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Methadone Use and Thyroid Disease

by Thyroid Girl, Nov 18, 2002 12:00AM
I am searching for any information about Methadone maintenance and Thyroid Disease.  I have hypothyroidism, more specifically, Hashimoto's Disease.  I've had half of my Thyroid Gland removed, and am taking Synthroid.  I am also on Methadone maintenance.  The symptoms of thyroid disease are very similar to methadone withdrawal symptoms. I need to know if Methadone has any negative effects on people with Thyroid Disease.  PLEASE HELP!!  If anyone knows of a website or has ANY info that might be of help to me in my search for information, PLEASE let me know.  It will help me tremendously.  Thanks.

Member Comments (27)

by Pinkit, Nov 18, 2002 12:00AM
I have a question about vicodin withdraw.  I have been on vicodin for a year and a half for back pain and endometreosis.  I was taking 8 tabs of the 7/750 mg.every day for the past 10 months. I can not go to a detox program because of family commitments. I started seeing another doctor for addiction and she is trying to wean me off it. She is a family doctor who I'm very comfortable talking with. She wants me to be weaned off the vicodin within 8 days. I don't think I can do it though. She has me taking 5/500 mg odf vicodin. The plan is to have me take 8 today, 7 tomarro, 6 the next day, then 5, 4, 3, 2, 1. I am having so much trouble doing this. She has me taking Ativan for the anxiety associated with withdraw. I'm also going to start counciling next week. Has anyone ever succeeded getting off this drug this way. I was thinking maybe she could put me on another type of opiate with a longer half life that wont addict me. Like methadone or something like that. I know methadone is also addictive, but it takes longer to get addicted than what vicodin does. Is this possible.  Any suggestions are greatly appreciated.

Thank You.

by Bodymechanic, Nov 18, 2002 12:00AM
To: Pinkit
Withdrawal is always uncomfortable. The question is how do you make it as easy as possible on yourself. What is your doctor's rush to get you off the drug. You would be ALOT more comfortable if you dropped 1/2 a tablet every 4 days. You could be off in 2 months with less of a chance of relapsing.



If you want to use the substitute method of detox use clonodine, xanax and darvon. That should have you off very comfortably in 10 days or less.  



Leave the methadone to the hard core addicts like myself. Methadone is very easy to get addicted to and is very hard to get off of.



Peace

by percsnomas, Nov 18, 2002 12:00AM
To: ThyroidGirl/Pinkit
TG.: sorry can't help you with that one....maybe Dr.Thomasello(sp) could shed some light here.



Pinkit: Firstly welcome!!

A few things.... first off, the taper schedule seems a lit'l aggressive. The general rule of tapering is THE LOWER, THE SLOWER.(based on percentage reduced)

Secondly, be careful with the ativan. It might be worth while switching that with a longer acting benzo(like valium), for the initial detox period. (ie. shouldn't be on it much past 5-6 days after you are at zero vikes; again presuming you stick to the 8 day taper).

Thirdly, for a habit you're size, switching an 8 per day vike habit for meth. would be trading a monkey for a gorilla.

Lastly, you should look up the Thomas Recipe and start it ASAP. It will help with the w/d's, and the poor energy that accompanies them.  Take Care

by MethMan, Nov 18, 2002 12:00AM
To: Thyroid Girl
Yeah... percsnomas is dead on with the monkey vs. gorilla thing.  Had I known what the use of methadone was going to do to me long term, looking back over 10+ years of methadone use, I would have absolutely taken the hit on the pills vs. a methadone kick.  It's rough.  ALL WD's are rough, but I've been through pill WD and it was pretty short term compared to Methadone.

All I can say is different strokes... just get ALL the info up front before you opt for methadone.



God Bless,

Mike

by hellbent, Nov 18, 2002 12:00AM
To: Pinkit


In my opinion, using methadone for a habit like that would be madness. Tapering down is the only way to go for a relatively comfortable withdrawal. I would suggest darvon. It's the mildest of the opioids, but has good success in tapering. Codeine is another possibility. Some Tylenol 4's or whatever could help alot, as long as you are not using them to get high, just to not get sick.



As far as your family committments, drug addiction is serious stuff, and if you keep using, if you are an addict like me, it will likely get far worse with time. How important are your commitments is relationship to you getting over your addiction? What you are doing now can kill you, especially if you keep using and your intake increases. In that context, are the commitments that important.



I'm not saying you need rehab or anything, I didn't go. I'm just saying that you might want to consider how far you are willing to go to get out of this thing. Most addicts who don't make getting clean priority #1 don't get clean, and if they somehow do, they don't stay that way. Ok, end of sermon.

by groovygirl, Nov 18, 2002 12:00AM
To: Everyone § Thyroid Girl
I too take synthroid...it is a totally natural thing that your body produces.  Since it is all-natural, I don't think it would interact with Methadone in any strange way...I'm not in the medical field, so I would ask your dr.



On another note, I'd like the person who gave my personal email address out to another forum member to please stand up.  This place is supposed to be all about honestly, so it would make sense that you just tell me.  If two people on the forum were fighting all the time and intensely disliked each other, would you give one of their personal email addresses to the other?  Does that seem like a nice thing to do?  What positive purpose could that serve?



No matter what the problems are here, I try to keep them here.  Thanks for any input.

by Pinkit, Nov 18, 2002 12:00AM
To: Bodymechanic
Thank you so much everyone for your comments. I apreciate your caringness. To Bodymech. I went to my doctor after I posted my question. I had not even read what you wrote before I went, but my doctor did exactly what you said. She saw how uncomfortable I was and decided to change her first recommendation. She said she was going to have me take 6 5/500 for 5 days, then 4,3,2,1. I will be clean in 30 days if this goes as planned. Taking methadone is not a good idea then, right? I hope you're getting the help you need too. God bless all of you.

by MethMan, Nov 18, 2002 12:00AM
To: Pinkit
Congrats on finding a better way.  Your doc sure sounds reasonable and willing to reconsider options best suited for his/her patients.



Think of it this way... you've been given a gift.  Take it and make it work for you.



You CAN do it.  Sure, it will be a little tough, but the payoff is far worth the initial hurt you feel.



Awesome....



Mike

by hellbent, Nov 18, 2002 12:00AM
To: Pinkit
That's a far more reasonable schedule. Now the hard part: sticking to it. Best of luck and keep us informed.

by Pinkit, Nov 19, 2002 12:00AM
To: Hellbent and Bodymech.
Well day 1 is better. I'm not off the vic's, but I'm comfortable with the change in lowering my dose by 1 vic every 5 days. I am so greatful to have someone to talk to about this. I have a great husband. We've only been married for a few years. We have two wonderfull children together. That is what makes this addiction so hard. I just feel so quilty for being a mother and being addicted to perscription drugs. I guess it happenes to alot of people. It's so nice to be able to express my feelings to you guys. It's really helping me. My husband knows what's going on w/ me and he's trying to be supportive, but he doesnt really understand what I'm going through. I'm glad you guys do. It's just nice to know that there are people out there who care. Sorry, I think I'm rambling.

Hellbent,what drug are you fighting and how is it coming? Same question with you, Bodymech. I think you said methadone. I did'nt see either of your posts on the forum.

Hopefully I can answer some questions and help out as much as possible. I am going to come back daily. This seems like a great place to get started. Everyone seems so helpfull. I'm very happy to be here. Thank you and god bless. One more thing, Hellbent, you mentioned the Thomas Recipe. What is that or where can I find it.

by Bodymechanic, Nov 19, 2002 12:00AM
To: Hellbent Methman
As you know I have been struggling with the decision to go on methadone. I have 5 years past history with this poison and I do not take this decision lightly.  It was suggested to me by an addiction management doctor after hearing my pain and drug history as a temporary solution. Bupenorhine is not yet available in this state. He strongly suggested that I go on methadone until it is available.



There are 2 important factors in my decision.  The first is that I plan to be on methadone no more than a month. I am only using it to hold over until I can get on bupenorphine. Starting on a pain management clinic that offers bupenorphine in a month involves going out of state for a few days. Right now this is not possible.



The second and most important point is that it is not my goal to get clean. I only want to manage pain with the least side effects while keeping my life as normal as possible.  In my case, from everything I have read bupenorphine is by far the best solution for me. I dont care if I have to take bupenorphine every day for the rest of my life. I have been taking something for pain every day for over 15 years and at this point it is just a matter of substance.



My question now becomes, how difficult will it be to switch from methadone to bupenorphine?  I plan to stay with a dose no higher than 30mg a day of methadone and for not longer than a month. I only know of one other person who has switched from methadone to bupenorphine. He tells me it was very easy. I am sure soon it will be very common. I wish I had more facts but the whole drug experience is so subjective. Doing the methadone for a few weeks is by far easier than trying to doctor shop or buy drugs off the street. I especially don't want to deal with this over the holidays.  Right now I have too much pain and have too little energy to do all that.  



Like you I advise anyone to avoid methadone like the plague. I remember what the withdrawal 20 years ago was like. But as a temporary step do you think this is a good idea for me?



Your opinions and practical experience are always welcome.



Bodymechanic



by MethMan, Nov 19, 2002 12:00AM
To: BodyMechanic
If you've been on Methadone in the past, then you know the downside coming off.  That said, No one should have to live in real pain all their lives and if there is something that can help you maintain a quality of life that you can not have without taking something, then it may be for you.

  As far as the Methadone/Bup transfer, like I said, I didn't have an opportunity to get Bup when I was In-patient so I can't tell you what to expect there.  But from what I've read, it shouldn't be a hard thing to transfer to.

What kind of pain are you suffering from?



God Bless,

Mike

by groovygirl, Nov 19, 2002 12:00AM
To: bodymechanic
The thing with bup is you have to be in total withdrawal to take your first dose, or else you wind up sick as a dog.  I don't know how long methadone stays in your system, but make sure it is totally out before you start the bup.



Methadone maintenance seems like a pretty hard-core thing to start if you are only planning on doing it for a month.  I would try to get by until you can start the bup, and just skip the mehtadone.  That is just my opinion...I'm no doctor.

by hellbent, Nov 19, 2002 12:00AM
To: Pinkit, BodyMech
Bodymechanic, I wish I had better advice on this, but I never took Bup. I was on methadone for 21 days when I quit Oxycontin. I think it helped quite a bit, but I wouldn't want to stay on it much longer than that. I guess that the upside of done' is that it is readily available through legal channels, and can be dispensed on a daily basis. The downside, I hear, is that it is an incredibly rough kick after awhile.



It actually sounds like Oxycontin might be an option, as long as you swallow your doses, and allow the meds to be continuously released.



Pinkit, I was addicted to Oxycontin for 4 years and was also addicted to Klonopin