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The last time was the worst because i tried to get off the highest dose I ever took, 200-250mg long-acting pills per day for 3 months. My doctor tried to taper me from 200 to nothing in 2 weeks, but the muscle cramps and leg pain were too excruciating and I went back to morphine, then him. We discovered a 2-step taper was better. Off the long actings, first. Then he put me on a slow taper starting with 45 mg/day instant release 15 mg tabs dropping I/2 pill every 3 days. Took about a week and after I kicked completely for the withdrawal symptoms, particularly leg cramps, headaches, insomnia, fatigue, panic and depression, to relent. He also suggested taking cyclobenzaprine for the cramps and xanax for the anxiety. No artificial opiates, though, they only delay the inevitable. It took willpower, prayer, my therapist, and having my wife hide the pills to get clean.
I got morphine because Vicodin and other synthetic opiates did not work for me and had bad side effects like nausea due to inner-ear effect (I used dramamine for that successfully).
Doctors are divided on treatment of opiate addiction. Unlike some other pain or arthritis pills, opiates can be taken for years without serious side effects if taken as prescribed. However, the longer the usage and the higher the dose, the worse the side effects. Some who have been on morphine longer than 6 months or who inject or snort opiates get permanent brain damage which withers the cells which produce natural opiates. These people have the highest failure rate in withdrawal. Opiate replacement therapy supervised by an addiction clinic is really the only place to get Suboxone or Methadone. People with permanent brain damage to their natural painkilling brain cells have to stay on opiate replacement therapy for the rest of their lives. This applies for synthetic opiates like oxycontin, hydrocodone, vicodin, and percocet in some patients as well. It is nothing to be ashamed of.
Studies I have seen show many American patients are undertreated for pain due to doctor fears of addiction, malpractice suits, DEA checks on prescriptions and other risks. Doctors fear prescribing opiates for fear of these negatives as well as because some addicts/abusers fake pain to get these powerful narcotics. My doctor did not prescribe morphine for my back injury until I went insane and was a hair trigger shotgun blast away from suicide.
The main problem in withdrawal is most strong painkillers are based on the opiate molecule, which is almost identical to the body's natural opiate painkillers generated by the brain. In the presence of drug opiates, the bodies natural painkiller cells shut down and for some eventually wither away and die. These patients need either temporary or permanent opiate replacement therapy because the withdrawal symptoms do not go away completely at all, and so they relapse. That's Methadone or Suboxone. Thank God I never needed those drugs yet, but my heart goes out to those who do. Search this site and others for advice on dealing with withdrawal. Consult a doctor willing to help you or you are stumbling in the dark and risking relapse, depression, or even suicide.
These patients need to go to an addiction specialist for this kind of therapy. Don't try to go it alone if you run into problems!