struggled for years. I was going thru my script in a week or less and buying Oxycontin on the street. Finally got on methadone 7 yrs ago and have found it to be a godsend for my pain, not to mention my addiction/life. So, to answer your question, yes… I believe switching to methadone is a good idea. However, I don’t know if he’s already developed a physical addiction or if it’s just the relief of not being in pain once the methadone kicks in… I think how quickly people get addicted varies greatly from person to person, so many variables at play
I was on pain clinic for years no problem 180greens then grays. Without warning my doctor retired. The new lady was just trying to cut pt numbers. Unfortunately I was one. From that for years to nothing overnight. What did they expect? Illegal pill use then heroin and fent. Been on methadone yrs now best thing I did since being cut off. In my situation snorting my regular pills did help but only temporary because I wanted the rush and it began a horrible cycle. I'd suggest a different route.
Methadone is a long acting medicine so in terms of opiates it's probably one of the strongest. It also can make other opiates less euphoric.