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425312 tn?1279966179

Very helpful info on Methadone and Oxy's



METHADONE--
Methadone is considered more difficult to get off, because the withdrawal symptoms are more difficult than even heroin. The reason for this is because of the synthetic opiates' storage in your tissue--and more importantly, the half-life of Methadone is (on average) 25 hours (13-47 hours), with peak absorption in 4 hours. However, Methadone lasts for approximately 25 hours for the average patient, BUT there are a few of us who have taken it every 8 hours to reduce the amount of Methadone needed (for pain management), by reducing the zig-zag effect of depleting and replenishment of Methadone within our tissues.

As a result, Methadone patients may not experience many withdrawal symptoms for 24-48 hours after their last dose. [Everyone is different]. After 48 hours, the symptoms of withdrawal will peak within 7-10 days and begin to lessen over the next 7-14 days; however, it depends on a number of variables: how long the patient was taking Methadone; the amount the patient was taking; how quickly the patient has chosen (or been forced) to detox; what the last amount—with respect to the patient’s peak dosage—was; a person’s weight (especially if the patient has experienced quick weight gain, because more Methadone will be stored in your tissues with less blood absorption); age; etc.

The symptoms of withdrawal, and the severity of the symptoms, depend on the variables above; but, and most importantly, it depends on the patients state-of-mind and preparation for detoxification. Most patients do not realize that there are two types of cravings—mental addiction and physical dependency. If a patient is on the Methadone for medicinal reasons, it will be easier for the patient to recover from the withdrawal symptoms, but if the patient has a mental addiction, the patient will be faced with craving to withdraw and take the Methadone as an out. Fortunately, Methadone does not have the same level of euphoria as do other chemical compounds, but nonetheless, it is still significant enough in the patient’s mind that it may not matter the chemical side.

Before covering the symptoms of withdrawal, it is important to point out one last key component of Methadone—in that, it mimics the level of peptides—such as, Endorphins, Enkephalines, and Dynorphins, which causes the brain to assume that your ARTIFICIAL level of good feeling is required for normal life functioning. As a result, the most difficult withdrawal is a MENTAL withdrawal that your brain feels you need in order to survive. This is affectionately referred to as “cravings.” These cravings WILL FORCE most patients into taking Methadone, because the cravings are too intense; hence, most professionals recommend that you seek professional help (detoxification center), so that they may monitor you for your health and to give you the support needed to NOT GIVE IN to the CRAVINGS! (IMPORTANT NOTE: I almost died coming off of my Methadone too quickly, because I wanted to show myself that I could do it as long as I WANTED to. I was wrong! I seized, and I was VERY lucky that my family was with me at the time, because the doctors had to resuscitate me and push Methadone into me to prevent an immanent heart attack. Don’t be foolish, we know you are mentally strong, why else would you be interested in reading this? Be alive to live your life after this necessary evil—PLEASE!!!)

So, what are the symptoms? Here you go! Sneezing, yawning, tearing of eyes, runny nose, excessive perspiration (cold sweats and hot sweats, especially at night), fever, dilated pupils, abdominal cramps, nausea, body aches, tremors, irritability, not to be morbid, but even death in extreme cases. Finally, sleep is your best friend during withdrawals, BUT you will find it next to impossible to sleep. I recommend taking 25-50 mg of Dyphenhydramine (Benadryl), but NOTHING ELSE! You don’t want to exchange one craving today with another craving in two months, once you are beginning to see the other side of the tunnel. (IMPORTANT: Benadryl SHOULD NEVER BE ingested in amounts greater than 50 mg every 4-6 hours, and no more than 8 pills per 24 hours, because of severe respiratory concerns. Muscle relaxants can assist (for many reasons), but again—be reasonable; DRINK lots of WATER; ensure that you get your electrolytes (banana a day, Gatorade); Ensure or Boost are excellent meal replacements, because you will lose your appetite; and make certain that you take care of your hygiene (shower, brush your teeth, put on comfortable, but NOT bedtime clothes for mental effectiveness). Lastly, there are medications (Clonidine, for example) that MAY significantly assist you while you detoxify, but reports of significant exhaustion and tiredness may make it worse, not to mention the fact that it will lower your blood pressure. I have chosen not to go this route, because the ‘cravings’ are psychological and I can beat it in my mind—‘mind over matter.’

OXYCODONE--
Oxycodone (OxyContin, Percocet, Endocet, Percodin, etc.) is easier and more difficult to detox off of, because of one major simple reason—it is a short-acting chemical compound. Methadone is longer acting (as discussed above), but the good thing behind Methadone is that you may titrate down at any milligram increment fairly easily, especially in liquid or IV (intravenous), SC (subcutaneous) form (full disclosure, mine has either been IV or pill form, however), but the Methadone is a compound that creates a MUCH STRONGER craving. The Oxycodone, especially in capsule form is more difficult at the end, in the sense, that 25 mg per day is the lowest amount the patient may titrate to before going cold turkey. (Yes—you may break the capsule open and try to figure out what half is, but at that point, and if you are really concerned, then you will need to work with your doctor(s) to use a different narcotic or delivery method.)

The reason is that Oxycodone has a half-life of 4-6 hours, which means that if you take 25 mg divided by 5 mg (each capsule) it equals 5 doses. There are 24 hours per day, so divide the 24 hours (in a day) by 5 (doses of 5 mg per dose) and you get 5 mg of Oxycodone every 5 hours, which is the median of 4 and 6 hours. Some of you smart-ones are reading this going, well, if it is 6 hours for me then I can drop to 20 mg per day before going cold turkey. You are correct, but the point is that if you spread your doses out more than 6 hours, you will certainly begin detoxing; and hence, you would start the withdrawals, especially since Oxycodone is a short-acting chemical compound.

The good side of the coin is that the withdrawal symptoms, ceteris paribus (all things remaining equal), for Oxycodone withdrawal symptoms are less intense. The withdrawal symptoms begin 4-6 hours after your last dose of Oxycodone and peak between 36 and 72 hours. You will likely notice moderate to severe symptoms for up to 7 days, moderate symptoms for up to another 7 days (14 days so far), mild symptoms for another 2 weeks after this (28 days), and various very mild symptoms for up to 5 months after the first month (if you even notice them).

Does it suck? Yes! BUT it is worth it, and I commend all of you for making the decision to go through the detoxification, REGARDLESS of the reason that you are on the medication. DON’T be ashamed that you are dependent (even if you are addicted). If, and only if, your doctor (I recommend receiving at least one more opinion, because there are non-narcotic medications that may help either reduce the level of narcotics or eliminate the narcotics altogether) recommends that you go back on narcotics, and you feel that it is the last resort, then DON’T be ashamed, either. Think of the trade-offs and which trade-off will give you the best QUALITY OF LIFE!

4 Responses
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224049 tn?1204591115
Hey you got sick today? I am so sorry.  Please let me know what is going on?
Helpful - 0
401095 tn?1351391770
You have any stats on hydrocodone like the two above/oxy and meth?
Helpful - 0
417564 tn?1287982827
This is the 2nd time I have tried to post this...not sure what is going on.

You might have seen my post about the CalMag...a powdered calcium/magnesium blend that is vinegar based to make it soluble therefore easily absorbed into your body.  We have had wd symptoms lately as we have gotten lower, they have been mild.  Within 5 minutes after drinking this, all symptoms subside.  The sweats and chills, aches, depression...I know it sounds outreageous and we were skeptical too.  We ordered it due to a recommendation from a nurse at a detox facility.  It wasn't until the 2nd, maybe 3rd day of drinking it that we began feeling better - at first we were not sure that is what was causing it...that is why we have ruled out the possibility of the placebo effect...we had no expectations.
Hopefully, this is info that can be helpful to you.  CalMag is perfect for anyone to drink.  Check out the website @ vitaminsthatwork.com.  
We are very anxious to test our theory - since much of the pain associated with wd is from a vitamin deficiency, could we combat this easier by replenishing and exceeding the bodies supply?  We will let you know!
Best of luck to everyone!  Continue posting...this place is great!
Helpful - 0
Avatar universal
id also guess the time taking makes a diference, i took pain meds every day for 3.5 years for a bad back, im certain my detox was worse than someone who only took them for 2 months.
Helpful - 0
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