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What are the ramifications of addiction (physically)

Okay, tell me what are the ramifications of being semi dru addicted?  I've been reading all these messages and need to hear it.....what happens physically....I know slow heart rate...possible death...but what else? hair loss???weight gain???what.  I guess I want to be convinced what I am doing is truly a deteriorating thing...I like the feeling I get when I take a vicodin. Is that soooo bad?
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Bam
I did it yes I did and cold turkey.  Three days of no sleep. A week of shakes.  A month of crying. Everyday a craving.  The knowledge that I havn't seen all my doctors for pain meds for a few months is horrible torture because I know I could hit them all in a day and have a couple hundred pills with refills.  Anti - depressants forever I will be on my brain doesn't produce seratonin.  But my body is healthy.  I sleep at night 8 hours.  I dont throw up anymore.  My equalliberium is back to normal.  I dont get migrains anymore.  And luckily my liver and kidneys work normal.  I have money too buy my family food and clothes and entertainment things that I never seemed to have enough money for when I was constantly going to the doctor and buying perc. and vico. and ultram and anything that had narcotic's in it or enhanced the narcodics I was already taking.  A little secret for withdrawling is that benadryl does help the anxiety takeing four 25mg at a time every four-six hours. So you dont have to go to the doctor and get addicted to something else to help to get off something your addicted too.
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Avatar universal
Bam
I did it yes I did and cold turkey.  Three days of no sleep. A week of shakes.  A month of crying. Everyday a craving.  The knowledge that I havn't seen all my doctors for pain meds for a few months is horrible torture because I know I could hit them all in a day and have a couple hundred pills with refills.  Anti - depressants forever I will be on my brain doesn't produce seratonin.  But my body is healthy.  I sleep at night 8 hours.  I dont throw up anymore.  My equalliberium is back to normal.  I dont get migrains anymore.  And luckily my liver and kidneys work normal.  I have money too buy my family food and clothes and entertainment things that I never seemed to have enough money for when I was constantly going to the doctor and buying perc. and vico. and ultram and anything that had narcotic's in it or enhanced the narcodics I was already taking.  A little secret for withdrawling is that benadryl does help the anxiety takeing four 25mg at a time every four-six hours. So you dont have to go to the doctor and get addicted to something else to help to get off something your addicted too.
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Dear doctor letter last time I read it simply explains the needs of a MMT patient. Dear "uninformed doctor" here are the rules for treating a MMT patient. For instance he has REAL pains that must be treated accordingly. Note, methadone allows stabilisation of the receptors.  Doctors should allow the MMT patient to have adequate pain relief. For pain of a abscesed tooth required for (me);two Lortab 10/500 q 3-4 h prn pain. The average person might get by on one. Tom,I do not know what your reading into these letters but you obviously still are fighting myths where methadone is concerned. Dr. Dole the father and expert, says the one thing that keeps MMT away from people who need it is; The medical professions,politicians and medias misconceptions of the role of MMT plays on treating addicts. I can give you facts! I fight myth's of methadone daily. Physicans are the worst of the uninformed.(there is a simple misunderstanding among physicians). Methadone as I said, is NOT a replacement drug. It allows the patient to FEEL normal. Tom, I think the best thing to do here is e mail me with specific questions. (or stay here so others may benefit) Lets go to the chat room and have a private chat if you would like. You make the call: (***@****.)   Tom, I will gladly answer questions. PLEASE respond...
Sincerely,
Dan S. (aka"Dock Dan") There is another dan and tom I think?
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Avatar universal
Thank you!  It is people like you who keep me here.  Knowing we helped you warms my heart.  The reason most of us come here and share our pain with others is so people just like you will remember what living hell can be.  Please don't give up on trying to treat your back pain.  Many non-narcotic approaches are available and some excellent results are being achieved.  If you continue in pain, do some research and find a back specialist in your area.  Make sure you level with a doc about having become dependant/addicted in the past.  Good luck!  Brian
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Dan,
I read Dr Payte's three form letters (dear doctor, forced withdrawal, and to whom it may concern). They've given me food for thought, to say the least. In fact, the mere fact that Dr. Payte felt it necessary to provide them for general use by his methadone and LAAM patients suggests several disquieting scenarios.

The "dear doctor" letter addresses the communication I would have to have with, say, an ER doctor following, for discussion's sake, an auto accident in which I suffered significant trauma requiring morphine or the like. Is the letter meant to serve as a kind of medical alert bracelet?  It occurs to me that methadone maintenance patients would need one in emergency trauma situations. How do you handle this now?

As to the second letter, I have no intention of doing anything illegal that would place me in a parole, arrest or probation situation. My "drugstore cowboy" days are, thank god, behind me - and that's where they're going to stay.

I won't get into the third letter. It's really the first one and all that it suggests that worries me a bit. I would appreciate your thoughts on the "dear doctor" letter. (I doubt if I would be so lucky as to have Brian as my doctor in a hospital situation, so I'm a little nervous about the implications of this letter. Thanks in advance.

Your friend, tom.
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Avatar universal
Happy Thanksgiving to everyone!
After a few months of pondering what to do about my chronic pain problem, I have decided to just try to DEAL with it drug free.
I Used vicodin ES for 2 years. I took anywhere from 10 to 15 a day. I had a doctor that understoond that I had terrible pain due to back problems, nerve damage etc.  
After he retired, I was on my own. I weaned myself off vicodin. The withdrawls were not that easy (lasted 3 to 4 days...typical flu-like symptoms) but not half as hard as I have read on here that some people have gone through.
My pain catches up with me and I was thinking about finding a doctor that would help me by treating me with narcotics. BUT and its a big BUT.....after the few weeks of reading these posts, I decided to just let it go and deal with it by advil or tylenol. I guess I have learned that if I do get back into a vicodin routine again, it may not be as easy the second time around getting off of them. Thank you all so much. I am still going to stick around this site because I think I do have addictive tendencies or I would not have started to "miss" vicodin in the first place.
Happy Thanksgiving to you. Everyone of you have helped me and I thank you all.
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Avatar universal
Thanks Brian, for the compliment about how I should have been a doctor. At one time, that was, in fact, what I intended to be. But I know that this disease of mine would have been there, waiting, to derail any plans in that direction. I get tremendous satisfaction when I can help someone on this site, even if just to give them some detox advice or allay their fears in some way. Though I have realized my dream of becoming a professional writer, and have been earning my living that way for 15 years, I have always regarded it as my personal tragedy that I never made it into the medical profession. Even if I could prevail over this disease and earn my way into the field in some capacity, my criminal record (no felonies, but several misdemeanor rx forgeries to my credit) would keep that door forever closed.

Dan, my interest in methadone IS strictly for maintenance. 30 years of using, detoxing, 12-stepping, relapsing, etc.etc. etc., plus just listening to my own inner dialogue between body and mind) makes it clear to me that maintenance is the only workable solution for me. Long before I ever heard the term "endorphin challenged" I believed that I had damaged my mind in some fundamental way. No matter how long I stayed clean, my body and mind remained in abject agony without opiates.

One question I do have for you: what do methadone maintenance patients do about pre-employment drug screens? Is it enough to bring in a note or prescription bottle for, say, Vicodin, to explain the positive result for opiate metabolites in your urine?

I would love to talk more, but I've got to sign off to go eat some turkey.

Happy Thanksgiving to you both, and to all who read this post.
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Avatar universal
Thanks for your post!  It helped lift my spirits, which, as I'm sure you know, have taken a beating from yet another detox.  It is great to be welcomed back, and I'm so glad you're well.  You have given people great info. from what I've been reading.  YOU should have been a doctor!  Of course you know how dangerous that is when you have our disease.  Kind of like being on a diet but working in a bakery making the best tasting cakes, cookies, etc.  AND having bakery reps pushing their samples on you for free!  You get my drift.  I haven't read that book, but intend to.  I'm going to Amazon.com (great site) and will order it.  The recovery program I'm working involves a bunch of stuff.  Private therapy 2-3 times a week with an addiction psych. who is also an addict (he used for 20 years and got in trouble by taking drugs at work, went back and got his psych. training and addiction training); NA meetings 3 days week (I've never been big on them, BUT, I'm told if I find the right one it will help); keeping a "spiritual diary,"  something where I can write thoughts down about life, things I am proud of, things I have to be thankful for, etc.  Mostly, I am committed to keeping my addiction a thing of the present, rather than the way I was thinking of it as something I had beaten.  I had been doing so well, I thought I had the thing licked.  Then one day the opportunity presented itself to sample some rather tasty (at the time) products guaranteed to make me feel better (I was feeling down for no particular reason).  Since I had no tools to use to combat the temptation, I just grabbed it and damn did I get RIGHT back up to my prior level of use in just a few days.  Amazing isn't it.  Off the **** for years and then BAM, taking tons of opiates like there's no tomorrow.  My girlfriend thinks I just needed one last "fling" with my mistress, the ever seductive opiate.  God only knows.  Anyhow, I'm rambling...so, Happy Thanksgiving to you and everyone.  Brian
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Avatar universal
Tom,I must start off by saying. Methadone is  horrible to detox. It's the hardest. I did not get on methadone to detox. I take it because it is medicine>> like insulin to the diabetic, steriods(cortisone) to the rhematoid arthritic (my spelling I know),heart meds to the person with heart disease,blood pressure medicine to hypertensive, dilantin to the epileptic,etc. & etc.
No one says to this group of people its hard to stop insulin,cortisone,dilantin,etc. You do not attempt this under normal conditions to stop insulin to the insulin dependent. Well there is a misunderstanding in regards to MMT. Methadone and LAAM are medicines that keep the disease of opiate addiction in check.
We as opiate addicts call our condition a disease but do not treat it as a disease. Methadone is a medicine that controls opiate addiction like insulin controls diabetes. It is not the perfect answer but it is all we have to date.
Dan...
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Avatar universal
I had to get that out about methadone being a life saving medicine. Sooo many people are discouraged from taking methadone for the reason that are compadre Brian stated, methadone is so very hard to detox. The fact is people who have been addicts for years may never be able to be opiate free. Ok, I was able to abstain in the past from opiates. But, I always had to fight daily the urge not to use. Everywaking moment,my mind was thinking about a way or excuse to obtain opiates. That's the nature of opiate addiction. Abstinence is next to impossible for a huge number of addicts. That is why relapse is so high among opaite addicts. 99.9% of long term opiate addicts will at one time or another relapse. I have told you my source of information. I didn't make these percentages up. The doctors(Dole and his wife,Dr.J Payte, and Marc Shinderman) all know these facts and stats. These physicians are the most informed on the planet in regards to opiate addictions and treatments. Tom, it is essential that you read Dr.J. Paytes dear doctor letter, you may obtain this @ his website or @ the methadone watchdog website.
Tom about takehomes. Being a "responsible" person is the key to a good rep. at your clinic. It took me about a year through a level  system to obtain six take homes. AT dr. Paytes clinic (he has several)a person is on trial for 30 take homes. He runs a  government housing unit. If he succeeds it will open the door for responsibe MMT patients. Tom this system of clinics is going through changes,mostly for the better. But it is important for people  like you and me to try to make these changes. Oh, laws state through certain hardships you can get 14 takehomes. You should try to find the California chapter of N.A.M.A. (CaNAMA.) Your state methadone advocacy group will inform you of your rights as a methadone patient. You will be protected by ferderal law.(ADA act.) DO NOT fall for all the myths that uninformed people say in regards to methadone. I must stop. I could tell you MUCH more but not here. There are very few physicians who know the facts,as you already know. People look at opiate addiction as a problem of will power. That simply is not true. It is a imbalance of certain neurohormones. Opiate agonists treatments have proven to be the only effective treatments to date. Abstinence is very unsuccesful to the majority of addicts.  But is nescessary.
Sincerely,
Dan
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Avatar universal
Thanks for the support. I don't want to start out lying to them to keep my doctor out of the equation, but it's the best plan I've got at the moment. I assume the clinic will be closed the day after Thanksgiving, but if it's open, I'll be going in Friday morning. I've considered everything you've had to say bout MMT and did a lot of research on my own as well. It really does sound like my best bet. The life-committment aspect doesn't really scare me -- hell, I'm already life-committed and have been since 1970! Is it your sense that governmental support is increasing for MMT? I'm hoping that I will be able to work my way up to the week-long take home level as soon as possible. The daily visit routine presents some long-term logistical problems, especially when I have to travel for my job (not a big problem now, but could be in the future). How long did it take for you to qualify for the weekly visit program as opposed to the daily routine? I'll post to you after my first visit. Perhaps you'll be able to tell me if I've found one of the better clinics.
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Avatar universal
For whatever it's worth, having read all your posts here, I do think methadone is appropriate for you.  You have chronic pain, and methadone is a good drug for that.  In addition, you have continual narcotic use for so long that your brain chemistry is probably changed permanently, and methadone will support your "new" brain chemistry.  Please remember before you make the final decision, if you do decide to go on methadone maintainence, it is likely to be a lifelong decision.  Methadone is the hardest of all drugs to detox from, and many patients who decide they want off it are simply unable to endure the discomfort.  With that said, I am not trying to discourage you from going on MM, just with that caveat.  My best to you.  Brian
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Avatar universal
Sounds like a legit plan to me. You must remember when you first get on methadone stay clean from your Rx pain pills. They do not want to see you still using while on methadone. Believe me when you first start methadone you will not need them. Methadone will relieve all pain. You will get "ultimate" pain relief while finding your adequate dose. Do not chase a high on methadone. Find your dose and stop!
Dan
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Avatar universal
So good to hear from you! I know what you mean about discovering your spiritual self as a result of this experience of addiction, relapse and recovery. If you haven't already come across it, you might find of interest a chapter from the book, "Further Along the Road Less Traveled," by M. Scott Peck, MD, entitled Addiction: The Spiritual Disease. In it, Peck suggests that addicts, especially opiate addicts, are really seekers of spiritual transcendence who have, for various reasons, chosen, shall we say, an inherently problematic approach to personal enlightenment.
If you don't mind talking about it, what recovery technique are you using?
Again, so relieved to know you're back and back on the good path.

Welcome back, my good friend. You have been sorely missed and never far from our thoughts. Seeing your name on the forum tonight has really made my weekend. I could not have asked for better news!
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first of all, the "no, you can't make me" post on Nov 19th was not from me. If I wanted to cheese Dan off, I'm confident I could do a better job of it, perhaps even offer him a multiple choice cheese-off response.

Dan,
I need no more convincing about methadone. I work for a software developer and have been putting in 12-hour days for the last few weeks and simply haven't had the opportunity to visit the clinic. I am going to go in with the story that I get all my pills on the black market because I simply can't risk destroying my safe, legal source of drugs (i.e., my family doc) before I know I've been accepted into the methadone program. I know you don't support this approuch, but for me it's the only way. I just hope they accept me under those conditions. I don't see why they wouldn't. This forum features a lot of posters who get all their oxy and vic on the street and off the internet. If they want me to find a doctor, get an exam and bring back some sort of certification, I'll do that, too. I just won't involve my family doc until I'm safely in the program.
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Avatar universal
All drug addictions cause immature coping mechanisms!
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No, I won't respond and you can't make me!!
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Facts about MMT. MMT offers hope for people who cannot stop this addiction. Hope for people who cannot function w/out an opiates in their system.
        "Methadone Is A Medication, Not an Opiate Substitue"
An addict uses pills several times a day. Each time,the endorphin receptors are flooded by this drug (example oxycontin or percoset) The body views all opiate agonist as the same drug whether its codeine or oxycodone and causes a dramatic change in mood called the "HIGH". This lasts a short while 3-8 hours depending on the drug. Then comes withdrawal and cravings. These repeated highs of short acting opiates, swamping the endorphin receptors, drastically upset the fine tuned regulations that keep the brain in a normal state of equilibrium. Although it is true methadone, like all opiates, occupies the endorphin receptors,the nature of this interaction is completely different. There is, at an adequate dose, no methadone high,just a normal feeling of well being. There is with methadone no highs and lows that are typical of short acting opiates. This a disturbing feeling that is very uncomfortable,filled with withdrawal sickness and a general yucky feeling. Are you all with me. Methadone occupies the endorphin receptors  in a long-lasting stable way allowing a normalised feeling of being well. Methadone is a medication which occupies the endorphin receptors and stabilises the disrupted endorphins. Methadone is an endorphin substitute, not an opiate substitute.
this is a summary with direct quotes from an article written in Methadone Advocates Group of Txnama. "Keeping Score With Drug Srategies" Written by a medical Scientist...
Dan...
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Avatar universal
I posted a few days ago about my niece being on narcotics for eight years and how it has affected her life.  Last night my brother called to cancel our annual Thanksgiving get together.
My niece is now in the hospital in bad shape.  On Tuesday her doctors informed her that they were no longer giving her anymore narcotics for pain and were going to detox her.  She tried to commit suicide by massive overdose.  I'm bitter about how the doctors handled this whole thing, yet I believe that this might be the best thing for her.
I think that telling her that she would not have any more narcotics triggered the suicide attempt.  I think that most of us here can relate to how devastated she must have felt!  Just one more of the ramifications addiction you asked about.  And what about the effect the addict has on everyone in the family?
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Dee
hi thanks for the concern, I thought I had to cut down to that much so I wouldn't run out..an adjustment on my part has it at 120mg a day from 200-240 that's not as bad as down to 40mg a day..I think that I will be able to handle 120mg a day...
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j.
To Chad, I am so glad I am not the only one with leg cramps, along with everything else from withdrawal.  I actually ride a stupid exercise bike for about an hour.  The increased blood flow relieves the cramping, although only for a few minutes.  I can totally relate to the pharmacy thing...It's humiliating to feel judged by these people who don't know what you are going through. If I could change one thing about myself, I would relive everything a million times to have never having taken vicodin.  I obsess constantly over how many I have, how long they will last, what If my doctor cuts me off, would I be better off if he did cut me off, etc.  After 10 years of regular overuse, I now have cut down to four or five ES's a day.  I no longer get a buzz, its only to keep the withdrawal away.  I hope we both have good luck.
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Avatar universal
dee, not to be mean that plan is so unrealistic.the hell i go thru withdrawing from 80 mgs is horrific. i have never met anyone who could do this on their own. come to this sight, tom is very on the ball with this though not a MD.forget that plan it's unrealistic.
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Avatar universal
What do I say? For some unknown reason I satarted using again. I was only doing around 40 to 60mg's of oxy a day. That's if you don't count the 40 perks that I ate when I first got my script. The perks do absoutly nothing for me. Remember I use for pleasure not pain. I havent done an Oxy scince Sunday night around 8pm. I was fine all day yesterday untill last night. I took a xanax when it was time for bed and just couldn't sleep. So I took another one around 2am to try to force myself to sleep. I felt like I wanted to tear my legs off and I had the most intence back pain I can remember. So, I took an oxy IR and then passed out. I feel bad about having to take that oxy but considering that it was only 5mg's maybe it didn't do too much damage. I know that although my dosage is fairly low, I have been doing it every day for three weeks. Sometimes we even did 80-100 mg's in one day but that was rare. My girlfriend is home with me today and we are tottaly freaked out! I mean we are so use to using that we don't have a clue what the hell to do. This has always been my biggest problem. You guys know that I don't work so keeping busy is kind of tuff.

I can tell you this. My mind is so sick of the whole thing. I hate chasing the pills the scripts, everything! Not to mention when my doctor writes my scripts I can't even fill them till the pharmacy says it's OK. Thats a whole other story. What do I do now? QUIT! I have no other choice. I am so sick of this addiction/recovery thing that I wan't to die. Thank god I am strong enough not to give up. It's just so fuckin' hard to deal with the fact that you can take a tiny pill and your whole world changes. Its almost as if I feel like I should stay high just to keep my sanity. Yet, I am also aware that I know that I am going insane by using. OK enough ranting....Guess I'll go see who the hell the president is suppose to be today...Talk soon, Chad
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Tara, I was addicted the Vicodin ES. for about 31/2 yrs....and at the end of my using I was up to 8-10 a day....not getting high anymore. Just to maintain the tolerence.It somewere I can't go back to.Looking at the clock just to see how long its been since  I took my last pill. Having withdrawls....anticpating withdrawls...Now Ive been clean for 108 days now.But The worst part is this depression . I hate it. Cant sleep.....cant consentrate...make bad judgements It has cause me to lose work for 2 months....Lost probably thousands of $ I  was put into detox back in July. The Dr. says the more you use the more you lose.endorphins and seritonin...so these are just a few of the ramifications. This opiate use has almost cost me my life.......thanks to my God he saved me from killing myself.
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