If you miss a day, especially a PU day then you most definitely get pee tested the next time you came in. At my clinic this happens, and all the other clinics in my area
Stop by a head shop and get some x-stream fetish urine. Blame jail for lack of done in your pee. Or pick up a test and check your urine. A lot of benzos don’t show up easily in the dipstick test if you tested yourself you would know ahead of if you need to get creative.
I have missed my PU day probably close to 60 times (by 60 days sometimes I'm just a day late sometimes on rare occasion I'm up to 4 days late over 6 years total). Never ONCE have I been dropped for showing up late to PU my THs. But that's just my experience and the clinic nurse who was my counselor for a while let's me slide on alot of stuff because she knows I'm not on BS.
You are 1000% on some bs missing clinics for 4 days. Your lucky they didn't drop you to 30mg with daily dosing which I'm almost positive is standard across the US.
Yeah and my hubby ACCIDENTALLY missed 2-3 days ON PROVABLE ACCOUNT OF HIS COUNCILOR AT THE TIME and yet, they didn’t call, didn’t drop his dose, absolutely none of that… they just up and released him as a patient 🤦🏻♀️💯🙄 wouldn’t fly at any clinic I’ve ever been too, and I been close wit ALL my councilors this whole time… ain’t had one slip since starting the program but they still abide by their rules
Yeah, tbh sounds like not being held accountable for missing is BS.
ANY clinic would make you redo intake after missing 6 days!
No clinic out there is going to not make you drop or let you keep your take homes after 4 days, especially after missing 6...any clinic would restartv your program at that point and take your take homes. Unless it's a doctor shop clinic and they just do whatever.
In UK you have weekly prescription sent to your chosen pharmacy and you can miss 3 days. if you\`d turn up 4th day they wouldn\`t give you your suply and would send you to back your methadone clinic/doctor/councelor or whoever deals with your prescriptions for re-evaluation.
It is. Happened to me about a month ago. I transferred clinics a year ago because I moved and I regret it. My old clinic was open until 1, this one closes at 10 am. I missed a Thursday and Friday because my handicapped father who I take care of was severely sick and needed hospitalization. Saturday I woke up at 8:30 throwing up and coming out the other end, I couldn't leave the bathroom.
I was on 130 they dropped me to 30. Obviously I used after 48 hours I was sick as fuck. Thankfully (I guess) my dad has a lot of old painkillers laying around including 15s which helped. I really don't want to ever use the shit that's going around these days on the streets. I'm back up to 80 and I'm staying there, I feel fine and I really want to get off this shit, I'm so tired of being chained to the clinic and they're never going to give me bottles.
You have missed your pick up day by four days and they didn’t drop you to dailies ?? If you miss pick up day at mine they can discharge you they make us sign all kinds of paperwork it would be automatic discharge but they might let you slide by dropping you to dailies and starting back at zero and having to work from the bottom to even get one and that’s if your lucky and they don’t kick u out
yea idk what she's saying so yer not dosing for 4 days in a row i dont get it ,if you are missing yer take home pick up by 4 days yer getting dropped and yer take homes took and yer dose possibly lowered at my clinic
Pretty sure best medical practice is anything over 72 hours they won’t even give you a full dose once you return. Some clinics even discharge you after 4 days so you’d have to wait for the doctor consult to even begin dosing again. Obviously they hold the keys and clinics can do whatever they want… but if I clinic were that fast and loose with AMA guidelines I’d be worried about what else they were doing.
Exactly it's very well known in bith Canada and USA, the 3 day rule. It's apart of the regulations. If they really are dosing ppp no questions asked kn the 4th day, they're doing something illigeal.
If he said 3rd day, I'd believe it because I've done that so many times but always after 3 days, you restart.
Can vouch. Here in USA at my clinic in CA, you have 3 days max to miss or you restart at 30mg. If you show up on the 3rd day that’s fine, but more than 3 days and your dose will be dropped to 30 and slowly increased back up to your usual.
Exactly. Everyone knows that. When I was relapsing I would go in every 2nd or 3rd day to not resort but not have too much in my system.. either OP misspoke or the pharmacy is doin illegal shit
My counselor fucked up my paperwork for guest dosing, I am on monthlys and have never used or had a dirty since I started clinic 4 years ago. My Dr told me off record to make sure I just spread out doses so I didn't go days without, which I already had a back up stash so I was okay but you cannot say that to the nurse so I still had to get dropped down 40mg and come in for like 4 days then pick up my months worth. I didn't get knocked down though ...
Well that's on the counselor though, not you so maybe that's why consequences weren't as bad as they usual would've been.
About 3 years ago, I missed the first day ever in my 4 years of attending the clinic. I used to take the bus and had weekly take homes. I picked up every Monday morning. I freaked out and didn't know what to do. I just stuck it out - there wasn't much I COULD do bc I don't have anyone's phone number or know anyone to get anything from but, in she up being just fine. The day went a bit slow and was a bit drab. I slept fine but woke up early (like 6-7 am when I usually sleep until like 9).
I was so worried I would lose my take homes, but I talked to the director and told her I didn't know about the holiday hours, no one told me, I didn't see any signs up the previous Monday. She asked what time I come in and I told her I come around 11/1130 every Monday. She said the signs about holiday hours didn't go up until afternoon last Monday and I wasn't the only one who missed pick up day. She said most of the weekly people that come Monday morning missed it. She said bc it wasn't my fault I could keep my take homes. Usually you'd just lose take homes for one missed day. I was so thankful they didn't, though bc I know they rip take homes away so fast for the stupidest stuff, even if it's not your fault. But, there was also proof of me picking up every Monday, around the same time, and they can see the last day and time i was dosed.
Maybe that might be your experience. Personally I call bullshit, but for 99.99% of Americans that won’t happen so please don’t spread the info around on a Methadone Sub that is false/innacurate.
I have clean urine for my urine test I peed before I took the 7.5mg which was a life saver for how bad I was feeling. I was already getting nausea at 3-4pm had been tearing, yawning and sneezing the whole time in the holding tanks In court
Damn homie wishin you the best. I’m in Springfield Ma, and my counselor told me that if you miss you can go to the ER here and they’ll dose you. Sucks there’s so much differences between every clinic it seems like
I didn’t know this was a thing anywhere. If you go to the ER anywhere around my area for withdrawal they look at you like you’re a disgusting POS and tell you they can’t do anything for you.
Last dose letter? If you were able to get that why weren’t you able to dose at your clinic? Sorry, I always thought of ER dosing as used in unexpected circumstances.
I had a 0.01 BAC false positive breathalyzer so couldn’t dose. Hospital did a blood test, was 0.000, and dosed me after the results. It wasn’t technically a last dose letter technically, but they did fax paperwork over. I don’t even think my clinic responded, honestly (never asked) the hospital was just very kind
Well you’re very lucky. I got hit by a drunk driver (I shit you not) and when I went to the hospital and asked for methadone due to being unable to get it that day the doctor looked at me like I was insane said no, and didn’t give me anything for my neck pain.. the officers even came in to tell her what happened to me 2 blocks away from the hospital and clinic.
Thanks, it ended being a hit and run dui case and luckily it happened during a time I didn’t have my daughter. I probably would have killed the lady had my daughter been in the car. Seeing the demolished car seat reminded me how lucky we were. Shes 12 now.
Most counselors are misinformed or assume. I wouldn't bankmon your counselor being right. The onky time I know of hospitals dosing is in emergency situations like weather events. But even then the wrong doctor at the ER and you are screwed. They like to discriminate. Hell everytime me or my husband have been admitted, it was like pulling teeth to get them to get our first dose. Once they called and verified we were good though.
I called the hospital one time told them what happend(showed up like 10mins pass dosing time clinic still open people still dosing but was told come back tommrow) and asked them if they would and they said they would dose me if the clinic verified my dose or somthing like that I think it was years ago now 2015ish I thought great but the clinic refused to play ball and wouldn't agree to let me dose at the E.R. said I shouldn't have been late it was bullshit
I don’t understand how the clinic can verify for you if they’re closed though???? How does that work? I wouldn’t even try just because in my area (near Philly), they’d probably just treat me like shit at the hospital and laugh in my face! Lol
All clinics are required to have a 24 hour emergency contact number for purposes like this.At my clinic a counselor takes emergency call.They have access to the client database with all pertinent information.
Our clinic has an agreement with a large hospital.
I almost know for a fact BMC (Boston Medical Center) will that's where I asked if I should go even though it was further. Counselor said I didn't need to. Wasted 3 hours at the ER was almost 5pm and I dose at 530am. And I called BMC to see if it was to late and couldn't get an answer so didn't wanna drive and waste more time
Im a fast metabolizer also, if i miss a dose i start sneezing, runny nose, fatigue, anxious, and cant sleep a wink...thats only a couple hrs after missing. So everyone is different...sure wish i was a slow metabolizer. Ive always wondered which group gets over the entire withdrawal process faster, would make sense that its the fast ones, but im not sure.
Same here. It's not fun. Being put on a split dose is what has helped me to even out. I hate when people say it's all in your head. You're fine for one day. You won't feel it. It may be the average, but our bodies are all so different.
I used to tell SWIM that I'd start to detox if I dont get a dose every day, so I had to see him. He told me it was all in my head but it felt pretty damn real to me.
Until I got on a program and got take homes, and a high enough dose, I couldn't miss a day. Even now a low dose really sucks.
Same here! I can't go a day without full on withdrawals. I often wake up feeling like shit. But I'm on a minimal dose. I think it might have to do with a buildup of methadone in the fat cells, how much fat is on your body, what you eat during the day, your hormone production, and your age.
I’ve been on 90 for around 7-8 yrs or so now and I wake up sick usually, unless I’m lucky and have a few days a year where I don’t 🙄 but I refuse to go any higher… it was really really nice and extremely helpful and long lasting for me whenever I was on wafers or the pill form before tho!!! All more speedy metabolism folks should have the option cause liquid, esp the cheapest versions which mind you… also ISNT regulated like you’d think- they’re literally allowed upwards of so many mgs to be less or more, lord knows it’ll never be the latter. Lol… so with cheap liquid form, they get away with skimming it all too, here in US at least anyways. I can tell the difference having had a few different clinics over the yrs and also having many forms of the meds, made by a few many diff companies/makers, distributed by diff nurses even 🤷🏻♀️
Yeah, I don't want to go any higher either. I worked too hard to ween myself down, just to go back up again. That, and if I go up any more, I'll gain another 10lbs (I already did after increasing my dose. No diet changes or anything. I'm guessing it's hormone related, because I do metabolize the methadone quickly) I haven't even tried the wafers before. I'm not sure canada gets them. But ive def noticed a difference in effects from all the different methadone brands. People have complained about methadose in the past, as it tends to wear off faster. It did for me aswell.
IIn Canada, we get metadol d instead of methadone. It seems to last longer, but it doesn't seem to hold me the same as regular methadone did.
I agree with the methadose here in Canada, I used to get it from time to time and it never stopped the WD even though I was pretty sure the dose I was getting (you can neve be 100% sure) was what I thought it was.
I felt like it kicked in faster, but it wore off quite fast. Metadol d lasts, but it takes a long time to kick in (ive noticed) and every time I go to sleep, my body tends to reset. You don't get carries? Usually it says on the bottle, but it would certainly depend on whether you're dosing at a clinic every day or not. Some just pour it into those plastic cups. But I go to the pharmacy and it's always put in my bottles
Yes I have weeklys, been on it for two yrs. It just says methadone 10mg/ml. Packed in shit orange aid.
Edit: I've only ever had this stuff prescribed. It takes a full hour to kick in on an empty stomach and wears off about 26 hours, well ow that I'm at 210, before that I'd wake up in full on WD, I fr hated waking up lol.
I have on occasion had methadose before that to help but I felt it didn't work at all. I was just left detoxing and broke. Never had the meth d stuff you mentioned. I'm in southern Ontario though. This is what we get. I'd love to try wafers.
Well maybe they are still giving out regular methadone in certain provinces, aswell. My pharmacy told me that Canada just provides metadol d now (unless the pharmacy runs out, then they switch to methadose) but she could be wrong. Cause I had been getting regular methadone before I moved. But i'm from SK, so maybe that's just the case here. Yeah, we have the orange tang aswell lol. Sometimes you can request a sugar free juice. I've been thinking of doing that, if I ever do keto again (tang has a lot of carbs hahaha)
Ohhh I know. It never used to do this to me, and im on a very minimal dose (30mg). But any time I find myself fall asleep, I wake up and feel like crap. It doesn't matter if I've dosed an hour before or went to bed for the night. My body just decides to reset. It sucks lol. I like naps.
Yeah, methadose is total garbage. It kicks in fast, for like an hour or two. Then that evening, I'm just dying. Luckily I was able to switch in my bottles for the other stuff once their new stock came in. Do you guys get sealed bottles? Mine are really hard to open lol
I’ve tried both the wafers and the methadone pills. They were both much stronger then the methadone liquid I got from the clinic. Ive been hospitalized a couple times, and whenever your hospitalized you get the pills, at least where im at (the U.S.). The pills are suppose to be 30 percent stronger then the liquid.
Yeah they have a wax seal. 30 mg is extremely low. Sounds like it isn’t enough to get you through. I’d go up 5mg a day until I was able to make it to the next dose without and issues. Then dwell there a while before you consider tapering.
Yeah, well I've been tapering for about 2 years so I really don't want to go back up. The thing is, methadone reaks havoc on my body. I was on 22mg before. But, then I tried to jump off, and lasted about 2 weeks before going back to the clinic. I climbed back up to 30mg and I gained 10 pounds just going up 8mg (it can mess with your metabolism and hormones) I haven't changed my diet or anything. Being about 5' tall, i do not carry the weight well. It also stopped my period when I was on a higher dose, so I really don't want my body to kick into early menopause or anything. Once my dose kicks in, I feel alright. I even nod off sometimes. It's just waking up in the morning. So, i think it's just something I gotta live with.
Thanks for the info. I've never taken anything other than the pink liquid besides a few wafers many decades ago that were given to me by friend. Would you say the wafers are the most consistent/strongest?
I had a feeling that the liquid was also inconsistent because I could swear sometimes I would get withdrawal from my usual doses and I would tell my wife that it must be weaker or watered down or something.
Supposedly they've been beta testing a new liquid that's supposed to be twice the strength or something like that but I haven't seen it at my clinic. Are you familiar with that new liquid as well?
oh man, it’s not just me. I always thought I was giving myself a sort of reverse placebo effect since I knew I missed my dose with getting all that shittiness within a couple hours. Good to know this is actually a thing
I definitely mind-fuck myself when I'm short but yea, whenever I've had to go a day without... I'm having hot flashes, strings of 7+ sneezes, runny nose, can't sleep more than an hour or 2 at once, & the worst......... restless legs, which then makes sleep impossible.
Last time I was at work & it hit me a few hours in... I felt like I was gonna puke all night. No way I'd hold my dose I thought; then upon leaving work n getting in my car.... bile puke erupted after I let my gag reflex do its thing. 🤮
So when I hear ppl or my clinic doc say that "methadone has such a long halflife that it'd take 3~ days to feel sick"... I just nod in agreement while thinking I must have really shitty luck.
I also get symptoms in the morning before taking my next dose and I have been on only methadone with no using in between for three years, 210 mg I wake up sick daily. I just stopped going up at one point because I felt like I was just up too high so I never got to my optimum dosage.
I was just in the police station for an hour then Middlsex court house holding cells till I got mu cases dismissed for court costs upstairs in the courtroom. I love Massachusetts court lol. But yeah if I was sent to our actual Middlesex jail I'd have got my dose in about 2-3 days from what I heard and I've also heard u get max 120mgs but I have no idea if this is true
Hopefully you can get your dose soon! My counselor (I live in MI) said hospitals here will dose you if you're admitted for whatever reason, but the ER won't dose you just because you missed the clinic that day. You just have to tough it out and wait til the next day or unfortunately 2 days if it happens on a weekend.
Oh, and if you miss a face dose day at my clinic, they also phase you down 🙃 that almost happened to me when I had to miss a day because of an emergency with my then infant son. I contacted my counselor immediately, and he saved my ass. But even then, the real peach of a nurse tried to override my counselor and wanted to see me punished for it without even knowing what happened. She climbed up the supervision ladder when the Dr and clinic manager both told her they weren't holding it against me, and contacted someone higher up in the company 😒 idk why, but she decided to be a nosey bitch who wasn't going to stop til she saw me punished for whatever reason that day I guess!
I hate that too! My clinic also has a counselor that is all up in everyone’s business too! I can’t stand her. She personally called my primary dr and told him that he needed to take me off my clonozapam .5 mg prescription or he will be the reason I will be dead. So he took me off of them! I was so mad! Those were my lifeline! Every time I was about to have a full blown panic attack, pop one of those and it would go away! But now I don’t have those anymore! Thanks to that nurse who keeps her nose in everyone’s business! Can’t stand her!!
Wow, that's so fucking unnecessary! She was way out of bounds with that! Especially not even being the clinic doctor. You'd think it would be the actual Dr to have a problem with other meds and do something like that, not some nosey ass who has no business worrying about it!
I would fukin burn the clinic to the ground if my counselor had done this, Jesus that should be illegal
The ones at my clinic suggested I get prescribed Xanax when I had pissed dirty for them a couple times
Same but by the time I got a Dr to write. My dude I could afford my habit on them from had went to federal prison. So I died for 2-3 weeks then finally a Dr's like OK I'll give you some and I'm like forget it now I just went through hell I'm not restarting!!!!
I am on Xanax now and I know I need to go to a longer acting benzo to get off of this. I would love a longer acting benzo and then they gave me gaba and told me to take as much as I wanted
I have a very very good counselor. She told me to bring in all my paperwork. I have my arrest report at 6am then my release at 1230 then my paperwork from thr hospital showing I did my absolute best to get dosed and not miss. So I hoping it works out I got 2 hours until showtime!
I called a hospital in MI and they said they would dose me when i told them what happend that I had missed dosing hours by like 10mins and was turned away but they wanted to verify my dose and the clinic would not play ball said I should have not missed (was my 1st time ever had ever been late) was told I could dose the next day I was pissed
Lucky for me we have a dope Dr and 2 nurses who both love me! I'm very sorry for that insane nurse at yours. More windows more chances for bitch nurses why I kinda like only having 2 windows
So basically next time hurt myself goto ER for injury get dosed! BIG BRAIN TIME! Lol
Also when you say phase down do you mean take home phase? If that's all that happens I don't care cuz I just got 13 and going back to 6 is fine with me
Yeah it's more the stress of loosing my bi-weeklys cuz I missed a drop off and pick up day. The Xanax let me sleep pretty ok it 330am so now I just got a short 2 hours of minor suffering left. I donni what it is about Xanax but they are the only thing that really allows me to feel reasonable when I miss my dose. Doing fent just doesn't really cut it. Unless you do a ton every 2 hours. I dunno about this new mixed fent tho
There were no exploding corvairs. It was steering and maneuvering issues which with a simple fix of decreasing the air pressure in the front tires resolved the issue.
Own a corvair before you speak on them.
Hang in there, friend.
Like others have said, keep yourself busy and not dwelling on it. You can get thru till tomorrow (at which point I take it that you'll be able to dose, yes?)
And Look on the bright side: you're not having to detox in a jail cell rn... Cuz yeah, sounds like things could have turned out quite differently, and even tho it might not seem so at the present moment, it sounds like things worked out in your favor... (Aside from missing today's dose, that is.)
Good luck going forward yo
I'll get dosed. But my take homes are 50/50. Which I'm bummed about. I'm bringing all my arrest papers my court papers, and the hospital papers and gonna beg lol. My counselor really likes me and she said she would do everything she could for me to keep em. So I hope that happens
I went to jail for a day and the clinic found out and took all my steps! I was so pissed! They were like “oh well it’s federal law, are hands are tied“. I’m still trying to get them back after all that. BUT you could have a very different outcome. As I’m sure there was a way for them to not go that route.
It worked out I got to keep them! My counselor advocated for me and the head nurse excused my absence! I was so happy! I really love my new clinic they actual care and treat us like humans! It's so much different then my old ones it's wild! I couldn't be happier!
That's Philadelphia for ya. The bigger the city, the longer the wait. Good thing is, you'll get medicated in jail; it only takes 7-10days for the paperwork to go through. I'm glad that I don't have any more warrants. I maxed out, in prison, in 2009. I did 2 years for a retail theft. I had a bunch of warrants. I got arrested in 2021 for an open warrant. I was told that I would have to wait 3 months to see the judge. Good thing I did the time; I got out in 24 hours. I'm 48; I can't do time for mistakes that I made 20 years ago. It's best to turn yourself in if you think you may have a warrant; they'll give you a court date and you probably won't get arrested.
That really sucks man, Im sorry. Im in the Boston area too and always wonder when I see people post about getting dosed in emergency rooms if it would work around here. So you tried it and no luck, huh?
I’m in Tennessee and this is the first I’ve ever heard of it. I don’t think they’d do that here, they act pissy at the hospital if you get admitted and need to be dosed.
Yeah they do hate even having to dose you when you're an actual patient there for days. They always make it as hard as they possibly can for you. I remember this girl brought me ONE orange wafer & I was like these wafers are only 40mg, I'm on 120 (at the time) so why exactly are you trying to give me only 40mg? She was shocked that I knew it was 40mg because I told her I was on the liquid. I was like you do know methadone ranges in dose of 1mg, right? Like I know she wasn't THAT dumb to think everybody takes just 40mg. lol
Such bullshit. So many people just think addicts should suffer and that’s all the thought they ever give addiction. Like being that dope sick wouldn’t totally cause even more health issues.
I'm in taunton and honestly I've had no problem getting my methadone at really any hospital I've been at in the state. From New Bedford, Fall River, to Warham; to Worcestor,Boston, to Webster. And these are real hospital to. Never had any issues. Have you ran into issues in our state.
Oh okay, so not far at all! Yes north arundel! There’s not a clinic at the hospital. But there are a few clinics around Glen burnie. They dosed me in the er when I missed clinic hours.
Yes I went there before when it was on Ritchie highway. I ended up owing them a ton of money bc of insurance problems. They just told me to switch clinics and never even sent me a bill. They used to have evening hours too
I went to Baltimore Washington medical center. I haven’t done it in years though. But I went in the er. In triage I told them an excuse to why I missed clinic hours, (car broke down, I had to go out of state for an emergency and didn’t make it back in time, etc.). They ask for the clinic phone number and your dose. They sent me back to the waiting room while they called and got my dose ready. Then brought me back in a room, but just gave me my dose and I was on my way.
This is why I'm glad I switched to sublocade. If anything happens (knock on wood) I have like 13 months of bupe shots built up in my system and each shot has a half life of 45 to 60 days.
Yup I’m sick of people on here and of course in line being gossipy-gossipers saying “just go to the er”. My clinic was told by the two hospitals in the area to NOT send people for missed days. They refuse to dose. Luckily I live 2 hours away and the one time they closed and didn’t call a bunch of us 4-5 yrs ago I was able to go to my local er. But I walked in almost positive I wouldn’t be dosed. And they said they never do but I also was able to get the dosing nurse on the phone on a holiday and she approved it. So many people are argued with me saying they are “required to dose you” lmao yah fucking right. Always worth a shot to try but it’s not a guarantee But man I’m sorry on the way there sounds like the absolute worst. I’d be in tears offering my “services” to be let go. Hope it gets better for yah.
Mind over matter. One day shouldn't make you this sick. Stop thinking about it and busy your mind. Watch your favorite TV show, go for a walk or drive or play games on your phone. At the point you only miss one day it's more in your mind then anything else.
Depends on the person, their dose, and metabolism. It's true, a lot of people on Methadone can skip days without being too sick. There's also a lot of other people, like myself, who have fast metabolism and going 48hrs without dosing is absolutely enough to get me feeling sick as fuck. I kept my dose minimum, and it barely holds me for the 24hrs. Especially in the summer when I am working outside and sweating a lot.
Thats not true. At all. Everybody metabolizes methadone differently. No matter if there's a half life or not, it's the amount of methadone & how much is covering your opiate receptors, that keeps you from withdrawal. & I've never been able to skip a day. I'm sick by the afternoon. I've always wanted to be one of those people that can skip a day or two. I did something called a peak & trough test & they saw that the methadone is almost completely out of my system at the end of the day. So now I'm on a split dose, increased dose.
I can actually go three days. By the afternoon on the 4th day is when I start getting really sick. Which is lucky in one hand but also horrible in another because when I got off the clinic before, it took 21 days for me to stop testing positive for methadone and 8 months later I was still sick, still kicking, not sleeping, etc. It literally adheres to my insides and I feel trapped on it forever because I had to eventually get back on the clinic because I just couldn’t take the withdrawal anymore after 8 months…
I was going to say "you're so luckyyy" but then read the rest. I never thought about the fact that it's obviously going to take so much longer for slow metabolizers to get fully clean. My friend kicked in jail, & came out after 14 months & still had withdrawal symptoms. So sad how long it can last. Some people don't even get their energy back for years. 😔
Yup. I jumped off high dose methadone twice. And both time I was in acute wd for 45 days. At 6 months I still wasn't sleeping more than 2-3 hours. Then the PAWS lasted until 18 months, when I finally relapsed. I'll probably be on methadone the rest of my life, albeit at a smaller dose than when I started.
It's more the anxiety of loosing my bi weeklys. I can suffer it is what it is. Just if I loose my take homes that costs me time and $100ish a week extra in fuel
Man oh man have I been there before. When you look at the clock and know you're past time to go to the clinic and your heart drops to the ground. Hang in there man! It's already 11:15 East Coast time and the clinic opens at what, 5am, 6am? Hang in there as long as you can, then leave for the clinic super early and take your sweet-ass time getting there. Liine up to be the first person in line and next thing you know they're opening that door and 5 minutes later you're back to your normal self. YOU CAN DO IT!!!
Appreciate u! Managed to get to sleep from the Xanax woke up about an hour ago so not to long now 530 am but ill be there at 5:10 the latest to talk to my counselor and get dosed
That’s like my worst nightmare man, so sorry to hear that. Screw the doc who stiffed you, your maintenance is legal and prescribed, and the fact they wouldn’t give you emergency meds is prejudice. Bet you a thousand dollars that same doc has hooked dozens of people on unneeded pain med prescriptions too.
It whack to cuz I know for a fact BMC in Boston does it and if I didn't waste my time over at the local hospital I could have got dosed and not been so worried about loosing my carries
there's always something to be said for stacking up a few emergency doses.. even if you siphon off just 1/4 of a bottle in a week, after less than a month you'll have an extra full dose you can save for emergencies
Even the last few drops that kind of stay in the bottle add up.. my clinic never asks for the empties back, when I would be lazy i would accumulate like 30-60 "empty" bottles in my fridge... before chucking them out when I would finally clean out my fridge id take the few minutes to really drain those few drops into one bottle.. would usually end up with at least 1/2 if not a full bottle just from the juice that would typically be thrown away
I had a stash i bought for a while about 1000mgs I didn't have take homes back then so I would use it to go on vacation. Def wouldn't be ok with a quarter of my dose missing per week to save. But maybe like 3mgs a per bottle saved it would ad up. We also don't get to keep our old bottle and mine are clean clean. I lick the drops off the foil seal and rinse em like 5 time
1/4 of a bottle out of 7 bottles... thats like 3.57% of each bottle.., literally nothing, less than 4ml out of a 100ml drink if youre getting the tang..
if you're on 100mg of methadone a day, that's 3.5mg, so youre still taking 96.5mg... if you do that for 28 days, even if it's 28 days over the course of 2 months, that's a full dose saved
there's realistically no way youd notice taking 98.25mg instead of 100, do this for 4 months and you got 2 full extra emergency doses
honestly though you could probably skip 1/4 dose every second day for a week and not notice it.. then you'd have a full extra dose after the first week
just throwing out the numbers so you can see how easy it is to save yourself a couple extra for an emergency.. even if youre really sensitive to not getting your full dose, its still doable without noticing anything
Yep, I can sometimes get 2 bottles out of my 27 at the end. I think finding the clinic closed during bad weather is my worst worry.
What pisses me off, is if u take ANY other medication. Pharmacies can provide u 3 days worth, if u run out. Not methadone. I get it. We can OD if we are lying & still have some. It’s a liability.
But when someone is Clearly in withdrawal, it’s ridiculous they won’t dose u.
I'm doing much better mentally (Xanax def helped with that) managed 10 hours sleep def thanks to those aswell and I think even though my body feels like death this morning I'm not having the brutal anxiety I was yesterday
Bummer dude, at least you got out. I seen people miss their pickup days and still keep their takehomes. Especially being that you were in cuffs they might take some mercy.
They did! Brought my arrest paperwork and the hospital paperwork and the head nurse excused my absence! And absolutely. Even though I was feeling shitty down in the courtroom holding cell area. I definitely felt like the most blessed cuz I only had a couple driving after suspensions and a false name charge. Everyone else down there was in for real shit. "Distribution class A and B, Gun charges, Gun charges subsequent offense, Transportation Class A and B" like 6 dudes all had charges like that. Young to dude next to me was only 23 and had all them charges in my county and was out on bail in his county already for the same charges he wasn't getting out I don't think.
Omg wow wow I’m so sorry…. Yes as long as you get there next day you can explain but wow. you r lucky to have a place to dose you… if I end up gett arrrsted I would want to be w my medication. I’m glad you were able to work the situation out
Yeah it all worked out. And the God if God forbid you do stay in custody and goto jail or prison you get dosed here in Massachusetts. If your on methadone you get to stay on methadone but I've heard the max dose is 120mg which is way better then nothing. If your just dopesick they will put you on suboxone. You have to already be on methadone to get it in jail here. It also takes a couple days I've heard but luckily I've never been in custody long enough to find out
Yes I missed my take home due to the TB shot …. I came back on weekend and they were only open 2 hours and I had no clue at all….. and Saturday was not a normal day and nobody told me there’s no signs nothing about it and they know I haven’t been there on weekends at all ppl who have been there daily go on weekends…. Well I went in Monday and they dosed me and per test me right away and had come back the next day due to me missing the weekend….. because I went 2 full days no dose they will think you used…. thank goodness I had a reserve maybe 400mh almost 2 full bottles I did have some but wasn’t sure what to talk this time I did measure and I’m right at the 5ml line on a bottle for the liquid medicine 5ml is correct . Please be careful all. Thx for sharing
Thank you. Was more anxiety inducing then anything cuz yeah the withdrawals do suck but i was extra anxious about loosing my take homes after I finally got on bi weekly. And the day in supposed to switch from weekly to bi weekly that all a happened. But thank God my clinic is really cool and they approved my absence and gave my my full bottles!
Wow what a shitty day you must have had. I’m sorry you had to go theough all that. It’s not a good idea to misuse otc meds but if you are ever in a pinch and you feel the watery nose and sneezy pre withdrawal symptoms. 10mg of Imodium will get you through to your next dose. Loperamide is a powerful opioid agonist but doesn’t cross the blood brain barrier. It doesn’t get you high or cause respiratory depression, it just makes you constipated. So it is marketed as an anti diarrhea drug. It has worked for me countless times.
Yeah I just knocked myself out the the 7.5 mgs of Xanax tablets my Pops had available for me. I know it's not the best to use other hard drugs but I def would have ended up calling for something worse if my Dad didn't have any Xanax. There's a reason I don't miss my dose it's really painful. I appreciate the other option ideas though I may try those if I ever have to miss again which I hope I dont
Missing 1 day doesn't bring any WD symptoms. It's 100% mental withdrawal, which can almost be as worse as real physical WDs. Just be positive drink water and chill. I've had to go 5 days before. Didn't start actually feeling anything until the end of day 3.
I've had people not believe me to. Then my co worker seen how bad I looked when I forgot to take my take home before work. I get sick very fast. Not to be gross but I have diarrhea now and it 4am so that's about 46 hour after my last dose. Is that the norm no but it's def a thing. And being sick yesterday I made the main post sound like I was more concerned with being sick then loosing my carries. It would be a time and financial hit to loose them. $100 extra a week in gas to go to the clinic plus the 1.5 hours out of my morning
I start withdrawing about 29 hours after dosing. Sometimes less. It’s not psychological either because if I sleep I’ll wake up sick without even realizing it’s been over 29 hours
Yeah I know it's not in my head either cuz I've forgotten to dose then I'm yawning, sneezing, and starting to have leg pain. Only reason I've remembered to dose a couple days is cuz I go into withdrawal.
Man methadone is killer. People keep asking me “why can’t you go cold turkey etc”
I just can’t! I go 24 hours on the dot w/out it and I start getting hot, sweaty, the shakes etc.
If ya haven’t put this poison in you, don’t even comment. I didn’t even need to go on the program, my father pushed it on me and gave me no choice because I took to many opioids a few times to cope with my step mum! So did he! But he never put himself on it. so.. now I’m heavier, all my hard work in the gym.. most of it has come un done. I’d lost almost 40kg only to gain half back.
I’m just annoyed. It interferes with working, im always tired and I got myself down from 70mg down to 37.5mg then since living back in this toxic household that got me on opioids in the first place - I had to go up to 40…
I’m 30 yrs old. No one would even think I’d taken opiates so much or that I’m on the program.
But it has impacted my quality of life greatly.
Appreciate that. Was a shitty day but it turned out all good in the end. Shit even the court case from the warrant I got all charges dismissed for court cost!
One day without your dose shouldn't effect you. If your at a stable "blocking" dose. I went to jail on 140 MG and 10 days in my detox had bearly started
Be careful with the Xanax it will show up on urine screen and takehomes are gone then. Stick it through until you can get more next day
That's what I was wondering. Will they not instant pee test him tomorrow to make sure he didn't use?
If you miss a day, especially a PU day then you most definitely get pee tested the next time you came in. At my clinic this happens, and all the other clinics in my area
Stop by a head shop and get some x-stream fetish urine. Blame jail for lack of done in your pee. Or pick up a test and check your urine. A lot of benzos don’t show up easily in the dipstick test if you tested yourself you would know ahead of if you need to get creative.
I have missed my PU day probably close to 60 times (by 60 days sometimes I'm just a day late sometimes on rare occasion I'm up to 4 days late over 6 years total). Never ONCE have I been dropped for showing up late to PU my THs. But that's just my experience and the clinic nurse who was my counselor for a while let's me slide on alot of stuff because she knows I'm not on BS.
You are 1000% on some bs missing clinics for 4 days. Your lucky they didn't drop you to 30mg with daily dosing which I'm almost positive is standard across the US.
Yeah and my hubby ACCIDENTALLY missed 2-3 days ON PROVABLE ACCOUNT OF HIS COUNCILOR AT THE TIME and yet, they didn’t call, didn’t drop his dose, absolutely none of that… they just up and released him as a patient 🤦🏻♀️💯🙄 wouldn’t fly at any clinic I’ve ever been too, and I been close wit ALL my councilors this whole time… ain’t had one slip since starting the program but they still abide by their rules
Yeah, tbh sounds like not being held accountable for missing is BS. ANY clinic would make you redo intake after missing 6 days! No clinic out there is going to not make you drop or let you keep your take homes after 4 days, especially after missing 6...any clinic would restartv your program at that point and take your take homes. Unless it's a doctor shop clinic and they just do whatever.
In UK you have weekly prescription sent to your chosen pharmacy and you can miss 3 days. if you\`d turn up 4th day they wouldn\`t give you your suply and would send you to back your methadone clinic/doctor/councelor or whoever deals with your prescriptions for re-evaluation.
It is. Happened to me about a month ago. I transferred clinics a year ago because I moved and I regret it. My old clinic was open until 1, this one closes at 10 am. I missed a Thursday and Friday because my handicapped father who I take care of was severely sick and needed hospitalization. Saturday I woke up at 8:30 throwing up and coming out the other end, I couldn't leave the bathroom. I was on 130 they dropped me to 30. Obviously I used after 48 hours I was sick as fuck. Thankfully (I guess) my dad has a lot of old painkillers laying around including 15s which helped. I really don't want to ever use the shit that's going around these days on the streets. I'm back up to 80 and I'm staying there, I feel fine and I really want to get off this shit, I'm so tired of being chained to the clinic and they're never going to give me bottles.
I live in california (the bay area), and after 4 days they would most definitely either drop you or put you on an extremely low dose.
You have missed your pick up day by four days and they didn’t drop you to dailies ?? If you miss pick up day at mine they can discharge you they make us sign all kinds of paperwork it would be automatic discharge but they might let you slide by dropping you to dailies and starting back at zero and having to work from the bottom to even get one and that’s if your lucky and they don’t kick u out
yea idk what she's saying so yer not dosing for 4 days in a row i dont get it ,if you are missing yer take home pick up by 4 days yer getting dropped and yer take homes took and yer dose possibly lowered at my clinic
Pretty sure best medical practice is anything over 72 hours they won’t even give you a full dose once you return. Some clinics even discharge you after 4 days so you’d have to wait for the doctor consult to even begin dosing again. Obviously they hold the keys and clinics can do whatever they want… but if I clinic were that fast and loose with AMA guidelines I’d be worried about what else they were doing.
Exactly it's very well known in bith Canada and USA, the 3 day rule. It's apart of the regulations. If they really are dosing ppp no questions asked kn the 4th day, they're doing something illigeal. If he said 3rd day, I'd believe it because I've done that so many times but always after 3 days, you restart.
Can vouch. Here in USA at my clinic in CA, you have 3 days max to miss or you restart at 30mg. If you show up on the 3rd day that’s fine, but more than 3 days and your dose will be dropped to 30 and slowly increased back up to your usual.
Exactly. Everyone knows that. When I was relapsing I would go in every 2nd or 3rd day to not resort but not have too much in my system.. either OP misspoke or the pharmacy is doin illegal shit
Yup same here
My counselor fucked up my paperwork for guest dosing, I am on monthlys and have never used or had a dirty since I started clinic 4 years ago. My Dr told me off record to make sure I just spread out doses so I didn't go days without, which I already had a back up stash so I was okay but you cannot say that to the nurse so I still had to get dropped down 40mg and come in for like 4 days then pick up my months worth. I didn't get knocked down though ...
Well that's on the counselor though, not you so maybe that's why consequences weren't as bad as they usual would've been. About 3 years ago, I missed the first day ever in my 4 years of attending the clinic. I used to take the bus and had weekly take homes. I picked up every Monday morning. I freaked out and didn't know what to do. I just stuck it out - there wasn't much I COULD do bc I don't have anyone's phone number or know anyone to get anything from but, in she up being just fine. The day went a bit slow and was a bit drab. I slept fine but woke up early (like 6-7 am when I usually sleep until like 9). I was so worried I would lose my take homes, but I talked to the director and told her I didn't know about the holiday hours, no one told me, I didn't see any signs up the previous Monday. She asked what time I come in and I told her I come around 11/1130 every Monday. She said the signs about holiday hours didn't go up until afternoon last Monday and I wasn't the only one who missed pick up day. She said most of the weekly people that come Monday morning missed it. She said bc it wasn't my fault I could keep my take homes. Usually you'd just lose take homes for one missed day. I was so thankful they didn't, though bc I know they rip take homes away so fast for the stupidest stuff, even if it's not your fault. But, there was also proof of me picking up every Monday, around the same time, and they can see the last day and time i was dosed.
What kind of BS are you on if you can't even come the correct day for your PUs. Still clearly using.
Yeah I am in withdrawal after 25hrs. No way would I miss like that.
Right? "she knows I'm not on BS" As you pull the literal definition of patient BS constantly 😒
Why do you miss so often? And isn’t that a red flag for your clinic?
Maybe that might be your experience. Personally I call bullshit, but for 99.99% of Americans that won’t happen so please don’t spread the info around on a Methadone Sub that is false/innacurate.
I’ve been on the program for three years and I have never missed a single day. You’re on some bullshit.
I have clean urine for my urine test I peed before I took the 7.5mg which was a life saver for how bad I was feeling. I was already getting nausea at 3-4pm had been tearing, yawning and sneezing the whole time in the holding tanks In court
Damn homie wishin you the best. I’m in Springfield Ma, and my counselor told me that if you miss you can go to the ER here and they’ll dose you. Sucks there’s so much differences between every clinic it seems like
I didn’t know this was a thing anywhere. If you go to the ER anywhere around my area for withdrawal they look at you like you’re a disgusting POS and tell you they can’t do anything for you.
My ER has dosed my methadone they just needed a last dose letter
Last dose letter? If you were able to get that why weren’t you able to dose at your clinic? Sorry, I always thought of ER dosing as used in unexpected circumstances.
I had a 0.01 BAC false positive breathalyzer so couldn’t dose. Hospital did a blood test, was 0.000, and dosed me after the results. It wasn’t technically a last dose letter technically, but they did fax paperwork over. I don’t even think my clinic responded, honestly (never asked) the hospital was just very kind
Well you’re very lucky. I got hit by a drunk driver (I shit you not) and when I went to the hospital and asked for methadone due to being unable to get it that day the doctor looked at me like I was insane said no, and didn’t give me anything for my neck pain.. the officers even came in to tell her what happened to me 2 blocks away from the hospital and clinic.
Wow wtf i’m so sorry.
Thanks, it ended being a hit and run dui case and luckily it happened during a time I didn’t have my daughter. I probably would have killed the lady had my daughter been in the car. Seeing the demolished car seat reminded me how lucky we were. Shes 12 now.
I can’t believe they wouldn’t dose you after all that. wow
They helped me — a whole heaping script of ibuprofen 🤡 😂 😭
They “helped” me by the Dr telling me I should leave my family/kids if I couldn’t be “clean” (even though I was on MAT)
Most counselors are misinformed or assume. I wouldn't bankmon your counselor being right. The onky time I know of hospitals dosing is in emergency situations like weather events. But even then the wrong doctor at the ER and you are screwed. They like to discriminate. Hell everytime me or my husband have been admitted, it was like pulling teeth to get them to get our first dose. Once they called and verified we were good though.
I called the hospital one time told them what happend(showed up like 10mins pass dosing time clinic still open people still dosing but was told come back tommrow) and asked them if they would and they said they would dose me if the clinic verified my dose or somthing like that I think it was years ago now 2015ish I thought great but the clinic refused to play ball and wouldn't agree to let me dose at the E.R. said I shouldn't have been late it was bullshit
I don’t understand how the clinic can verify for you if they’re closed though???? How does that work? I wouldn’t even try just because in my area (near Philly), they’d probably just treat me like shit at the hospital and laugh in my face! Lol
dosing hours end at 11am clinic stays open till around 4pm just no dosing
All clinics are required to have a 24 hour emergency contact number for purposes like this.At my clinic a counselor takes emergency call.They have access to the client database with all pertinent information. Our clinic has an agreement with a large hospital.
My clinic has 24 hour phone answer
Have you tried it tho? Cuz that'd exactly what my counselor told me and she was wrong. At least about any hospitals
I almost know for a fact BMC (Boston Medical Center) will that's where I asked if I should go even though it was further. Counselor said I didn't need to. Wasted 3 hours at the ER was almost 5pm and I dose at 530am. And I called BMC to see if it was to late and couldn't get an answer so didn't wanna drive and waste more time
Im a fast metabolizer also, if i miss a dose i start sneezing, runny nose, fatigue, anxious, and cant sleep a wink...thats only a couple hrs after missing. So everyone is different...sure wish i was a slow metabolizer. Ive always wondered which group gets over the entire withdrawal process faster, would make sense that its the fast ones, but im not sure.
Same here. It's not fun. Being put on a split dose is what has helped me to even out. I hate when people say it's all in your head. You're fine for one day. You won't feel it. It may be the average, but our bodies are all so different.
I used to tell SWIM that I'd start to detox if I dont get a dose every day, so I had to see him. He told me it was all in my head but it felt pretty damn real to me. Until I got on a program and got take homes, and a high enough dose, I couldn't miss a day. Even now a low dose really sucks.
Ah the old Bluelight “SWIM”. That guy sure got around.
I remember being in hs back in 02 surfing bluelight lol
The illusion of plausible deniability. What a stand up guy.
Same here! I can't go a day without full on withdrawals. I often wake up feeling like shit. But I'm on a minimal dose. I think it might have to do with a buildup of methadone in the fat cells, how much fat is on your body, what you eat during the day, your hormone production, and your age.
I’ve been on 90 for around 7-8 yrs or so now and I wake up sick usually, unless I’m lucky and have a few days a year where I don’t 🙄 but I refuse to go any higher… it was really really nice and extremely helpful and long lasting for me whenever I was on wafers or the pill form before tho!!! All more speedy metabolism folks should have the option cause liquid, esp the cheapest versions which mind you… also ISNT regulated like you’d think- they’re literally allowed upwards of so many mgs to be less or more, lord knows it’ll never be the latter. Lol… so with cheap liquid form, they get away with skimming it all too, here in US at least anyways. I can tell the difference having had a few different clinics over the yrs and also having many forms of the meds, made by a few many diff companies/makers, distributed by diff nurses even 🤷🏻♀️
Yeah, I don't want to go any higher either. I worked too hard to ween myself down, just to go back up again. That, and if I go up any more, I'll gain another 10lbs (I already did after increasing my dose. No diet changes or anything. I'm guessing it's hormone related, because I do metabolize the methadone quickly) I haven't even tried the wafers before. I'm not sure canada gets them. But ive def noticed a difference in effects from all the different methadone brands. People have complained about methadose in the past, as it tends to wear off faster. It did for me aswell. IIn Canada, we get metadol d instead of methadone. It seems to last longer, but it doesn't seem to hold me the same as regular methadone did.
I agree with the methadose here in Canada, I used to get it from time to time and it never stopped the WD even though I was pretty sure the dose I was getting (you can neve be 100% sure) was what I thought it was.
I felt like it kicked in faster, but it wore off quite fast. Metadol d lasts, but it takes a long time to kick in (ive noticed) and every time I go to sleep, my body tends to reset. You don't get carries? Usually it says on the bottle, but it would certainly depend on whether you're dosing at a clinic every day or not. Some just pour it into those plastic cups. But I go to the pharmacy and it's always put in my bottles
Yes I have weeklys, been on it for two yrs. It just says methadone 10mg/ml. Packed in shit orange aid. Edit: I've only ever had this stuff prescribed. It takes a full hour to kick in on an empty stomach and wears off about 26 hours, well ow that I'm at 210, before that I'd wake up in full on WD, I fr hated waking up lol. I have on occasion had methadose before that to help but I felt it didn't work at all. I was just left detoxing and broke. Never had the meth d stuff you mentioned. I'm in southern Ontario though. This is what we get. I'd love to try wafers.
Well maybe they are still giving out regular methadone in certain provinces, aswell. My pharmacy told me that Canada just provides metadol d now (unless the pharmacy runs out, then they switch to methadose) but she could be wrong. Cause I had been getting regular methadone before I moved. But i'm from SK, so maybe that's just the case here. Yeah, we have the orange tang aswell lol. Sometimes you can request a sugar free juice. I've been thinking of doing that, if I ever do keto again (tang has a lot of carbs hahaha) Ohhh I know. It never used to do this to me, and im on a very minimal dose (30mg). But any time I find myself fall asleep, I wake up and feel like crap. It doesn't matter if I've dosed an hour before or went to bed for the night. My body just decides to reset. It sucks lol. I like naps. Yeah, methadose is total garbage. It kicks in fast, for like an hour or two. Then that evening, I'm just dying. Luckily I was able to switch in my bottles for the other stuff once their new stock came in. Do you guys get sealed bottles? Mine are really hard to open lol
I’ve tried both the wafers and the methadone pills. They were both much stronger then the methadone liquid I got from the clinic. Ive been hospitalized a couple times, and whenever your hospitalized you get the pills, at least where im at (the U.S.). The pills are suppose to be 30 percent stronger then the liquid.
I'm not even sure if we have those in Canada. They sound absolutely lovely. Do they kick in faster than liquid?
Yeah they have a wax seal. 30 mg is extremely low. Sounds like it isn’t enough to get you through. I’d go up 5mg a day until I was able to make it to the next dose without and issues. Then dwell there a while before you consider tapering.
Yeah, well I've been tapering for about 2 years so I really don't want to go back up. The thing is, methadone reaks havoc on my body. I was on 22mg before. But, then I tried to jump off, and lasted about 2 weeks before going back to the clinic. I climbed back up to 30mg and I gained 10 pounds just going up 8mg (it can mess with your metabolism and hormones) I haven't changed my diet or anything. Being about 5' tall, i do not carry the weight well. It also stopped my period when I was on a higher dose, so I really don't want my body to kick into early menopause or anything. Once my dose kicks in, I feel alright. I even nod off sometimes. It's just waking up in the morning. So, i think it's just something I gotta live with.
Thanks for the info. I've never taken anything other than the pink liquid besides a few wafers many decades ago that were given to me by friend. Would you say the wafers are the most consistent/strongest? I had a feeling that the liquid was also inconsistent because I could swear sometimes I would get withdrawal from my usual doses and I would tell my wife that it must be weaker or watered down or something. Supposedly they've been beta testing a new liquid that's supposed to be twice the strength or something like that but I haven't seen it at my clinic. Are you familiar with that new liquid as well?
oh man, it’s not just me. I always thought I was giving myself a sort of reverse placebo effect since I knew I missed my dose with getting all that shittiness within a couple hours. Good to know this is actually a thing
I definitely mind-fuck myself when I'm short but yea, whenever I've had to go a day without... I'm having hot flashes, strings of 7+ sneezes, runny nose, can't sleep more than an hour or 2 at once, & the worst......... restless legs, which then makes sleep impossible. Last time I was at work & it hit me a few hours in... I felt like I was gonna puke all night. No way I'd hold my dose I thought; then upon leaving work n getting in my car.... bile puke erupted after I let my gag reflex do its thing. 🤮 So when I hear ppl or my clinic doc say that "methadone has such a long halflife that it'd take 3~ days to feel sick"... I just nod in agreement while thinking I must have really shitty luck.
As you get older, it starts slowing down. Believe me, you don't want to be older.
Same here. I get symptoms in the morning before taking my next dose 🙄
I also get symptoms in the morning before taking my next dose and I have been on only methadone with no using in between for three years, 210 mg I wake up sick daily. I just stopped going up at one point because I felt like I was just up too high so I never got to my optimum dosage.
Yeah I'm on 21mgs and after 25 hours I'm feeling the pain. It was like that at my max 80mg dose years ago too though.
I hate being a fast metabolizer myself.. I get sick before the 24 hour mark.
My local jail started dosing people during the pandemic if they were an outpatient here.
I was just in the police station for an hour then Middlsex court house holding cells till I got mu cases dismissed for court costs upstairs in the courtroom. I love Massachusetts court lol. But yeah if I was sent to our actual Middlesex jail I'd have got my dose in about 2-3 days from what I heard and I've also heard u get max 120mgs but I have no idea if this is true
Hopefully you can get your dose soon! My counselor (I live in MI) said hospitals here will dose you if you're admitted for whatever reason, but the ER won't dose you just because you missed the clinic that day. You just have to tough it out and wait til the next day or unfortunately 2 days if it happens on a weekend. Oh, and if you miss a face dose day at my clinic, they also phase you down 🙃 that almost happened to me when I had to miss a day because of an emergency with my then infant son. I contacted my counselor immediately, and he saved my ass. But even then, the real peach of a nurse tried to override my counselor and wanted to see me punished for it without even knowing what happened. She climbed up the supervision ladder when the Dr and clinic manager both told her they weren't holding it against me, and contacted someone higher up in the company 😒 idk why, but she decided to be a nosey bitch who wasn't going to stop til she saw me punished for whatever reason that day I guess!
I hate that too! My clinic also has a counselor that is all up in everyone’s business too! I can’t stand her. She personally called my primary dr and told him that he needed to take me off my clonozapam .5 mg prescription or he will be the reason I will be dead. So he took me off of them! I was so mad! Those were my lifeline! Every time I was about to have a full blown panic attack, pop one of those and it would go away! But now I don’t have those anymore! Thanks to that nurse who keeps her nose in everyone’s business! Can’t stand her!!
Wow, that's so fucking unnecessary! She was way out of bounds with that! Especially not even being the clinic doctor. You'd think it would be the actual Dr to have a problem with other meds and do something like that, not some nosey ass who has no business worrying about it!
had my clinic do that same shit with my xanax called up my prescribing Dr and got my script canceled basically
I would fukin burn the clinic to the ground if my counselor had done this, Jesus that should be illegal The ones at my clinic suggested I get prescribed Xanax when I had pissed dirty for them a couple times
Same but by the time I got a Dr to write. My dude I could afford my habit on them from had went to federal prison. So I died for 2-3 weeks then finally a Dr's like OK I'll give you some and I'm like forget it now I just went through hell I'm not restarting!!!!
I am on Xanax now and I know I need to go to a longer acting benzo to get off of this. I would love a longer acting benzo and then they gave me gaba and told me to take as much as I wanted
I personally found Xanax way easier to get off the kpins. But everyone's different
Good luck OP. I just had a second and wanted to come and check on you to see if everything worked out. Are you doing okay?
Yes it all worked out thank you! Doing well now
I have a very very good counselor. She told me to bring in all my paperwork. I have my arrest report at 6am then my release at 1230 then my paperwork from thr hospital showing I did my absolute best to get dosed and not miss. So I hoping it works out I got 2 hours until showtime!
I called a hospital in MI and they said they would dose me when i told them what happend that I had missed dosing hours by like 10mins and was turned away but they wanted to verify my dose and the clinic would not play ball said I should have not missed (was my 1st time ever had ever been late) was told I could dose the next day I was pissed
Lucky for me we have a dope Dr and 2 nurses who both love me! I'm very sorry for that insane nurse at yours. More windows more chances for bitch nurses why I kinda like only having 2 windows
So basically next time hurt myself goto ER for injury get dosed! BIG BRAIN TIME! Lol Also when you say phase down do you mean take home phase? If that's all that happens I don't care cuz I just got 13 and going back to 6 is fine with me
That sucks. You can dose tomorrow right? I hope you feel better soon.
Yeah it's more the stress of loosing my bi-weeklys cuz I missed a drop off and pick up day. The Xanax let me sleep pretty ok it 330am so now I just got a short 2 hours of minor suffering left. I donni what it is about Xanax but they are the only thing that really allows me to feel reasonable when I miss my dose. Doing fent just doesn't really cut it. Unless you do a ton every 2 hours. I dunno about this new mixed fent tho
Your boss owes you a fucking bonus
But it was the warrant that got them arrested not the registration.
U right u right
The registration is obviously what got the person pulled over to begin with
Yeah, and it wasn’t the gas tank in the trunk of the corvair that made it explode, either.
There were no exploding corvairs. It was steering and maneuvering issues which with a simple fix of decreasing the air pressure in the front tires resolved the issue. Own a corvair before you speak on them.
I owned a 65 Corvair. It was my first car; my dad and I restored it back in 2003.
I apologize for the confusion, though. I was definitely combining memories of (overstated risks of) Pintos and Corvairs there.
Hang in there, friend. Like others have said, keep yourself busy and not dwelling on it. You can get thru till tomorrow (at which point I take it that you'll be able to dose, yes?) And Look on the bright side: you're not having to detox in a jail cell rn... Cuz yeah, sounds like things could have turned out quite differently, and even tho it might not seem so at the present moment, it sounds like things worked out in your favor... (Aside from missing today's dose, that is.) Good luck going forward yo
Make sure you save some clean urine before you take Xanax incase you got a drug test Tomm.
First thing I did on the way to grab em And there from my pops and he has a script so I know there not fake so they won't stay in my system long
You'll get them tomorrow, right?
I'll get dosed. But my take homes are 50/50. Which I'm bummed about. I'm bringing all my arrest papers my court papers, and the hospital papers and gonna beg lol. My counselor really likes me and she said she would do everything she could for me to keep em. So I hope that happens
I went to jail for a day and the clinic found out and took all my steps! I was so pissed! They were like “oh well it’s federal law, are hands are tied“. I’m still trying to get them back after all that. BUT you could have a very different outcome. As I’m sure there was a way for them to not go that route.
It worked out I got to keep them! My counselor advocated for me and the head nurse excused my absence! I was so happy! I really love my new clinic they actual care and treat us like humans! It's so much different then my old ones it's wild! I couldn't be happier!
Make sure you have the papers from court. That sucks. At least it wasn't in Philadelphia; you'd be arrested and held for at least 2 weeks.
2 weeks wtf for a driving while suspended charge? I didn't rob anyone lol
That's Philadelphia for ya. The bigger the city, the longer the wait. Good thing is, you'll get medicated in jail; it only takes 7-10days for the paperwork to go through. I'm glad that I don't have any more warrants. I maxed out, in prison, in 2009. I did 2 years for a retail theft. I had a bunch of warrants. I got arrested in 2021 for an open warrant. I was told that I would have to wait 3 months to see the judge. Good thing I did the time; I got out in 24 hours. I'm 48; I can't do time for mistakes that I made 20 years ago. It's best to turn yourself in if you think you may have a warrant; they'll give you a court date and you probably won't get arrested.
That really sucks man, Im sorry. Im in the Boston area too and always wonder when I see people post about getting dosed in emergency rooms if it would work around here. So you tried it and no luck, huh?
I'm in VA & have been to the hospital 3 different times trying to get dosed and they would always refuse to do it.
What area? So I don't ever go.
Fredericksburg, & Spotsylvania
I’m in Tennessee and this is the first I’ve ever heard of it. I don’t think they’d do that here, they act pissy at the hospital if you get admitted and need to be dosed.
Yeah they do hate even having to dose you when you're an actual patient there for days. They always make it as hard as they possibly can for you. I remember this girl brought me ONE orange wafer & I was like these wafers are only 40mg, I'm on 120 (at the time) so why exactly are you trying to give me only 40mg? She was shocked that I knew it was 40mg because I told her I was on the liquid. I was like you do know methadone ranges in dose of 1mg, right? Like I know she wasn't THAT dumb to think everybody takes just 40mg. lol
Such bullshit. So many people just think addicts should suffer and that’s all the thought they ever give addiction. Like being that dope sick wouldn’t totally cause even more health issues.
I'm in taunton and honestly I've had no problem getting my methadone at really any hospital I've been at in the state. From New Bedford, Fall River, to Warham; to Worcestor,Boston, to Webster. And these are real hospital to. Never had any issues. Have you ran into issues in our state.
I’ve done it 5 times in Maryland. It’s usually only a short wait too, bc you don’t need a room, so once they call the clinic, they can dose you.
What area?
AACO
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Yes GB. The Baltimore Washington medical center. I can’t think of what bk is though
Is that the old north arundel hospital on hospital drive? It'd be nice to know if there's a clinic there for others
Oh okay, so not far at all! Yes north arundel! There’s not a clinic at the hospital. But there are a few clinics around Glen burnie. They dosed me in the er when I missed clinic hours.
Oh and BNJ but they moved to Morrell Park
Yes I went there before when it was on Ritchie highway. I ended up owing them a ton of money bc of insurance problems. They just told me to switch clinics and never even sent me a bill. They used to have evening hours too
Ahh ok. I know We care on Aquahart but that's it
Yes I used to go there too. And there’s EJAL but it is the WORST! They were trying to detox me in 7 days! And there’s road to recovery.
Id def love to know this too cause im started in Md, went to register in bmore once before- and now am in wva and never have I heard of this
I went to Baltimore Washington medical center. I haven’t done it in years though. But I went in the er. In triage I told them an excuse to why I missed clinic hours, (car broke down, I had to go out of state for an emergency and didn’t make it back in time, etc.). They ask for the clinic phone number and your dose. They sent me back to the waiting room while they called and got my dose ready. Then brought me back in a room, but just gave me my dose and I was on my way.
Worked for me in Leominster
This is why I'm glad I switched to sublocade. If anything happens (knock on wood) I have like 13 months of bupe shots built up in my system and each shot has a half life of 45 to 60 days.
my license was suspended for a bit n the only place I drove was to the clinic-n this was my worst nightmare
Yup I’m sick of people on here and of course in line being gossipy-gossipers saying “just go to the er”. My clinic was told by the two hospitals in the area to NOT send people for missed days. They refuse to dose. Luckily I live 2 hours away and the one time they closed and didn’t call a bunch of us 4-5 yrs ago I was able to go to my local er. But I walked in almost positive I wouldn’t be dosed. And they said they never do but I also was able to get the dosing nurse on the phone on a holiday and she approved it. So many people are argued with me saying they are “required to dose you” lmao yah fucking right. Always worth a shot to try but it’s not a guarantee But man I’m sorry on the way there sounds like the absolute worst. I’d be in tears offering my “services” to be let go. Hope it gets better for yah.
Mind over matter. One day shouldn't make you this sick. Stop thinking about it and busy your mind. Watch your favorite TV show, go for a walk or drive or play games on your phone. At the point you only miss one day it's more in your mind then anything else.
Depends on the person, their dose, and metabolism. It's true, a lot of people on Methadone can skip days without being too sick. There's also a lot of other people, like myself, who have fast metabolism and going 48hrs without dosing is absolutely enough to get me feeling sick as fuck. I kept my dose minimum, and it barely holds me for the 24hrs. Especially in the summer when I am working outside and sweating a lot.
Thats not true. At all. Everybody metabolizes methadone differently. No matter if there's a half life or not, it's the amount of methadone & how much is covering your opiate receptors, that keeps you from withdrawal. & I've never been able to skip a day. I'm sick by the afternoon. I've always wanted to be one of those people that can skip a day or two. I did something called a peak & trough test & they saw that the methadone is almost completely out of my system at the end of the day. So now I'm on a split dose, increased dose.
I can actually go three days. By the afternoon on the 4th day is when I start getting really sick. Which is lucky in one hand but also horrible in another because when I got off the clinic before, it took 21 days for me to stop testing positive for methadone and 8 months later I was still sick, still kicking, not sleeping, etc. It literally adheres to my insides and I feel trapped on it forever because I had to eventually get back on the clinic because I just couldn’t take the withdrawal anymore after 8 months…
I was going to say "you're so luckyyy" but then read the rest. I never thought about the fact that it's obviously going to take so much longer for slow metabolizers to get fully clean. My friend kicked in jail, & came out after 14 months & still had withdrawal symptoms. So sad how long it can last. Some people don't even get their energy back for years. 😔
Yup. I jumped off high dose methadone twice. And both time I was in acute wd for 45 days. At 6 months I still wasn't sleeping more than 2-3 hours. Then the PAWS lasted until 18 months, when I finally relapsed. I'll probably be on methadone the rest of my life, albeit at a smaller dose than when I started.
Yeah one day doesn't usually make me all that uncomfortable but after two it starts to suck pretty bad. Being unable to sleep has to be the worst part
Yep
It's more the anxiety of loosing my bi weeklys. I can suffer it is what it is. Just if I loose my take homes that costs me time and $100ish a week extra in fuel
Only 8 more hours till dose!! You have got this!!
Man oh man have I been there before. When you look at the clock and know you're past time to go to the clinic and your heart drops to the ground. Hang in there man! It's already 11:15 East Coast time and the clinic opens at what, 5am, 6am? Hang in there as long as you can, then leave for the clinic super early and take your sweet-ass time getting there. Liine up to be the first person in line and next thing you know they're opening that door and 5 minutes later you're back to your normal self. YOU CAN DO IT!!!
Appreciate u! Managed to get to sleep from the Xanax woke up about an hour ago so not to long now 530 am but ill be there at 5:10 the latest to talk to my counselor and get dosed
That’s like my worst nightmare man, so sorry to hear that. Screw the doc who stiffed you, your maintenance is legal and prescribed, and the fact they wouldn’t give you emergency meds is prejudice. Bet you a thousand dollars that same doc has hooked dozens of people on unneeded pain med prescriptions too.
It whack to cuz I know for a fact BMC in Boston does it and if I didn't waste my time over at the local hospital I could have got dosed and not been so worried about loosing my carries
there's always something to be said for stacking up a few emergency doses.. even if you siphon off just 1/4 of a bottle in a week, after less than a month you'll have an extra full dose you can save for emergencies Even the last few drops that kind of stay in the bottle add up.. my clinic never asks for the empties back, when I would be lazy i would accumulate like 30-60 "empty" bottles in my fridge... before chucking them out when I would finally clean out my fridge id take the few minutes to really drain those few drops into one bottle.. would usually end up with at least 1/2 if not a full bottle just from the juice that would typically be thrown away
AMENNN MAN! A EFFIN MEN TO THIS POST RIGHT HERE!!!
I had a stash i bought for a while about 1000mgs I didn't have take homes back then so I would use it to go on vacation. Def wouldn't be ok with a quarter of my dose missing per week to save. But maybe like 3mgs a per bottle saved it would ad up. We also don't get to keep our old bottle and mine are clean clean. I lick the drops off the foil seal and rinse em like 5 time
1/4 of a bottle out of 7 bottles... thats like 3.57% of each bottle.., literally nothing, less than 4ml out of a 100ml drink if youre getting the tang.. if you're on 100mg of methadone a day, that's 3.5mg, so youre still taking 96.5mg... if you do that for 28 days, even if it's 28 days over the course of 2 months, that's a full dose saved there's realistically no way youd notice taking 98.25mg instead of 100, do this for 4 months and you got 2 full extra emergency doses honestly though you could probably skip 1/4 dose every second day for a week and not notice it.. then you'd have a full extra dose after the first week just throwing out the numbers so you can see how easy it is to save yourself a couple extra for an emergency.. even if youre really sensitive to not getting your full dose, its still doable without noticing anything
Yep, I can sometimes get 2 bottles out of my 27 at the end. I think finding the clinic closed during bad weather is my worst worry. What pisses me off, is if u take ANY other medication. Pharmacies can provide u 3 days worth, if u run out. Not methadone. I get it. We can OD if we are lying & still have some. It’s a liability. But when someone is Clearly in withdrawal, it’s ridiculous they won’t dose u.
Hopefully u got a copy of ur paperwork to show everyone tomorrow morning
Hang in there
I'm doing much better mentally (Xanax def helped with that) managed 10 hours sleep def thanks to those aswell and I think even though my body feels like death this morning I'm not having the brutal anxiety I was yesterday
Good luck and I hope you'll feel better.
thank you! I do much better
There's something magic about feeling your withdrawal symptoms melt away soon after taking a dose when you haven't had it in some time.
Bummer dude, at least you got out. I seen people miss their pickup days and still keep their takehomes. Especially being that you were in cuffs they might take some mercy.
They did! Brought my arrest paperwork and the hospital paperwork and the head nurse excused my absence! And absolutely. Even though I was feeling shitty down in the courtroom holding cell area. I definitely felt like the most blessed cuz I only had a couple driving after suspensions and a false name charge. Everyone else down there was in for real shit. "Distribution class A and B, Gun charges, Gun charges subsequent offense, Transportation Class A and B" like 6 dudes all had charges like that. Young to dude next to me was only 23 and had all them charges in my county and was out on bail in his county already for the same charges he wasn't getting out I don't think.
Omg wow wow I’m so sorry…. Yes as long as you get there next day you can explain but wow. you r lucky to have a place to dose you… if I end up gett arrrsted I would want to be w my medication. I’m glad you were able to work the situation out
Yeah it all worked out. And the God if God forbid you do stay in custody and goto jail or prison you get dosed here in Massachusetts. If your on methadone you get to stay on methadone but I've heard the max dose is 120mg which is way better then nothing. If your just dopesick they will put you on suboxone. You have to already be on methadone to get it in jail here. It also takes a couple days I've heard but luckily I've never been in custody long enough to find out
Yes I missed my take home due to the TB shot …. I came back on weekend and they were only open 2 hours and I had no clue at all….. and Saturday was not a normal day and nobody told me there’s no signs nothing about it and they know I haven’t been there on weekends at all ppl who have been there daily go on weekends…. Well I went in Monday and they dosed me and per test me right away and had come back the next day due to me missing the weekend….. because I went 2 full days no dose they will think you used…. thank goodness I had a reserve maybe 400mh almost 2 full bottles I did have some but wasn’t sure what to talk this time I did measure and I’m right at the 5ml line on a bottle for the liquid medicine 5ml is correct . Please be careful all. Thx for sharing
1ml is 10mgs with the US red.
Fucked I feel for you, can’t imagine the pain that experience caused
Thank you. Was more anxiety inducing then anything cuz yeah the withdrawals do suck but i was extra anxious about loosing my take homes after I finally got on bi weekly. And the day in supposed to switch from weekly to bi weekly that all a happened. But thank God my clinic is really cool and they approved my absence and gave my my full bottles!
Wow what a shitty day you must have had. I’m sorry you had to go theough all that. It’s not a good idea to misuse otc meds but if you are ever in a pinch and you feel the watery nose and sneezy pre withdrawal symptoms. 10mg of Imodium will get you through to your next dose. Loperamide is a powerful opioid agonist but doesn’t cross the blood brain barrier. It doesn’t get you high or cause respiratory depression, it just makes you constipated. So it is marketed as an anti diarrhea drug. It has worked for me countless times.
Yeah I just knocked myself out the the 7.5 mgs of Xanax tablets my Pops had available for me. I know it's not the best to use other hard drugs but I def would have ended up calling for something worse if my Dad didn't have any Xanax. There's a reason I don't miss my dose it's really painful. I appreciate the other option ideas though I may try those if I ever have to miss again which I hope I dont
Missing 1 day doesn't bring any WD symptoms. It's 100% mental withdrawal, which can almost be as worse as real physical WDs. Just be positive drink water and chill. I've had to go 5 days before. Didn't start actually feeling anything until the end of day 3.
Depends on your metabolism. Not everyone is the same
I've had people not believe me to. Then my co worker seen how bad I looked when I forgot to take my take home before work. I get sick very fast. Not to be gross but I have diarrhea now and it 4am so that's about 46 hour after my last dose. Is that the norm no but it's def a thing. And being sick yesterday I made the main post sound like I was more concerned with being sick then loosing my carries. It would be a time and financial hit to loose them. $100 extra a week in gas to go to the clinic plus the 1.5 hours out of my morning
Very true. It's taken me like 5 days before I started feeling shitty.
I start withdrawing about 29 hours after dosing. Sometimes less. It’s not psychological either because if I sleep I’ll wake up sick without even realizing it’s been over 29 hours
Yeah I know it's not in my head either cuz I've forgotten to dose then I'm yawning, sneezing, and starting to have leg pain. Only reason I've remembered to dose a couple days is cuz I go into withdrawal.
Man methadone is killer. People keep asking me “why can’t you go cold turkey etc” I just can’t! I go 24 hours on the dot w/out it and I start getting hot, sweaty, the shakes etc. If ya haven’t put this poison in you, don’t even comment. I didn’t even need to go on the program, my father pushed it on me and gave me no choice because I took to many opioids a few times to cope with my step mum! So did he! But he never put himself on it. so.. now I’m heavier, all my hard work in the gym.. most of it has come un done. I’d lost almost 40kg only to gain half back. I’m just annoyed. It interferes with working, im always tired and I got myself down from 70mg down to 37.5mg then since living back in this toxic household that got me on opioids in the first place - I had to go up to 40… I’m 30 yrs old. No one would even think I’d taken opiates so much or that I’m on the program. But it has impacted my quality of life greatly.
Damn dude sorry you had to go through that
Appreciate that. Was a shitty day but it turned out all good in the end. Shit even the court case from the warrant I got all charges dismissed for court cost!
Dude god is good or whoever you choose to Beleive in if you do or not no worries that’s fucking sweet man minor setback for a major comeback
Absolutely! It all worked out well in the end!
Sweet
One day without your dose shouldn't effect you. If your at a stable "blocking" dose. I went to jail on 140 MG and 10 days in my detox had bearly started
I'm a fast metabolizer. I'm getting peak and trough done at my regular Dr's so I can get on split dosing actually soon. I get pretty sick.
I don't get how people can't skip days. It's slow acting. You should be able to skip a day no problem.
Everyone's different. I've been on 14 years and have a fast metabolism for it