Methadone & bup: Getting your dose right
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- Опубліковано 4 лис 2024
- You've got to work it out for yourselves
People differ in how they respond to treatment. It's easy to get confused. But there is no magic number of mg or mls that will sort you out. Here's one doctor's thoughts to help you decide what's right for you
Been on methadone for 10 years.. 50 mg all my carries FOR 9 of those years.. now I'm a single working father raising a beautiful happy little girl on my own.. WORKS FOR ME
Kyle Tingey im in the same position my friend. 10 yrs, 55mls for 9 of them. Has enabled me to stop using opiates completely. All depends on the person i suppose. Weather they really want a drugfree life or not. All the best to you mate. God bless.
Nice. I'm from Finland and raising beatiful happy little girl too. Baby was the reason to start metadon. I did'n thrust my self. Now I'm in control. Things are fine with me and girl is hapy :)
Barry except methadone is a full on opiod. You are not clean but u are doing good so be happy just dont lie to yourself. No shame in being on a prescribed opiod
@@gsfbffxpdhhdf7043 don't split hairs, give love to those making it and being productive. I been methadone for over 8 years finally tapered from 140 down to 75. I now have a full time job and am a single father raising two pre teen boys. You won't catch me committing crime or nodding out. I feel I have earned the right to say I'm clean. And so do others running an honest program.
Directed to comments, not op, pllleeeease stop confusing MGs & MLs they are NOT the same! Im pretty sure u were not on a dose of 550mgs as u would probably be dead! Which is what 55mls equals..the conversion is 10mgs per every 1ml thats how methadone is dispensed. Im not tryn to nit pick just dont want someone else to get the wrong idea..sry if i sound like an ass dont mean to be!
Finally someone who isn't talking shit on methadone. This shit saved my life
Mine also I was a heavy oxy user
@@powdercleaningobsession29 great, happy that you're doing well!....I struggled with opiate addiction for years also, thankfully anymore
It's the methadone clinic that gives methadone a bad name.
When my pa was still alive, he actually encouraged me to stick with my programme, stating how "methadone has saved so many lives" ...Now he's dead, the rest of the fam looks at methadone as "just another drug" as they are into "Al-Anon" and such programs -and im NOT saying that these are "bad" programsc...thy?55?5llllll
@@KungkangXii ?
This guy knows how it is and he makes a lot of sense. actually it's refreshing.
Yes it is indeed, a welcome change.
We need a million more men like this guy. Very intelligent bloke.
So i had methadone 4 times but 5tth time it seemed more watered down but is it still ok?? Did i shake it to much??? Im 12 stone does an 8 stone person really need the same amount?
A thumbs up doesn't do your comment justice.
No we don’t. Methadone is bad Suboxone is bad it’s there way of getting your money if you’re going to buy drugs they want you to buy there drugs
For sure.
Awesome. I’ve been documenting my methadone detox. From 20yrs and 160mgs daily…I’m now over two years methadone free! Wild ride…but I bought the ticket! Healing vibes, love and prayers!!!💪💪💪✌️✌️❤️
Thank you for posting this, there's an awful backlash against methadone clinics here in the US. It saved my life. I have a normal life now and was even able to be the person that administered my husband's narcotics when he was dying of cancer. I never thought that day would come! I can trust myself and my family trusts me again!
Alison Cain same here. My husband is also dying of cancer and I am the one who gives his pain meds. I don't want anything to do with his meds. Methadone saved my life for sure. Such a stigma here in the US but if you use it correctly it can save your life. Not sure why anyone would continue to be on a clinic if they are going to use anyhow.
Amen!
How long did you attend the clinic? Did you have any side effects? Was it hard to taper off? I have a friend thinking about starting methadone treatment. He’s had a hard time starting Suboxone meds, so he’s looking at methadone. Thanks in advance!
@@littlecozettescrew6818 I slipped up after using Suboxone for a year and a half and I could not get back on it and I believe it because everything has fentanyl in it now which makes getting on Suboxone nearly impossible so I started methadone a month ago and it was the best decision I made. Tell your friend if he hasnt already started, don’t walk to the methadone clinic….run!!!!
@@angelinagiovinazzi766 ok! My friend ended up starting the methadone treatment. For the most part he likes it, but he’s had some bad side effects..mainly weight gain and lack of sex drive. Have you had any problems with it?
It doesn't matter how much methadone you take at 9 a.m. and then 24 hours later you go to the clinic you do not feel exactly how you felt the day before an hour or so after you dosed. It just doesn't work like that. Because when you go to sleep and wake up it changes how you feel it's like hitting the reset button. I don't care how much you take every morning when you go to sleep you're not going to wake up feeling great until you dose. What they should do is allow you to take half in the morning and maybe half in the late afternoon because the methadone wears out
Rob K Exactly!! Im on 100ml. And about 6-7 pm.started to feel sick rest of the day...It should be given 2 times/day, if your body metabolised it quickly! All so i've gained weight a lot and that deppressed me even more..😕..I've once allready doze it down and switch it to suboxone, but when i've been at suboxone, i've has to be gold all day and dirrhea every day..then i swich it again methadon and feel like shit again...u dont know what to do now? I doubt that dr. Will switch it to sub. Again...Im so deppressed and suicidal thoughts have taken my mind..!! Please, can somebody advice what to do, im so lost right now...Even when i've shoot heroin i was happier...
Sorry for poor english, its not my mother language...im finnish!
I know exactly what your talking about with that damn reset button...happens everytime...
A lot of clinics offer a split dose.....butttt you have to have been there for a long time and earned take home steps required for it. The one I go to in particular you have to be on step 13, that's over 3 years...but hey still throwing it out there...
get Ur take homes, if u can that what I do, but I wake up same time every day n dose I can't sleep hours straight, then I nap too
Methadone saved my life. I would probably be searching for a vein in this very moment if it wasn't thanks to my methadone daily dose. This bloke is right, cheers mate! 🙏👍
@vincent insomnicide I have a question. I started methadone yesterday, as a short term detox plan from 1 year IM heroin addiction. Before going into methadone, I already tried cold turkey 3 times, but failed at around 40 hours mark, scored, but I'm sure my tolerance dropped quite a bit. So my starting dose is 10ml/day methadone, it holds withdrawal at bay 80%, my aim is to quit totally, not for maintenance. How do you suggest I should go about this plan? What dosage reduction and timeline should I follow? Thank you.
You and me both
this man is speaking 100% truth.... and i am a methadone user, 80mgs.
Michael Stride how much is 10mgs in ML liquid methadone
Me to buddy. .been clean of H since Sept 3rd 2012..80 mgs is the rite dose for me. .in 6.5 yrs clean I've bought a house and paid off over 10 grand in irs debt..
1ml liquid = 10mg Methadose. Its not called Methadone anymore in Canada since they Changed the Formula. Now no more energy only tired. The old formula had me full of energy.
have fun wanting a life without it, my kick from it was a living nightmare
Was at 75. My driver got in a wreck and I went back to dope 4 2 weeks. And I'm at 45 mg now so that in the morning I can use dope and feel it.
This gentleman nailed it he is educated and everything he said is so so correct. Great advise 👍🏻
I'm really happy to hear other ppl saying that methadone saved their life. My experience was completely different. I live in the US. Methadone (even while clean for several years off of heroin) helped progress my addiction. I started craving cocaine and was constantly trying to come off of the methadone gradually. The only "advice" the clinics (which were horrendous places that trigger me to this day) had was to go up on your dose. Finally, I got off of it bc I had no choice- was kicked out of a clinic with no warning just before Christmas 2022 due to changes in ownership of clinic as well as my "defiance" as a patient (long story). I spiraled of course and almost died (seizures etc) but I was able to come out from the grips of the hell that was my life for years and am thrilled to report that I am clean and a totally different person now. That's just my personal story.
IF YOUR GUNNA BE ON THE DRUG, GET THE MOST OUT OF IT ....COULDNT SAY IT BETTER
BoMmArItO bOmMaRiTo 313 i agree but I’m sick of paying! I only got on it cause I’m sick of spending my money on H, now same with methadone-as chronic pain patient I should be able to get something that my insurance covers!!!!
@@shockawha9 this is filmed in the U.K. , if not working in U.K. all prescribed drugs are then free, and if working prescribed drugs are then £7 about $9 a week no matter what it is being prescribed
Thank you. I live in the US and there is such a terrible stigma and so much misinformation around using methadone and it stops a lot of people from getting help. I kept me from getting treatment for many years. Eventually I did get help and methadone absolutely saved my life. Thank you for sharing this information with the world. God Bless You.
Been on it for 16 years 85ml for the last 10 years saved me from a life of crime and jail. Don’t count the days
Make the days count
Respect from Scotland 🏴
methadone saved my life...I'm on 95 mgs been on 10 yrs. and proly will stay on rest of my life...I'm clean with everything else...When I started I was still the addict mentality and went up to 180mgs...Now I haven't used any drug or drink for 3 yrs..
Did you listen to nothing this guy is saying on the video? Don't let anyone tell you what the correct dosage is. Every person is different. Smdh
That was directed toward Joey May not OP
Just one thing : THANKS! You must be a good person
Iam on 13 mls Aka 130 mls Methadose and I’ve earn weekly carries do to clean pee-testing. And this Methadose program saved my life. I’ve been on it for around 1 year three months and I’ve been coming down very slowly by 1 ml a day, for one week, then stay for two weeks, then repeat. So far, so good, feeling good. I will do this, I must.
KLONEZ TOO-TRICHOMEZ how much 1ML in MGS
@@michaelleon395 10
don't feel bad if you can't make it all the way down to zero.. peaks and valleys - you'll get there eventually
hey I'm going down the road to, that's great way I wanna go down I'm worried
@@michaelleon395 1 mil is 1 mg. 10 mi is 10 mg and 100 ml is 100 mg otherwords 1 dl 1 dkg
Thank you so much. There is so much disinformation out there. Real info is refreshing!
Damn this guy is great!!! He’s 100% right! I’m a huge fan. Been on both methadone and buprenorphine and couldn’t stay clean with buprenorphine however I’ve been clean 5 years on MMT 165mg. This is the best advice ever!
I'm on suboxone (16mg) and still use on top. I'm about to go to 24mg, but was thinking maybe methadone might be better for me. Do you have any advice? I'll really appreciate it
@@mgonzo3881Suboxone to stay well, Heroin to get high,..
Well Fentanyl has arrived & you’re always going to be at risk of overdosing as long as you score off the streets. There are Several People who love you very very much and would be heartbroken if they lost you to overdose…
Wow thank you for the advice. I have been on subutex for 4 months and already wanting to get off but my mental health is terrible. I have dark thoughts and worry about things that should not worry me. I go to a matrix meeting twice a week and I find that I look forward to being there. I just want piece of mind. I am stronger than I think. I will save this link and post how things are going. Big respect to all the people that suffer this illness. May we all find peace one day. Bless
Bradley smith 💚💚💚
Kratom saved me after a 21 year habbit and 2 yrs on 12mg subs.. I took 4 gr one morning n NVR looked back . I did a 6 week program and starting to taper from there. I am completely clean now and I forgot how depression and anxiety felt
Word.
@captain scentsible39 Where do you live my friend? Have you tried a Methodone clinic?
@captain scentsible39 they’ll give you suboxone. Subutex is slightly different but they do the same thing.
This doctor is so right 😎......When i joined the methadone program in my country i was given advices by many addicts like " You must have at least 100 mg to be without withdrawals or don't raise the dose above 60 mg cause you won't be able to taper of anymore and so on".......As i regulary visited clinic to take my daily dose and having discussions with my doctor about my well-being and changing the dose i remember, that he told me the same thing (he's not a tipical stubborn old school type , who has no sence of reasoning with his patients....He's very understandable and i consider myself lucky to have him)......I starded with 40 mg (they won't give you more for the first time) and gradually raised to 140 mg and that is clearly correct dose for me because as this doctor says, i feel very fine for at least 26 hours and when i take my daily dose same time each morning around 7 am, i don't feel any different.....I feel fine all day and night, full of energy, almost always in a good mood......And that's how the methadone should work for everybody i think.....Experiment on the raising (or lowering) the dose to achieve the constant, stable feeling all the time......I think it's worth taking time and trying different dose until you feel confortable.......
I been on methadone for 17 years because of the oxy epidemic
Not by choice either I had a operation and I really got addicted! So now Im tapering down I’m on 13 milligrams! Im weaning very slowly! Slow and. Steady wins this race
I had to have a cholecystectomy and massive hernia repair and I had to be on dilaudid. My Neurologist stepped me down to methadone and it saved my life but because of stigma in the southern US, I forced myself to quit. It has been 8 months and I’m still in ANGUISH in withdrawal from methadone.
I’m not an addict but now I’m labeled one because it’s in my record. Now I’m in such torment it has made me go in and out of SI. I tried to say I just have to remain on a micro dose for life because it’s going to cost my life but my family and society stigma won’t allow me to do it. I’m in a double bind.
You are an absolutely incredible angel. I am a published Neuroscientist and I was getting a double doctorate (PhD Neuroscience and MD Neurology before this.) This is my hell and thank you for breaking stigma on even illicit drug use for those who are addicted for serious personal reasons. Bless you.
Kimberly
To bad people don't read or look up methadone. It saved my life also n I'm a 20 yr plus yrs on different clinics. But my last clinic was very very good. Til the took away 5 yrs of monthly takehomes and cut my dose from 140 -50 in 1 cut... I'm homeless now and no job because of the stigma
I was a black hat hacker and a junkie. At 25 I've touched more money than most people could ever imagine. I've also lost it all. Every. Single. Penny. I was close to using my Glock in myself, when I discovered this drug and the idea of medicated treatment, I didn't even know that it existed in USA. 4 years now off opioids, and I'm very successful. I still work in cyber security, but on a different team these days. This shit saved my life
Glad to hear man I’m trying to stay off I’m on methadone still going up cuz I’m sick af even at 126 mg
You sound a bit crazy .
I'm happy to hear that. Methadone is still an opioid just so you know. 12 step program works for me. 11 years sobriety from everything but caffeine and cigarettes
Looks like we have almost the exact same story cyber security had opiod addiction good chit on recovering mate
Very well said, my guy. I was on 50mgs day for 6 months but I was stil having seriously bad pains but I thought it was just what has to happen. Anyways, I went up to 80mgs a day and I feel like a completely new person. It's fantastic and really changed my life. I'm very happy with it! Take care boss!
how you doing these days?
Very helpful and direct. It's a relief to finally find information that seems to be on point and doesn't make me feel like a "junkie" for neons on MMT. I am currently coming down on my level because I am so tired all the time but even more so 3 to 4 hours after I medicate. I also feel like my metabolism is pretty much at a stand still and I have no motivation and I was always all my life a very active and driven person, "I will sleep when I am dead" was my saying and now it's all I do !! My entire body aches just from carrying groceries it just makes no sense to me how something that is helping me in one way, is causing me so many undesirable changes in other ways.
Dont worry u arent a Junkie u are a person very clean. Stay strong stay free from people who considere u a 'denguros' person.
you're just lazy
I’m so sorry you’re in this double bind on methadone. I quit 8 months ago for similar symptoms and stigma, but now my life and mental health collapsed. You are super strong. You’ve got this.
Miss Mayes yeap thats my story ! It help but 18 years later a can't do nothing too much pain,low testerone level, no sex drive at all ..my life its miserable...i am in 20 mg and i try so many times to detox but i get to sick i hope this its it and i finally get out.
@@Blxckrxbbits. what happen after you quit methadone, why you colapse like you say ? Why don't get vivitrol after ?
I want to move and leave the US sometimes. Worst drug policies in the world! I love this guys attitude.
Thinking of moving to New Zealand HogWilder
@@williamramel5229 He's English 🏴 we in England are lucky as we don't have to pay for our Methadone/Bupremorphine prescriptions unlike most of the US.
What they don't tell you in The UK they force and pressure people off methadone. And won't let them go past a dose of 60mls on average. I need a higher dose but have a hard time trying to get it
Uhh i think u mean 60mgs right? Cuz 60 mls would be a dose of 600mgs and im pretty sure no clinic would allow that as it would KILL u lol. Mls an mgs are not one in the same. Its 10mgs per 1ml that methadone is dispensed at least here in us an most other places. So if ur talkin about a 60mg dose that would be 6ml etc. Just wantd to let u know not tryn to be an ass!
@@robinbryant991 in the UK it's 1ml to 1mg.
I LIKE THIS GUY
Me too
William Malouhos me 3
This men is 100 percent of right, absolutelly. I was on 40 mill, I felt OK, but the puzzle was not perfect. I have a lovely, professional doc. I was reluctant to raise it but I spoke with him about my fears. So he almost told me the same things and I said fine, let,s give it a try. I feel comfy, stabil, but not stoned, so I accepted that is the proper posage for me. Period.No back pain, no cravings, no weight gain, I eat healthy /I have diabetes 2./ I quit smoking after 27 year. Jeez. cigarette give me harder time then methadone. Really, OK I am a not smoker for 8 months but I feel so good without cigarettes, so good. Everybody can do it and it is such a good feeling
I’ve been on suboxone 2 years and always felt “off”, and still got cravings even at 24mg. I switched to methadone, and steady at 50mg. If you’re going on MAT, DO NOT listen to anyone, especially comment sections. Listen to your provider and your body. Don’t let anyone tell you otherwise. It’s your body, and there is no such thing as the correct number or medication. As long as it’s keeping your from using fentanyl, comfortable, then it’s working for you.
Some really good information and experience - based knowledge shared by this man here. You can tell he has been prescribing it over 2 decades...
I've had a few different experiences as a methadone patient. Early on the recovery agenda seemed to be overshadowing my needs as a heroin addict. Prescribers would be reducing the dose the moment I gave a heroin free sample, so I had to make sure there was always heroin in my pee to ensure they'd just keep me at 50ml, which was too low, but they were for some reason not prescribing people much back then. This was around 2010. In 2016 I switched providers and they listened and tapered my dose up to 75ml, which made a big difference, although it still doesn't carry me over a 28h period like this guy says. I've been able to say that I'm not interested in being methadone free and that my aim is to live life free of heroin (and crack). I wish I could get an increase to about 90ml.
I've just stopped the buvidial 28 day suboxone injection after a year and im so glad im back on Methadone as its so much better in my opinion...
Im back on 100mg of methadone and feeling so much better and haven't used any illegal drugs for 15years.
I've been working in the addiction field for 40 years and support everything this gentleman has said. This is about individualizing our treatment to patient needs.
❤ I love this man ❤ you are Diamond 💎 and have very good points🙏🏻🙏🏻🙏🏻
Very informative video. I've been on a stable dose of 90 mg a day for about 3 years now and I've not used any illicit drugs since I've been on Methadone. This drug really has saved my life I had a huge dependency on opiates and I'm glad I do not have to worry about withdrawals and cravings anymore.
gg, my guy. this is the kinds of people we need and this is the kind of guy who actually helps people. and everyone acting different than this guy needs their license revoked. simple as that.
I love what you said about there’s no “magic number”.. That’s so true!! I was lucky enough to find an awesome doctor who listened to me & when I said I was still getting withdrawals he put my dose up. Some doctors won’t prescribe over a certain number which I think is just wrong!!
I have a question. I started methadone yesterday, as a short term detox plan from 1 year IM heroin addiction. Before going into methadone, I already tried cold turkey 3 times, but failed at around 40 hours mark, scored, but I'm sure my tolerance dropped quite a bit. So my starting dose is 10ml/day methadone, it holds withdrawal at bay 80%, my aim is to quit totally, not for maintenance. How do you suggest I should go about this plan? What dosage reduction and timeline should I follow? Thank you.
@@PinacoladaMatthew how are you getting on I'm 10 years on methadone only on 32mls now from 60mls. 10ml is crazy low to start. How are you getting on.
@@ella-bt8hp Hi Ella, I quit methadone after one month with a tapering throughout from 10mg to 0.1mg
No major withdrawal issues, life's been good. No cravings. There's a will, there's a way.
@@PinacoladaMatthew piii
@@PinacoladaMatthew congrats.... And how are u now
I like this guy.He is one of very few people that I have ever say anything positive about methadone and about staying on it if that's what you want to do.I have been on methadone for 14yrs now cause I feel safe from the drug life that I used to live.I also want to point out that I have also not taking anything else in the last 14yrs but methadone so I am serious about not doing any other drugs. I'm not saying that I'll be on it forever but for right now I'm choosing to stay on it.
Hi I'm in Australia I'm on 90 MLS I just started a new chemist and I'm sure they are not giving the rite dose I wanted to ask if I'm on 90 MLS that means they put 90 MLS of methadone in my bottle first then they put the rest up to 200 MLS water ? As when one guy does it I feel ok but when the lady does it I saw she only put 25 MLS in my bottle and it taste less
Love that you have made a video about this
Best methadone related video I've seen on youtube. I had a counselor at a clinic in DC who was a bit like this guy. He insisted keeping a pragmatic, no bullshit view of methadone treatment. I let that program after 10 years. Best decade of my life. More motivated, less depressed, more energy. More follow through. I started a successful business when I was in that clinic. Still going after 15 years. Thinking about going back on methadone. I function better. That's the truth of it. I was born addicted to methadone and heroin. My mom was on a good run for her entire pregnancy. There are some people for whom staying on mmt for their entire lives works. I may be one of those people. Right now, I use occasionally. I never go looking though. Only if it comes to me. And then it's maybe once a month. A day or two is enough to put me into mild withdrawal Then a full on PAWS.... usually until something shows up again. Purposely going into a situation that some call "liquid handcuffs" (with no habit) may seem crazy. It does to me. But I just can't live feeling this way anymore. I'm getting old, and I have shit to get done before I die. What kind of handcuffs am I wearing right now? Because I am tied to this couch. This house. I can barely make it out of my county. So maybe liquid handcuffs are better than these.
I hope you are doing ok My friend 🙂
How are you doing
I use this video as asmr. Something about a British guy talking about opiate maintence therapy makes me sleepy.
this is a refreshing outlook, thank you
Very informative & transparent thank you
I’m on 180 mg every day for 6 years now. I first used methadone to get off the heroine but now I use it for my pain management and I absolutely love taking my methadone every morning… great video I love your thoughts about taking whatever works for the patient and not too feel guilty about taking the medication right.. thank you for the great video
180mg 🙀…….., are u a horse ? 🐎 ( been on M for 28 years 😢🇦🇺)
Some people take well over 200mg
The shit around these days is so much stronger than it was just 10 years ago. I'm only on 90 because I didn't wanna be on a high dose but I had to gradually use less dope every day while still taking the methadone because I was so sick with withdrawal. He couldn't Def taper down to around a 100 unless he still uses occasionally but anyone that was shooting a couple grams a fetynal a day will go through some bad withdrawal until they are well over a hundred mg
That's my experience too. I have messed up legs, hips and a twisted spine due to a disability (which started me on opiates as a very young child) and methadone keeps me clean and helps with pain. It is honestly amazing how many people at my clinic have a similar story.
It can be a life saver.
Clean over 5 years. My clinic let's me come once a month because I continued to remain clean and follow my treatment plan. I'm 34 single father to a great little 4 year old boy. 5 in Feb. I'm on 200mg a day. I still function with energy and dont ever gets nods or sleeping during day. Some people need more then others and it effects people different.
Most refreshing person ive herd talk positively about addiction. And recovery
This doctor knows what he is talking about.
Excellent advice. I'm almost seventy and have been stable for many years, however the current global economic collapse has me worried that the day will come when the breakdown of the supply lines will affect my clinic's ability to supply methadone so I want to get off the stuff. I'm down to 80mg from 125mg. So far so good. A year on and I'm down to 50mg.
Are you still coming off of it?
@@hyder-0 that’s what I wanna know lol at 70 years old how long has he been taking this stuff in the first place and has it had any negative affects on his health?
Well done Tony, keep at it mate. Your thoughts on the Global meltdown are exactly the same as mine so I have been working at getting the dose as low as possible as well. I'm down to 27ml and I'm waking up withdrawing but I will stick with it. I wish more people understood what is coming in the World and understood who is behind it and why but they have to find that out by themselves. All I know is the collapse of which you speak is a guarantee so keep with it brother because you are 100% right. I am a well read and researched guy so this is a fact the way we are both seeing this predicament. It's not an instant collapse, It's a slow controlled collapse and that's why It's gotten so much worse since your comment 2 yrs ago. Good luck.
to bad the Dr's round here ain't like this guy!
this guy is giving proper good and helpful advice. ....need more doctor's like this.
This is the most accurate information about methadone ive heard so far.
True i use to shoot up or 💉 heroin 2 times a day i got into Methadone i stayed on it but i suffered from spine cord injuries im on Pain Management now Thank God!
I have nothing bad to Say about Methadone or Methadose it's a Miracle Drug Many of my friends like me were Heroin Addicts Methadone helped them get a life custody of their kids a Job so I love Methadone
Great & honest video. So non-judgemental. I'm in Canada & I'm looking into this type of treatment. If I could be guaranteed a treatment professional like you, I would've been there already. At least I could tell you that you & your video have encouraged me so thank you :)
This guy should do speaking engagements for Dr.'s all around the country. Including the U.S of course
His knowledge of the drug in the medical field is rare.
Thanks for this video. Saying everything i’ve thought for the past year so eloquently.
Adam this is a great service you’ve done here. I’ve loved this video for a long long time. Bill
This guy...we need about 20 million more of this guy. I'm not going 2 validate my expertise. Just shut the hell up and know that he's right.
God bless this guy..👏
Thea R.
❤❤❤
This cat is exactly rite.Thank u for putting the info out there.
I keep my dose low because of heart problems everytime it goes above 60mls I am having worse ecgs. And it scares me.
I have had 3 babies on methadone but I am only on 32mls now 7 years no heroin. Kept all my babies and in employment.
Good luck anyone on this journey 🥰
Good job I start methadone tomorrow here in Australia I’m a army veteran who was hit with a IED and on huge doses of morphine pills dilorded never put a needle in my arm but I’m still a addict regardless doctor said he will give me a months worth every time I just lock it in my gun safe and a narcan kit just in case something goes wrong I all was was scared of my sister kids picking up a stray 200mg morphine pill on the floor it pisses me off because the pills are bright colours
I hope you are ok. I have coronary artery disease, and when I got up to 80 mgs I started having chest pains every afternoon. That was in July, I started tapering down 5 mgs a week, I'm down to 30 now and I feel fine. I might as well just keep tapering down and try to get off of it all together. I hope you are doing well.
Excellent video!
I just started methadone im on 30 mg i still feel sick today i was on fentanyl 4 bags a day. I dont want to live a life of crime any more. :( prayers to everyone in pain its a horrible life.
Don't give up! Get on the right dose and you won't feel sick .. tell them it isn't holding you and they will increase your dose. Addiction is horrible. Hang in there! 💓
@@THEBESTPARTOFLIFE19 im up to 40 rn
@@ashleygallo6265 hoping you hung in there and are feeling better now!!!
MAT keep them parked for life suboxone pure poison sling it down the toilet
I'm trying a short term methadone detox from 1 year IM heroin addiction: I started at 10ml/day methadone, it's holding nicely (although i did 3 times failed Cold Turkey at home, so my tolerance was a bit lower already going into methadone detox program). Planning to reduce the dosage within the next 3 weeks until I am opioid free. Wish me luck guys. Love Ya'll.
10ml is equivalent to 50mg as the solution is 5mg per ml
@@shaf3006 the solution is 10 mg/ml at most clinics in US. 10 ml=100mg
My dose is actually 220 mg and has been for several years now. When I got pregnant 220 mg was no longer showing up in my urine less than 24 hours after my last dose and I actually began to go through withdraw and almost miscarried. Dr. raised my dose ...slowly over time...and I ended up at 350 mg. When my baby was born he had zero withdrawal and when I gave birth to my next baby...11months later....and on 350 msg he didn't experience withdrawal either. I was so incredibly thankful!! After the birth of my last two sons I went back down to 220msg and have been there since. I've had several peak and troughs throughout my time on Methadone and each and every time ...according to my Doctor....I'm at a therapeutic stable dose for me. I definitely agree that the "right"dose of methadone varies from person to person and what works well for some...doesn't necessarily mean it will work well for others.
350mg is completley in called for your receptors can only fill to a certain point any after that is just running out your liver and kidneys and eating them up and nobody here buys into the now wd with both kids for a second the odds are so low for one kid let alone 2 I feel bad for you cuz one day u will have to come off that methadone and that high of a dose its in your fat and bones
ricky willis Hello!!👋 Firstly...I appreciate the fact that you took a second to respond to my post. Secondly....let me assure you that I'm being 100% truthful when I say I had two babies...less than a year apart...while being on 350mgs of Methadone...And neither of my sons experienced withdraw. Now...the fact that you "dont buy into it" means nothing to me. I know...I lived it. I've been assured that what happened to me and my babies (no withdraw after birth) is extremely rare. But it can happen...It happened to me. As far as coming off methadone some day, that's definitely my plan. And as long as I taper down slowly...and follow my Drs advice I should be fine. Regarding the statement you made about Methadone being in my bones....that is a myth. Look...I believe that there is no magical # of mgs that works for everyone. We are all individuals. What works for me...might not work for the next person. Everybody metabolizes methadone differently. My Dr. Has monitored my levels very carefully and I'm satisfied that I'm on a stable therapeutic dose that is right for me. Hope your Memorial Day was great. Have a fantabulous day!
DONT WORRY HONEY . ITS CLEAR THAT RICKY HAS NO IDEA WHAT HES SAYING. HES EDUCATED LIKE MOST AND THAT IS FROM JUST LISTINING FROM OTHERS IN LINE OR IN GROUP.. LOL
WHAT STATE U LIVE IN ??????????????????????
yeah that's too high. my clinic won't go that high unless you're a transfer patient. your peak and troughs are normal cuz through tolerance build, you are on the right dose, but no addict even injecting 2;grams of heroin a day need that much dose. in my opinion you never should have went that high
Been on methadone for twenty five years.I have twenty three years clean, I have regained my life for twenty of those. I was a barbiturate addict with heroin and fentanyl and Benzos on the side. I am twice bipolar and methadone has given me twenty three years of a good life. I am sixty eight and at140 mgs. Never missed a day or a UA !
Great video very helpful. Love the Bullets cider can in the background 😂!!
Very informed very helpful and insightful. Thank you.
this man knows what he's talking about. I speak from a lifelong opiate battle and having methadone save my life.
I’ve been on methadone here in Detroit at Bio Med for 3014 days in advance over for 3014 days. I said all that to say this I haven’t been watching UA-cam videos on methadone recently so that I can educate someone in my family on the topic and I have found so much garbage. Unbelievable, thank you for your video because it puts underlayment is the terms exactly what I’ve been trying to articulate there is doctors on UA-cam, who are so full of themselves any information or hearing his cell phone it’s unbelievable I honestly feel that if you have withdrawn or been physically dependent on your substances your education on the matter comes from the book. Therefore you’re speculating you don’t know. Shit understand you, however are in the trenches. Montreal of your experiences is very helpful. Thank you for your time. Good sir Godspeed with your recovery.
Thank you. Phoning the doctor tomorrow to get on the program.
I was getting under-dosed from my chemist. That was my catalyst to get off it for good. I managed to quit alcohol and cannabis, during the withdrawal process and haven’t picked up a drink or drug since. I have lost 10kgs, getting back into the employment game/job interviews. I eat very healthy food(intermittent fasting/detoxing) and my energy levels are almost back to what they were, prior to starting drugs(15 years old). Back before then I was an athlete, was heavily into Taekwondo competitions and was even in the Sydney 2000 Olympics Opening Ceremony - Deep Sea Dreaming segment. I could have had a life if I had made better choices then and later on, as the drugs went from the party scene to the ones that block out pain/feelings (that was the real killer for my life). I highly recommend to get to the point where “LIFE” is more appealing than isolation and scoring drugs from shifty people, as well as associated Police dramas/costly court appearances.
please guide me Sir how much time i use this medicine
Hi. Somebody just asked about dose equivalence between methadone and bup. Not straightforward. Equivalent therapeutic doses would be roughly 4mg = 30mg then 80mg about 16mg. But cos you get a ceiling on bup above 16mg - bigger doses last longer I think you should focus on whatever dose works for you. 12-16mg will hold most people / but no magic number! If you get withdrawal on 8mg go to 12/16. Some props need more. Focus on how you feel listen to your body. Don’t focus on the number guys. Good luck. Thx for all the nice words. Got something brewing as a follow up to this coming next year! Stay safe. Adam
this dude is a hero for saying the truth
We need uk doctors in the USA
I'm on 120mgs and wake up around 1am feeling withdrawal. I usually dose around 8am. I got on to get a life back, now my life revolves around getting dosed. Not using anything else period.
I was on 30mg a day max. I officially quit after 1 year and 8 months of weaning down. 120mg is a high dose but its duable! If you can lower your dose by 1mg ever week, in 2 years you will be clean! Goodluck братан, всего самого лучшего!!!
now This Dr Knows what he's talking about and Cares about the patients and the way they feel
I'm almost 6 years clean, have my own apartment, a relationship with my daughter, a good paying job, real friends, happiness and I sleep with a clear conscience every night. I'm on 100mg of methadone and before being on it I lived like this:
Homeless, hadn't worked a job in 15 years, eating out of dumpsters, doing anything I could to get money, lying to ppl I love, stealing, cried every night from shame and guilt, lost my rights as a mother to the courts. Seems like I'm doing pretty well compared to my old life huh?
Nice one Sara, getting your life back 👍
So refreshing to see someone who tells it how it is, and not dance around the subject, I was an addict to smoking heroin from april 2021- summer of 2022, and dabbling since July 2019, I began my treatment with 15ml, and then settled at 25ml, but was still getting sweaty and fucked in the mornings, seeing this now, probably shouldve went to 30ml, but it was okay. My highest amount of heroin was about 25 or 30 hits in a pipe per day, and that was im guessing around 50 or 60ml methadone equivalent, but I had reduced a lot from that
before starting my methadone treatment so I was not bad on 25ml. Thats my story, its very complex, now im on 12ml, so seeing this guy explain things straight, is like a teacher and a friend whos there for me, because this shit is fucking scary
I agree with everything he's saying currently coming down one mill a day from 70 and the biggest problem for me is higher dose longer come down period I figure I'll come down and when it stats affecting me I'll pause for a week until I'm okay then continue to come down that's my strategy. Plus being on it is like a get out of jail free card to use because there's no consequences like sickness when you run out and you can take a couple days off if you run out of money then resume use on pay day. Off of all opiates is the only way for me
Thank you for this information. You broke it down exactly like it needs to be.
He is absolutely right and he knows what he is think about I wish all the people were like him who deal with methadone
If it's true, why don't they do it? Methadone has saved so many people, including me at one time, from alcohol use. Sorry to say I am on Suboxone now and drinking again. I need help.
Get off buprenorphine. It's a agonist/ antagonist drug by itself, for what the naloxone in Suboxone. UK? Try Oramorph.
You just need the right dose.
Alcohol will be avoidable easy imho
Be blessed
Great Video. Out of curiosity, what is the maximum Daily dose by Law?
I don’t know. Biggest dose I ever prescribed was 300mg. I guess it what you tolerate. Generally most people sorted < 150mg. Good Q. I just don’t the answer ! Maybe there is not one
I like this person, he’s right.
Very wise words my friend. Methadone is very poorly understood. As a result, people are given poor advice. The ultimate goal work methadone is to cease all illicit drug use. That’s a priority. Coming down off methadone is always secondary to priority number one. If you’ve ceased using heroin, then you’ve been successful with your treatment, whether you’re coming off or maintaining permanently. In my case, I was an opioid user for 12 years. I never went with methadone as it felt like an arduous routine. So I tapered sharply at the end by using some OxyContin from a surgery I had. Basically, I had a bunch of 5mg pills. Started the taper with about 100mg and steeply dropped from there. Oh and also using rkodeine cough syrup for inter dose withdrawal
He reminds me of my own methadone doctor. Im very lucky to have a doctor like that. My doctor before him was awful beyond words.
This gentleman is a rarety, he is golden!!!, unlike every doctor I've been dealing with ever since I was put on methadone in the hospital after emergency surgery on my back. I love that he understands how fundamentally different we all are and at different times in our lives. He really takes this into consideration and does not "go by the numbers" as my doctor continues to try drilling into my head, not a week ago, and for the 4th time in the past 3 years that I was requesting a conservative increase of 3mls. I am on it for pain and here in B.C., Canada it comes as a liquid. I am going to find another clinic or another doctor who will listen to me. I hope I can find one. I wish I could see this guy!!! Ha-ha
It also depends on the type of Methadone! Our pharmacy give me a crappy Tjech Made kind of Extract! Quality also counts, thanks Doctor for your help
Been on 130 mg 12 years ...clean and sober all 12,, methadone saved my life. I was facing a terrible life and it was getting worse every day. I kno some people think it's a terrible drug or your only trading one for the other but it's not true. I sure don't feel high on methadone like I did on dilaudid, and I don't use iv so there's a big difference right there. I could talk all day about this but so much ugly negativity is out there and I know I'm going to get connotation associating with that after this post but I don't care. For me and many people this is what he discussed in the video. And that is reclamation of life...period.
130mil for 12 years and you say your "clean and sober" LOOOOOOL
@@honeymcleanwell she is
Someone not talking shite for once thk you, currently 5 mths stable on 110 mg this video helped me so much z
Dude We Need You Over Here IN San Antonio.!!!!!!!!!!...! Doctors Need to listen to ME,US,The Beging When I First get Into The Program The First 2 weeks suxs,I mean They UP The dose Slowly And Its A Bummer MAN.!!!!!!!!!!...! Freeman From Withdraw!!!!!!!!!!...!
This guy is awesome, great advice and truths, agreed with all of it, need all doctors to see this, great information about methadone, he gets it plain and simple.
Peak and troph numbers led me to a 205 mg dose! But the vast improvement in myquality of life has been tremendous and I firmly believe for ME I could not be where I am today without Medication Assisted Treatment (MAT). Each persons addiction is different from the next and I wish I could do it without medication however I have tried that route for YEARS with minimal success. God bless anyone still struggling, keep on trying no matter how many times or by what means it takes to kick a habit.
The problem here is we have clincs that chose not to listen to their patients about tolerance...i was wonder if i could speak to you or correspond as i could really do with some advice..i was in a car accident in January and the dose i was on for 7 yrs is no longer working (ive had a script 25 years but my usage has been habitual since i was 12 years old,theres a reason for that that i dont want to go into here)..i spoke to my worker in march but the management are insistent to the point of ignorance that they wont ajust my dose (they havent given me a reason only to intimate that "they dont like to give higher doses"..im now in a situation where im having to make complaints and ive been outright lied to as well..but all the time im struggling..i could use some help)
Is there a way you can seek a second opinion or is there an advocacy group. Your county guidelines might help them understand your situation better. Sorry to hear this. Stay safe
this is a smart dude
Thank u for this. My clinic makes me feel I should take the lowest dose possible. The pushback from the clinic have been putting me off wplus the 5mg increase is taking forever but screw what they want I'm going as high as I want till I feel right. This is maintenance not detox meds and I should be able to get a dose thats conformable for me not them.
Been on methadone since 2015. I was on 125 mg at one point. Now I'm on 50 mg and been there for the last 3 years and it's the swet spot for me. I also got take homes too which is very nice, don't have to wake up and go to the clinic everyday.
I hate when people say okay u been on it too long time to get off,
Okay I been using for 17 years I been on this for one year it’s time to get off ahh not really ready life been pretty good.
And if I miss few days and feel withdrawals again kinda sucks to remember that again 🤷🏻♂️.
That man spoke 100 percent hand too u man
Very well said, sir.
I agree 100%!
Unfortunately no doctor allows the patient to choose their dose. The war on opiates has hurt us badly in the USA to the point where pain management patients are unable to get small doses of methadone.
Why don't the US. Hire this man
Great video thank you! mate I had a choice of subutex or methodone after a long time on tramadol after a motor vehicle crash, I hated the way tramadol had a grip on me so after some thought an wise words from my best mate! I got my life back in order. very impressed with the knowledge mate thank you I get it the people that use on top Will never get there number right as its always unpredictable how much is in there system I'm on 10 mg of subutex a day and it holds me fine, great video 👍👌