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Why am I withdrawling from oxycodone taking methadone?

Hello and thanks in advance for any input. I'm a 17 yr post C-5 quadriplegic. I'll make this short as I can. I have horrible pain and see pain management. For the last 7 months I've been taking methadone 10mg twice a day with oxycodone 10mg for breakthrough up to 3x daily. My wife was telling me she thought the methadone had been making me not care about life the way I did before being switched from morphine to methadone. Anyway, I have a lot of problems and still don't know if the med. switch is related to that. To get to the point, I decided to try pull away from methadone after my doctor really wasn't getting it(he just wanted to lower dose). I have been taking methadone only once a day, some days not taking it at all. I was just relying on oxy's as much as possible. I'm not saying I didn't need the methadone pain wise but that's not the point. Okay here's the point. Now I'm 2days away from seeing my doctor, I've ran out of oxycodone and am withdrawing hard from it. I figured I didn't have to worry about this having methadone to fall back on. I took 10mg yesterday morning, 20mg mid day, 20mg last night and am still withdrawling. Why can I go without methadone taking oxy and not go without the oxy even if I double the methadone.
1 Responses
20803600 tn?1546262537
COMMUNITY LEADER
Taking more of ANY OPIATE is dangerous and can be life threatening. It is NEVER okay to just adjust your dosages of medications , particularly opiates without the prior approval of your doctor.
Methadone is a very different opiate from others. It has an extremely long half life, meaning 24 -36 hours after you take a dose, you STILL have half of the previous dose still in your system. Taking more methadone only worsens this half life effect, and can result in both cardiac rhythm problems and respiratory stoppage. Do NOT take any more methadone than you are supposed to be taking.
If I were you, I would call my doctor and ask him what to do until you see him.
A word of caution, if you are subjected to urine compliance testing, or other compliance testing, they will know you ran out early of the oxycodone and increased the methadone. It is better that you discuss this with your doctor yourself, rather than him finding out because of the test results.
If you have been taking methadone regularly for a while, your body may have adjusted to it in your system, but more likely is you feel the oxycodone kick in, because it is immediate release, and methadone is meant to have a smoother delivery and you may not feel it working as you do oxycodone.
You may find yourself dismissed because of this, so I will caution you to be prepared if that happens.
No matter what, we must follow the directions of the doctors and if something isn't working, contact your doctor for input before changing anything about the medications. That protects you, and your relationship with the doctor if you follow the guidelines.

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st. louis, MO
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