20 mg a day is a very small amount. Use Xanax 5 mg BID
Piece of cake
The trick is to taper off so slowly that the body and mind doesn't notice.
(I have a friend who was on massive amounts of methadone, like 180 mg/day, having all sorts of problems, massive constipation. I convinced her that if she reduced her methadone to 80%, it would decrease her pain and she would feel better. She reduced it, felt better, was so surprised she kept reducing it and is now on about 30 mg/day, which is quite amazing I wasn't expecting her to go down that much. Her pain went way down too. (Doctor said her pain would decrease if she decreased her methadone. She was on it for pain.)
The other trick is some types of chronic pain are actually curable (we did not know this until a few years ago). When the body has actually healed itself, but the mind still feels intense pain in a part of the body which has nothing wrong with it, other than it hurts like hell, it can be because the brain has been rewired to be very sensitive about that part of the body, due to some past injury trauma.
The trick is to unwire the pain. The brain has a map of the body in it. That map of the body is what we perceive as reality. People who lose a limb claim there's still a limb there, even though it's not. Phantom Limb syndrome. It also works in reverse: people who have a stroke which damages part of the body map in the brain, say it damages the part that maps their left arm, suddenly the patient no longer recognizes this appendage as belonging to them and they may ask the nurse to take away their lunch tray and this arm here because it does not belong to them.
That body map can be damaged by extreme pain, and rewire itself to be more sensitive to pain. It can even commander adjacent brain real estate and take it over for the purpose of processing pain. The trick is to force this to go in reverse. When one feels pain, one purposely activates their visualization brain circuits, visualizing something, like visualizing the pain regions of their brain shrinking. The visualizing will eventually become more important than pain processing, and the visualization center will expand and take over the part of the brain that was commandeered to do pain processing. That part of the brain will be commandeered for expanding the visualization part of the brain. And the person's pain starts going away.
A better explanation of this by a doctor is in the book by Norman Doidge, M.D. How the Brain Heals Itself (2015) Chapter 1.
There's also a professor Paul Hansma at UCSB (maybe retired now) who has some videos and a website explaining this same concept, and how he overcame a chronic pain condition. There are some videos of a lecture he gave at the local library one Sunday on YouTube. (Look for the back of my head in the front row.)
5 mgs a month is more doable. In the lower mgs as where you are now it is best to slow down on the taper. Aftwr 15 is it goibg to take time to totally detox.
I would not recommend getting on another .
It would be best to totally detox and then re evaluate your pain. Your brain now has more pain receptors from the methadone. Your brain has to readjust to its own natural brain chemistry.
Definitely ask your doctor. Remember, he works for you.
What is Belbuca? I've never heard of it.
Good morning, oh yes it’s too fast. Is there a reason they are making you do it in 3 weeks? I will say that it is doable. The biggest complaint for myself was the extreme tiredness. I moved so slow. I also didn’t ask my doctor for help during the transition. They have meds to help ease the withdrawal process. Clonadine helps with anxiety and sleep. They have anti nausea medicine and other meds. I also needed an appointment with a mental health care doctor. Depression set in with me and I didn’t seek help. So let your doctor help you with other meds if you need it. I love life not being on methadone.