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Addiction (Expert Forum)
Methadone to help with the w/d's from Roxi's?
Answered by
Jeffrey T Junig, MD PhD - Psychiatry, Addictions, Chronic Pain Treatment, Anesthesiology, Buprenorphine
Fond du Lac Psychiatry
Fond du Lac - WI
Questions in the Addiction forum are answered by a medical expert.
Methadone to help with the w/d's from Roxi's?
by loserlady2, Mar 23, 2009 11:19PM
I have been on Roxicodones for about 5 months now,but before the Roxi's i was on Viodin,lortab,percocets etc,and now im done.I will live with the L5-S1 rupture!!!!I have weened myself down from 12-14Roxi 30"s a day and now im going to take Methadone for 5 days to help with the withdrawls!Will i get the withdrawls as Intense as i would if i just stopped cold turkey?Or will the Methadone lessen the w/d"s off the roxi"s?After the 5th day of Taking Methadone when should my withdrawls end?How many days?Thank you sincerly for your expert advice,I appreciate it so very much!
Doctor's Answer
by Jeffrey T Junig, MD PhD, Mar 31, 2009 09:29PM
, Mar 31, 2009 09:29PM
Unfortunately, the problem with opiate dependence is the high tolerance; lowering the tolerance causes the pain of withdrawal. Methadone binds to brain proteins and leaves the brain slowly, causing a longer, less intense withdrawal than oxycodone, which leaves the brain more quickly. But the total amount of misery eis the same either way-- shorter duration and more intense vs longer duration, a bit less intense.
The main issue though is not getting through withdrawal, but staying off opiates long term. In early addiction (i.e. the first few years of trying to quit) people tend to think 'if I could get through WD, I'd be OK'. Opiate addiction is usually a relapsing condition; after a few years many addicts get to a point where they are desperate enough to get through the withdrawal-- but they relapse at some point after they feel better. If you end up in that situation, do yourself the favor of seeking treatment sooner, rather than later.
The main issue though is not getting through withdrawal, but staying off opiates long term. In early addiction (i.e. the first few years of trying to quit) people tend to think 'if I could get through WD, I'd be OK'. Opiate addiction is usually a relapsing condition; after a few years many addicts get to a point where they are desperate enough to get through the withdrawal-- but they relapse at some point after they feel better. If you end up in that situation, do yourself the favor of seeking treatment sooner, rather than later.
