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PostPosted: Mon Feb 29, 2016 7:16 pm 
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It's a no win deal. I can't call and set up these long meetings at doctors offices when I can't be on the phone personally and I certainly can't miss any work I JUST started 2 weeks ago?! No this isn't a justification so I can keep doing opiates I have been off 14 mos and on MMT therapy and down to 31mg and want to change because I can only go 2x a week now and it's tough! I can't do that daily crap.. I don't know which is toigher to get off of but you would think some doctors would understand and mix up their hours here and there!


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PostPosted: Wed Mar 02, 2016 6:21 am 
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I get it's frustrating for you and it sounds like something will have to give. Even though it is a new position for you, it wouldnt be the end of the world to take a day off. You can't lose your job over a day off, so I would prioritise finding a DR and getting on subs. Can't hurt to keep trying. Good luck, let us know how You go.


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PostPosted: Wed Mar 02, 2016 7:53 am 
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Thank you and I've thought long about it this. I can miss a half day I'm sure. Everyone else is around spring break. But in the long run that half day may prevent countless late days because I tried to get in line at methadone clinic.


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PostPosted: Thu Mar 03, 2016 12:08 am 
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Have you been on methadone for a long time? I've been wondering about something lately.... about how the main challenge people have with buprenorphine is to complete a taper, preferably after being on it and stable for a few years. With bupe, the taper is made difficult by the way all of the withdrawal is stacked at the very end, so people have to find a way to break the final doses up into very small pieces of film or tabs...

So I've been wondering if methadone would serve that purpose. It is very easy to go from Suboxone TO methadone (going in the reverse direction is very difficult). Would it make sense for people on Suboxone/buprenorphine to change over to about 30 mg of methadone, and then slowly taper off from there?

The advantage of tapering methadone is that the dose is controlled by the clinic and nurses, and you could taper at a slow, consistent rate-- e.g. 1 mg per week. People tend to argue about 'what drug is easier to detox from', but really it is just a matter of lowering a person's tolerance over time. With bupe, people have to break it into pieces on their own, and find the 'will power' to push the dose lower and lower. On methadone, that is done FOR you-- and you don't have to control it yourself.

Has anyone taken that approach?


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PostPosted: Sun Mar 06, 2016 3:22 am 
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Best of luck to you.
Maybe find another Dr. that is quicker. I'm only in mine for maybe 5 minutes. Very quick in and out.


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Dr. Jeffrey Junig, M.D., Ph.D.

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