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Methadone clinic appropriate?

by MellyR, Apr 23, 2003 12:00AM
Tags: Addiction
I have been addicted to Norco for the past two years. I have tried to quit countless times on my own, both cold turkey and tapering. It's clear to me I can't quit alone. I am planning on counseling or NA meetings, but am considering a methadone clinic to taper me down. I called a clinic in my area, and they did say they treat painkillers addiction, not just heroin addiction. Currently, I take about 20-23 Norco (hydrocodone 10/325) a day. My question is: Will I be completely out of place at the clinic? Does my situation warrant methadone treatment? I have horrible withdrawls when I've tried to quit on my own. Also, there may be times I would have to take my toddler with me. The clinic said that is fine, clients do occasionally bring their kids, but I do not feel at all comfortable bringing my child there. Hopefully I won't ever have to, but I would hate to start the program but then have to stop due to no babysitter. Would anyone with experience in a methadone clinic let me know 1. how they'd feel about bringing their kid with them and 2. what's it like in general? Is there usually a big long wait to get your dose? Is it an uncomfortable situation? Any information would be appreciated.
Member Comments (49)

by AmberHunter, Apr 23, 2003 12:00AM
i have been off of methadone for decades! there is one thing that you need to keep in mind, methadone withdrawls are worse than any other opiate withdrawls... that is my experience anyhow...



i think methadone is appropriate for anyone who is seriously addicted to narcotics and doesn't see anyway to get off of them. and from what you have said you know how difficult the withdrawls would be... but they will be easier to go through than methadone withdrawl a year or two from now...



i work next door to a methadone clinic here in the atlanta area... i see as many business type looking people going in for their daily dose as i see druggie looking folks... they come in, get their dose, go off to work and that's it... it is all confidential except for me who occasionally sees them going in and coming out... it is of interest to me b/c i was on methadone and it was the hardest thing to come off of ever...



as far as bringing your child with you, oh well, you may very well have to do that but you probably bring him with you wherever you go to get all the pills you have to take daily, right?



good luck to you and you do what seems right for you to do... i really wish you the best girl!



amber

by percsnomas, Apr 23, 2003 12:00AM
To: MellyR
Hello, and Welcome here!!!!!!!!!



I'm only going to answer the question  "does your situation warrant methadone treatment?"



As you have only been on hydro for 2 years, and although you are at 20-23/ day, it is not a "ridiculous" amount.  I came off of a 20+/day percocet habit of many years, and although i haven't done the methadone thing, i would venture to say(from some of my very good friends here), that you could potentially be trading a monkey for a gorilla.  In your previous attempts, have you used anything like clonidine to help reduce the withdrawals.  



I would definately steer you towards the procedures used in the Thomas Recipe(with a benzo for the first few days of detox), or clonidine, or Buprenorphine(if available to you); or pretty much anything but methadone.  



One of the forum members here used meth. to come off a OC(oxycontin)habit; but ONLY for about 5 days, and was very happy with the results.  Seems many of the treatment programs with meth(to detox from pain pills) is dragged out too long, and you end up stuck with a MUCH

bigger problem than what you started with.



Take Care

by MellyR, Apr 23, 2003 12:00AM
Thanks so much for your comments everyone. No, I have never tried clonidine or buprenorphine. Where would I get those meds? I am very hesitant to go to my family doc with this as he is the one who initially prescribed the narcotics and I would have to admit my problem etc. and do not feel that he would be very understanding, based on his general attitude, I'm not sure if he would even be willing to help me. I also do not want it in my medical records or in my medical insurance files that I am an addict. I don't feel there should be a stigma with admitting you have a problem, but the reality is there is a stigma and I don't want to bring problems upon myself by having it there in my records in black and white. I've tried to find listings for physicians that specialize in "addiction medicine" in my area, there is only one and he is not taking any new patients. Any ideas on how to find someone to treat me other than a methadone clinic? In the "drug treatment" listings in the phone book (seperate form the physicians) there are only methadone clinics and in-patient places. If I decide not to go with the methadone, any advice on how to find someone to treat me with the clonidine or buprenorphine?

by percsnomas, Apr 23, 2003 12:00AM
To: MellyR
I understand about your reluctance with respect to your doctor.

Having said that, and the fact that clonidine and Bup are prescribed, makes it a lit'l difficult to tell you where to get one of these medications.  I was going to suggest searching for an addiction doc. in your area; but it sounds like you've done that....with limited results.



I've copied a post from another forum member, regarding Buprenorphine..........and hopefully he can shed some light on your situation:



C31 SarpyJesse

(21-Apr-03)  curtisman12 Heya Curtisman!



I'm currently putting together a site that deals specifically with Buprenorphine [Suboxone] use for Detox, Maintenance, and also Buprenex as a pain med for those who cannot (or CHOOSE not to) take Morphine or Oxycontin. If you wish to get on the mailing list, please send me an E-mail at: ***@****



For anyone else here that is interested in the new exclusively Buprenorphine board, you may e-mail me at: ***@****



I'm looking forward to getting a handful of people posting their experiences with this recently-approved med so we may help others who are trying to make a choice for maintenance, detoxing, or pain management.



Thanks Everyone!

Jesse





I'm not sure what else to tell you, except reiterating that i sure would avoid Meth. if at all possible!!



percs



by Anhedonio, Apr 23, 2003 12:00AM
To: MellyR
Try this site for more info on buprenorphine:



http://www.buprenorphine.samhsa.gov/



by RobynBanks, Apr 23, 2003 12:00AM
To: MellyR
MellyR,

I am on a low dose of meth (from 20 percocet/day habit). I have neen on it for 3 weeks now at 25mg. I also have 2 small children. I am luck in that I can dose at the pharmacy at the top of my street (I'm in Canada)....even so I will only take my smallest with me since he is only 1.5yrs old. If worse came to worse, I would take my daughter in (she's 3) but questions would be asked and I prefer not to involve her if at all possible. My clinic requires me to see a doctor 1X/week. I schedule this day when the kids are at daycare...which is 3 days/week.

I was on Meth 8yrs ago and dosed in SanFrancisco CA. I had to dose at the clinic which was very seedy- I did not have kids at the time though. Not all clinics are like that so you would have to see for yourself . As long as the environment is clean and safe, I think its fine to take your kids...you are seeing a doctor and receiving medicine (lying to them is not necessary). From my experience, it has never been a big long line up but that depends on the time you go-as soon as it opens, there is often a line up. Perhaps waiting 30min-1hour after it has opened is the best idea in order to avoid any lines.

Does your situation warrent it?...only you can be the judge of that.

Good luck. Robyn.

by pammy0690, Apr 23, 2003 12:00AM
To: Melly
have you concidered the financial cost?  The clinic in my area is 100 dollars a week and they do not take insurance.  I know this is high in comparasion to other clinics in other cities.  Yours may be much less.  Something to consider.  Pammy

by MellyR, Apr 23, 2003 12:00AM
Again, thanks so much for all the suggestions and comments. I have a few more questions, if you don't mind. My health insurance will pay for me to see a counselor or psychiatrist, with a small co-pay. I understand that psychiatrists (as opposed to psychologists/counselors etc) are actual MDs and allowed to prescribe. Does anyone happen to know: if I see a psychiatrist for substance abuse treatment, would he be allowed to prescribe meds for withdrawl? Perhaps that's something I could look into as an alternative to a meth clinic. If I can get counseling along with meds, am I correct in thinking that clonidine is a blood pressure medicine and buprenorphine is an opiate? If only clinics, not doctors, are allowed to prescribe methadone, are physicians or psychiatrist allowed to prescribe opiates such as buprenorphine for withdrawl? Do you take clonidine and buprenorphine at the same time, or taper on the bup first, then clonidine? I'm still concerned about going through my health insurance for the counseling, but it will be too expensive to do it on my own, but maybe I'm making too big of a deal of it. Has anyone else sought drug abuse treatment through their health insurance or primary doctor? If so, were there any negative consequences? Also, how is it tapering with meds besides methadone? Thanks for all your help, everyone.

by MethMan, Apr 23, 2003 12:00AM
To: MellyR
Unless I missed it, I didn't notice whether or not you were a chronic pain patient.  If you are not a chronic pain patient then I'd suggest that you not consider methadone UNLESS a doctor knows why he/she is prescribing it and it is for a VERY SHORT TIME FRAME.

Believe me... if possible, avoid a long term stay in Hotel Methadone. The cost per night is so high, it'll bankrupt your soul.

Regarding your concern over not telling your doc, if you can't trust him/her, then why stay with him?  Find someone you are comfortable with and say something.  With the fallout over all the prescribed pills doctors doled out over the last couple decades, you won't be unique.  The Pope is probably crushin' an oxy NOW.

There is help. You just gotta ask.  Afterall, it's your life not theirs.

by Lostgirl, Apr 24, 2003 12:00AM
To: Mellie
I understand about your mom and the kids.  I don't think that I would want to make my children a part of my recovery especially how young they are. Half the time my mother doesn't get it either and she was a nurse!  She thinks all it takes is positive thoughts and you can just "DO IT".  I asked her today if she understood how hard WDs are and she said that she had seen some people do it at the hospital, but then she just looked at me. Like "So?"  Like it was no big deal.  She wants to know how she can help but last time she came over the first day in CT WDs and kinda patted me on the shoulder asked me if I needed anything and then said well your Dad and I will be back in a week.  What are you supposed to say to that.  "Yeah Mom, I need you now but wouldn't want you to miss your trip!"



If you look a few posts up you will see a link for info on Bup.  They also have a Dr. finder for your area possibly.  



I know you that you don't want to talk to reg Dr. I feel the same way.  I jsut don't want it in my medical records.  BC/BS turned me down for insurance becuase I was taking Celexa.  Even though they make it so they now have to offer everyone ins, they make it so expensive that you can afford to purchase it.  I had seriously considered going to a Dr under an alias and just paying cash! LOL  Is this what life has come to?



AS for the kiddos, look for a "Mother's Day Out" at a local church.  They ususally have them scheduled for atleast one day a week and they are very reasonable.  then you can schudle whatever appts around that schedule.  Also, didn't you say your were married?  Couldn't every once in awhile your husband take a few hours off work and watch the kids?  They are his too!



Good Luck and we are waiting to hear what they said at your Psych appt.

by pammy0690, Apr 24, 2003 12:00AM
To: Melly
FOr a doctor to be able to prescribe bup for addiction they have to have a special certification, only have thirty patients, and jump through a few other hoops.  Suboxone is the tablet form of bup that is being prescribed.  Clondine is for the active withdrawal period and should not be used with Bup.  You can use it after the Bup is discontinued if you are still having problems with withdrawal.  It slows your heart rate down and helps lessen the sweats, rls, racing heart.  Bup is an opiate but works differently than hydrocodone or oxycodone.  It works on different brain receptors allowing the ones that have ben aftected by the abuse to heal.   The best way to find out if a Psych doc will prescribe meds for withdrawal is to call them or ask them at your first appointment.  In my opinion going the counseling route instead of methadone will be better for you in the long run.  Good luck!  Pamela

by MellyR, Apr 24, 2003 12:00AM
Well, I'm pretty much at the end of my rope, and have made an appointment to see a psychiatrist today. I was hoping to get in with one who specialized in substance abuse, but there were only four psychiatrists approved by my health insurance who specialize in that, and only two are taking new patients, and neither of them have called me back yet. The guy I'm seeing today, his receptionsist did say that he treats substance abuse, and he is affiliated with a hospital that treats substance abuse, so hopefully he can do something for me. On one hand I kind of wanted to wait to get in to see a woman, and also someone who's credentials say they specialize in this area, on the other hand I just don't feel I can put this off even one more day, things are getting so out of control for me. If I don't like him, my insurance said it won't be a problem for me to switch to someone else, so who knows how this will go. If anyone here has any experience with going to a psychiatrist for drug counseling, or knows what they can prescribe (maybe the doctor in this forum can tell me what psychiatrists are able to prescribe for this)please let me know. If anyone is interested, I can post what happens when I get done with my appointment today. I'm so tense and nervous, and thinking of excuses not to go, I'm so embaressed and ashamed to admit to someone, especially a doctor, that I've been abusing drugs