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How do you decide between methadone and Suboxone?
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- čas přidán 12. 01. 2023
- Dr Craig Swainey, who specializes in addiction medicine and is in long-term recovery himself, shares how a doctor decides whether methadone or Suboxone (buprenorphine) is a better treatment for Opioid Use Disorder for a particular person.
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As an addict who’s relapsed 3 times after being on opiates starting with percocets and oxy and eventually ending up on heroin got clean on Suboxone stayed on it 2 years relapsed and the heroin I thought I was doing turned out to be 95% fentanyl… then the suboxone wouldn’t work for my withdrawals anymore actually made me sicker… had to get on methadone was the only thing that helped and god bless I’m sober again… that’s my experience with suboxone and methadone… subs were not helping at all with fentanyl… regular opiates and even real heroin sure stuffs works great, fentanyl tho… only methadone above 50mg helped me not have serious withdrawals…
This sounds a lot like where I'm at. I fooled myself into believing I was using heroin, but it has been mostly fentanyl. Fent seems to be so much more difficult to get clean from, and the detox is excruciating. And unless you can microdose subs, you will have to wait 5-6 days before taking them. Otherwise I'll go into precipitated withdrawals. I may have to switch to methadone as well, if I'm unable to stop.
I was using 100% pure FENT bc I had access to the DURAGESIC PATCHES. Each patch had 16mg of Fentanyl. 2 a day.
120 mg of methadone did not help me but 12mg of suboxone saved my life
Everyone is different
More tools the better
@@paulallen6336 that's crazy, you have to wait 5 days before taking subs, cent is fast acting but still in your system after 5 days, I thought you start to withdraw after 3 hours? Surely it's out of your system quicker than 5 days, hope I'm making sense, anyway, I wish you all the best with whatever is happening.
Buprenophine increases the affinity for the opioid receptor more, strongly than fentanyl. Maybe it's the dosage form with naloxone, but I assure you that 0.8MG (and that's actually too much) in the right dosage form and the appropriate route of intake is completely sufficient. Especially if levomethadone hydrochloride is sufficient now. Buprenophine is also metabolized into a full-fledged opioid agonist, namely Teboin, I believe. It is not too weak but requires a certain amount of willpower that gives the buprenophine the time to work properly. If you had been injected with 0.4MG bupronophine as Temgesic injection solution, you would have been absolutely satisfied. You would have been high like shit. But injekting Buprenophin is dangerous, extremly dangerous. Methadon? From the beginning of its synthesis, methadone had the worst possible reputation, primarily due to its poor analgesic effect, duration of action and enormous addiction. Methadone is an alcohol and a full-fledged opioid agonist at the same time. It probably has an extremely “dissolving effect” and is not bad for long-term substitution. But the price you pay is above all your own sexuality and that is the driving force of the human psyche. You degenerate. There's nothing you can do to put yourself in greater shackles than going on a methadone program, or hydromorphone would probably be even worse. Dihydrocodeine is the worst, but in my country they are now actually substituting it with morphine sulfate. People get 1.6 grams of morphine sulfate here! Terrible. My advice, even if it feels good at first. Do not allow yourself to be dosed above 50MG methadone racemate or 25MG levomethadone as L-polamidone. And that's where I've come to the end of my advice. Be aware that if you take a high dose, you are already dead in the eyes of the medical profession. A hopeless case. I'm just telling it like it is, of course they deny it.
Couldn’t agree more bro! We can do this one at time!
I’m documenting my methadone detox and want to thank you again for your videos!!
Thank you for your feedback, Fitz Schlitz. Best wishes!
How can i see it
Intresting, i heard methadone is really the worst of all to withdraw from, much worse than suboxon or even heroin. Seems to me methadone would only be preferable if it's really necessary, unless you take it for the rest of your life..
@@bekeneel I agree! Only for lifelong medical needs! In my opinion it should only be used in this way! Detox off of what ever you’re on and don’t go to another med( methadone or Suboxone) for support…just my experience. I’m sure happy I got off methadone when I did!! Positive vibes !💪💪✌️❤️
Did you use methadone just to detox ? Were you on fent? & how did you do it, like we’re you a heavy user ?
In Austria we have not only Methadon and Suboxone we also have stuff like Substidol and Compensan which are the "best" treatment for opiode addiction. Don't know why you guys not have it.
Whats the difference?
Because it's America and they want opiate-addicted people to suffer even more. Good times. But good for Austria for having better and more options for people with an actual disease. America is also extremely horrible if you have any kind of chronic pain. Remember America invented the war on drugs I mean the actual war on people as it should be called. I pray that fentanyl does not reach epidemic levels in Austria like it is here in America. And they will never stop the war on drugs here in America it makes too much money and employs too many people.
Thanks for letting us know.
Too bad not here.
@@Heopful Substidol is morphine, and compi (compensan) is an opiode. So we just get the drug we were already taking on the street, just in a controlled enviroment. You go to your pharmacie daily in the morning and they give you your daily prescribed drug. On saturday and days before holidays you get it for the next day too cause the pharmacie is closed. And you can go on holidays for 4 weeks a year where you get it for the duration of the holiday. And if you work a job then you only have to come one day a week and get it for the whole week. So you pretty much just live a normal live as an "addict" with a job and family and a normal life.
Substitol is morphine, we have morphine, it's just only used in regard to addiction when an infant is born addicted and has to be weaned off.
I have been on methadone for 17 years I'm now 36 been on it since I was 19. 160mg down to 65mg I feel great I'm getting off this shit. My testosterone levels are 87 and free testosterone 1.7 it has destroyed my endocrine system. People tell me all the time I look like someone who isn't on methadone, but it sure screwed with my insides. Us addicts are experts on this subject we know more than doctors when it comes to methadone. Cause we are experiencing it first hand
Yeah I'd like to know how you're doing now either you are back on dope or on the methadone I guarantee.
I personally went from 160mg of methadone, to 18mg of Suboxone, to 5 packets of coolaide per day. Im still suffering but I got the wisdom off this dude on CZcams.
@baby_o I never caught a buzz off it. But it took a week to stop the done withdrawals, if I remember.
It was harsh though
@baby_ohi I am on 20 mg methadone a day now. Is it ok to go straight to suboxone or do I also have to slowly increase the dose for sub because of the work I cannot afford to be sick
I’ve been on both Methadone and Buprenorphine. The methadone definitely knocked me on my ass. But then again the pain clinic I was getting it from was also prescribing me 10mg Norco on top of it. At the time I was way over medicated. In fact this clinic got shut down by the DEA because people were overdosing. Fast forward to when I got on buprenorphine. It worked wonders at first. I had zero cravings. However it didn’t help my pain very much. I also started getting these wicked sores inside my mouth. I was taking the tablet under my tongue. I’m currently taking 50-60mg of oxycodone and I’m ready to have my life back. Im so tired. 😢
How u doing I’m going through fetti hell rn day 6
@@Dumperr414 That sounds rough. You got this though! Day at a time
In my experience methadone is much much better then suboxo...
15years of addiction...many many relapses but finally methadone is working
@@aliasif8498 That’s awesome 👏 congrats. Keep up the good work ☺️
Not being a di
Has anyone used methadone to get off fentynal for no longer then a week? Like take methadone, while no fentynal. Let the fentynal out of your system then stop methadone as well? Does that work?
Hey there! Did you try this? I think that it could work pretty well if you are in a good, supportive environment and can stay away from using...what's your experience been like?
That chunk of time out of your day to go to the clinic is the price you have to pay for the high you get from methadone compared to boring old Suboxone, which I take so tempted to switch to the clinic. I myself would pay that 30 minutes each day for the euphoria of the methadone.
Im on methadone and I will admit when k first was given it in the pill form(30mg) in the hospital I did have a euphoric feeling. But the diluted pink drink (80mg)I get now doesnt make me feel anything but not sick.
@@barryoshea429 it’s gotta feel better than buprenorphine which really has no euphoria. Methadone is green liquid over here btw Paterson nj
lol - you gave me a good laugh - thank you it is so refreshing to find someone honest - I get so tired of these people that advocate that is so wonderful to be straight and you are right Suboxone is very boring and so is being sober
@@michelleduplooymalherbe2837 I feel like suboxone is just a little bit better than being sober. If I take my full dose of three 8mgstrips by the end of the day we’ll early the next morning kinda that fourth one starts to feel pretty good maybe a beer not bad It’s a lot better than having restless leg for the next year or more lol plus a lot more unpleasant symptom.
I was on methadone for years - not once did I ever feel any kind of high from it. It’s horrible stuff.
Very helpful information, thanks
You’re welcome. Thanks for the feedback. Best wishes!
I have been on suboxone too, works for me idk why I switched to methadone
Methadone is really really good.
I get 2 months of suboxone at a time. I broke my back in the military and due to my past, they put me on suboxone. But the suboxone doesnt help much with pain. Can you switch from suboxone to methadone? Ive bee on suboxone for 4 years. Never had a slip up
I'm in your shoes as well, brother; all I can say is that methadone is for addiction aka oud and they'll only treat you as such. But yes, from all that I hear, it's wonderful for real pain! I'm on subs, and they barely do shit for my pain, and I can take 16mg by noon and I feel that isn't helping enough. And I was on less than 100mg oxy daily. Never abused it.
It worked for me
what was the rational in Virginia of making a max dose of 24 mg for buprenorphine? the literature has documented 32 mg use for chronic pain patients with substance use disorder...
Harder to get off/ more money for the script fillers/writers imo. Makes no sense otherwise. I'd be wary with any youtube doctor espousing the wonders of bupe/methadone. Doctors are notorious for having blinders and gatekeeping their 'field of study', the truth is any addict who has personally gone through it will know it far better and more intimiately, in addition to that it seems there is a strong financial benefit for them.
Did you know members of congress have their own personal pharmacy that they can get anything they want no questions asked? I am not even lying that is actually true.
Suboxone has a ceiling affect. I've taken more Suboxone thinking it would help but it just made sick.
Suboxones blocking effect.
you have to be a movie star or musician to be able to attend a detox clinic without losing your job or dignity! Great video though!
Methadone is a lot better than bupe. Bupe is also much harder to get off of and mg to mg is wayyyyyy stronger than methadone for instance u have people leveling out at 120mg of methadone compared to 8mgs of bupe and tapering and jumping and getting accurate doses is a nightmare
Why does Methadone only last 3 hours for me? It's a question no one can seem to answer.
Hard to say for sure, but some small group of people rapidly metabolize any given drug.
😂😂😂😂
Either you are a rapid metabolizer, taking something that blocks the effect, like carbamazepine, or, and this is often the case with methadone, you tell yourself it is. Or all three points together, or two of them, I would say.
Hi there, you sound like me; in the sense that I can take 16mg suboxone by noon and it hardly does crap for me (as in killing the pain) and its like 16mg doesn't faze me and I definitely don't feel shit from it (I take name brand strips) and I am also a um metabolizer so what that means is that I metabolize drugs faster than most other people and trust me whenever I say that if I had my old oxy script and I took 40mg by mouth at once, I'd be high!! By yet 8mg suboxone at once and I don't feel shit, so I take more and still am in pain! So the above comment is pretty much exact as far as what could possibly by causing your issues with methadone wearing off and I hope to God that won't be the case with me because it sucks!
Also it sounds like you need to have that methadone test that's called "through and pass" I think, but it tells them how fast you do or don't metabolize the drug. And if it shows that your a fast or um metabolizer then they (your clinic) may split dose you. From what I understand anyway
neither,bali kratom it's how i got off methadone and subutex
True!
How does it affect your liver? Because when you take suboxone you can just spit the medication out after it has dissolved with no change in effect. If you do this basically no medication with go into your liver. So I'm wondering if there's some other issue it causes with the liver do to the effects.
Have no idea but I take it and yes you can spit out the slava. Just keep the strip under your tongue until it dissolves (10 to 15mins)
Kadien
Suboxone is a horrible drug, it's a film that you let dissolve in your mouth and it made me violently nauseous, it is extremely horrible withdrawals but the only good thing is it totally helps with withdrawals from opiates. Demand methadone but that is very hard withdrawals too. but it is a pill unlike suboxone.
I’m sure that methadone was developed during WW2 by the Germans, you say methadone has been around sense the 70s is just plain wrong
Both suck so you don't decide lol, both gave me worse withdrawals than what I was hooked on. These 2 drugs are evil AF
Uneducated response
@@DEBO5 I agree, your response was uneducated. I said these horrible drugs gave me worse withdrawals and longer as well as what I was put on them for. They can help some people switch addictions, maybe "save" their lives but then they go through hell getting off these bs meds. If you take these meds I feel so sorry for you the day you have to get off em. Wouldn't wish it on my worst enemy. Not to mention all the damage to teeth and hair. I've had all the opiates and these were supposed to help me kick that habit? HA nope just waste money on something that is going to make you feel like shit. I've done so much research on these drugs and all opioids. You have no clue what you're talking about lol. I'm guessing you take one of these God awful drugs, I pray your withdrawal is not too bad because these drugs are shit. Point blank, period. Don't usually respond to dumb comments but no not uneducated, very experienced. Good luck 👍
They are not evil but a tool that in many cases saves people's Lives 😉.
I recommend nothing
🙏🎏👍🤠✌️
İt Must be really bad for people to get on methadone for their pain do patients know what they are getting into No of course not you'll be contributing more To their sickness going work😂 what kind of work if you are that sick for them to put you On methadone believe me you will be too sick to do anything after methadone anyway
I don't know much about methadone but I'm on suboxone and I can tell you that it doesn't kill my pain and I know that nothing will take it completely away but I'm talking about enough to where your not always thinking of it because its got you in that much pain; so...... as to me not knowing what I'm gettin myself into, maybe your right sir but what I do know is that I can't work in this type of pain and I don't wanna be thinking of it all day long.
I've tried kratom, subs, and been on oxy, which was great while it lasted, but those days are gone, I suppose, and I never abused any, so it seems that methadone is my last go-too. I just want to know if there's any hope for me so I don't have to go to the streets.....
Why the heck do you mumble if you’re going to do an educational video on an important subject?
At the 6:45 mark you’re talking about chronic pain and you MUMBLE something about an (OPD disorder??? Idk what you said, OPD or OPIE’s disorder or WHAT???) Now I heard OP USE disorder! Are you saying Opiate Use Disorder??? What does that have to do with Chronic pain. Now after playing it Over and over it sounds like you’re saying if someone presents to you with Chronic Pain and wants Sub., or Meth., “you have to really get into it with them…” cuz they must have an OPIE’s use disorder or Opiate Use disorder? But I’m not sure cuz you’re being so nonchalant about the whole thing idk what you’re saying. You can’t help people with Chronic Pain unless they go out and get on an opiate disorder, lol. So if you’ve got Chronic pain get on opiates so you can get Methadone or Suboxone.
That was a very lame 8:47 second informational video on the subject!
Very disappointing. I suggest you delete the video, put on your lab coat, enunciate and give us a good scientific explanation on Methadone vs Suboxone plz!